Castle Hills Rehabilitation And Care Center has received an F grade based on CMS data, with a score of 0/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this San Antonio facility should carefully review its inspection history and quality metrics.
With 2.53 total nurse hours per resident per day, Castle Hills Rehabilitation And Care Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 66 deficiencies at Castle Hills Rehabilitation And Care Center, including 8 classified as serious — among the most concerning citation levels. The most notable finding involved: provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.53 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.35 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.79 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.39 | 2.4 | Below Average |
| Weekend Total Nursing | 2.12 | 3.8 | Below Average |
| Weekend RN Hours | 0.45 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jan 15, 2026 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Jan 15, 2026 · Infection Control Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 9, 2025 · Nutrition and Dietary Deficiencies
- Tag 0908 Severity EKeep all essential equipment working safely.Dec 9, 2025 · Environmental Deficiencies
- Tag 0726 Severity DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nov 24, 2025 · Nursing and Physician Services Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.1% | 4.5% | Worse |
| Falls with major injury | 3.8% | 3.0% | Worse |
| On antipsychotic medication | 7.4% | 14.5% | Better |
| Urinary tract infections | 2.2% | 2.5% | Better |
| ADL decline (daily activities) | 27.1% | 14.0% | Worse |
| Excessive weight loss | 1.8% | 7.5% | Better |
| New/worsened incontinence | 25.4% | 45.0% | Better |
⚠️ Penalties & Fines
8 penalties recorded by CMS
Total fines: $140,095
How This Grade Was Calculated
This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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