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Nursing-home chain

Optima Care

We list 1 facility in Texas. CMS records 8 chain facilities in total across 3 states; the rest sit in states we haven't loaded yet.

Listed in our coverage
1
1 state
Chain-wide footprint
8
3 states (CMS-wide)
Avg overall rating
3.0 / 5
CMS chain-wide
Total fines
$226,249
13 fines
100% for-profit

Facilities listed in our coverage

Texas

1 facility in Texas

Castle Hills Rehabilitation And Care Center

8020 BLANCO ROAD, San Antonio

1/5CMS overallStaff 1·Health 1
$140K in fines · 8 fines

Nursing home · Medicare/medicaid · 143 beds · For-profit

Bed mix: 65 Medicare · 78 dual

Castle Hills Rehabilitation And Care Center is a 143-bed nursing home in San Antonio's Bexar County, accepting both Medicare and Medicaid. CMS rates it 1 star overall, with 1-star ratings for both health inspections and staffing. Eight fines totaling $140,095 have been assessed. The facility is currently operating at about 43% of its licensed beds — roughly 62 residents on any given day. Licensed through February 2027 under management by Optima Care.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Source: CMS Nursing Home Chain Performance Measures (chain-wide rollups), as of March 2026 · CMS SNF Enrollments + state licensing registries (per-facility records).