Castle Hills Rehabilitation And Care Center
8020 BLANCO ROAD, San Antonio, TX, 78216
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Optima Care
- Certified beds
- 143 · avg 62 residents/day
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 8 fines · $140,095 total
State licensing & capacity
- License number
- 311785
- Service type
- Medicare/medicaid
- Licensed capacity
- 143 beds
- Bed type breakdown
- 65 Medicare-only · 78 Medicaid/Medicare
- Current license effective
- February 1, 2024
- Current license expires
- February 1, 2027
- Initial license date
- May 16, 1973
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Castle Hills Rehabilitation And Care Center Llc
- Administrator
- Grant Griffeth
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Optima Care chain — 8 facilities across 3 states. Chain-wide average overall rating 3.0 / 5.
Disclosed owners (6 on record)
- Castle Hills Nursing And Rehab Center Llc
Adp of The Snf · since 2025
- Michael c Bewsey
Operational/managerial Control · since 2025
- Peter Porras
Operational/managerial Control · since 2025
- Wesam Sabri Aziz
Adp of The Snf · since 2025
- Frio Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2024
- Michael Ruff
Corporate Officer · since 2024
Recent change of ownership
February 2024 (2 years ago) · acquired from Castle Hills Rehabilitation And Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 66)
- D0880·Jan 16, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Jan 16, 2026Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0812·Dec 10, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0908·Dec 10, 2025Complaint
Environmental Deficiencies
Keep all essential equipment working safely.
- D0726·Nov 25, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E0925·Nov 14, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0812·Nov 14, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0926·Sep 12, 2025
Environmental Deficiencies
Have policies on smoking.
Federal penalties
By year
- 20252 fines · $46K
- 20242 fines · $66K
- 20234 fines · $28K
Most recent events
- Sep 12, 2025Fine · $19K
- May 2, 2025Fine · $27K
- Aug 2, 2024Fine · $10K
- Mar 16, 2024Fine · $56K
- Jun 29, 2023Fine · $5,078
- May 8, 2023Fine · $4,587
Largest single fine on record: $56K.
Fire-safety citations
32 Life-Safety-Code citations on file. Most recent: Sep 12, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
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.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier. Each resident receives about 152 minutes of nursing care per day, which is 89 minutes less than at a 4-star-staffing facility in Texas. Of that, only 21 minutes comes from a registered nurse. Beyond the raw numbers: residents here tend to require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 152 minutes stretch thinner than they would at a facility serving more independent residents.
One administrator has left in the past year. Transitions at the top often affect scheduling, care-plan oversight, and staff consistency in ways that take months to stabilize.
CMS has issued 8 fines totaling $140,095 since the facility's record period. The state median fine total across Texas nursing homes is about $20,699, and 30% of Texas facilities have no fines at all. This facility's total is roughly seven times the state median.
The facility is running at about 43% occupancy — 62 residents in a building licensed for 143 beds. This is paired with a 1-star overall CMS rating and a severe fine history.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current staffing levels and scheduling
At 152 nursing minutes per resident per day — 89 minutes below the Texas 4-star threshold — ask how many nurses and aides are on each shift and how call-outs are covered.
Eight CMS fines since the record period
The facility has been fined eight times for a total of $140,095; ask which deficiencies triggered each fine and what specific changes were made in response.
Administrator transition and leadership continuity
One administrator has left in the past year; ask who is currently in the role, how long they have been in place, and whether department-head positions are also fully staffed.
Why occupancy is at 43 percent
The facility has about 62 residents in a 143-bed building; ask whether the low census reflects a planned renovation, discharge patterns, or something else.
Resident Council access and meeting schedule
A Resident Council exists here but no Family Council; ask how often the Resident Council meets and how family members can submit concerns or receive updates.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.