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D
Poor

Castle Hills Rehabilitation and Care Center

8020 Blanco Rd · San Antonio, TX 78216

2103444553 · For profit - Limited Liability company

143 beds62.2 residents67 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Castle Hills Rehabilitation and Care Center receives an overall staffing grade of D (Poor). With 2.5358 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3521 HPRD, below the recommended 0.75. It is 1.36 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.43% compared to weekdays. The facility has low agency staff usage (0.06% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.5358 HPRD — needs 0.94 more hours per resident per day.
⚠️RN staffing (0.3521 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.06%) — mostly permanent, familiar staff
Total Nurse HPRD
2.5358hrs/resident/day▼ 1.36
CMS benchmark: 3.48
RN HPRD
0.3521hrs/resident/day▼ 0.33
Recommended: 0.75
Weekend Drop-off
21.43%
2.6993 weekday → 2.1208 weekend
⚠ Significant weekend reduction
Agency Staff
0.06%
0.42% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.1715hrs/resident/day
Direct care aides
LPN HPRD
0.7966hrs/resident/day
Licensed practical nurses
Consistency
0.3353std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Bexar County Average-0.85 HPRD
3.39
02.54 HPRD
vs. Texas State Average-0.87 HPRD
3.40
02.54 HPRD
vs. National Average-1.36 HPRD
3.90
02.54 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Castle Hills Rehabilitation and Care Center ★
San Antonio · This facility
—
D
2.53580.3521★☆☆☆☆
ASBURY CARE CENTER OF ALAMO
SAN ANTONIO
2.9 mi
F
3.29390.2061★☆☆☆☆
THE LEV AT SAN ANTONIO
SAN ANTONIO
3.3 mi
D
3.16180.3085★☆☆☆☆
WURZBACH NURSING AND REHABILITATION
SAN ANTONIO
4.4 mi
F
3.07370.2342★☆☆☆☆
OAK PARK NURSING AND REHABILITATION CENTER
SAN ANTONIO
4.8 mi
F
3.14460.1328★★☆☆☆
MORNINGSIDE MANOR
SAN ANTONIO
4.8 mi
D
3.31180.29★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

18
Inspections
64
Total Deficiencies
$157,841
Fines Assessed
Dec 10, 2025Health
2 deficiencies cited
▼
Nov 25, 2025Health
1 deficiency cited
▼
Nov 14, 2025Health
2 deficiencies cited
▼
Sep 12, 2025Health
11 deficiencies cited· Includes actual harm
▼
Aug 15, 2025Health
1 deficiency cited
▼
Jun 26, 2025Health
1 deficiency cited
▼
May 2, 2025Health
2 deficiencies cited· Includes actual harm
▼
Sep 13, 2024Health
1 deficiency cited
▼
Sep 10, 2024Health
1 deficiency cited
▼
Aug 23, 2024Health
10 deficiencies cited
▼
Aug 2, 2024Health
1 deficiency cited· Includes actual harm
▼
Mar 23, 2024Health
2 deficiencies cited· Includes actual harm
▼
Mar 16, 2024Health
4 deficiencies cited· Includes actual harm
▼
Dec 21, 2023Health
2 deficiencies cited
▼
Jul 14, 2023Health
11 deficiencies cited
▼
Jul 10, 2023Health
5 deficiencies cited
▼
Jun 29, 2023Health
2 deficiencies cited
▼
Apr 18, 2023Health
5 deficiencies cited
▼

Penalty History

Sep 12, 2025Fine
$19,120
May 2, 2025Fine
$26,520
Aug 2, 2024Fine
$10,226
Mar 16, 2024Fine
$55,648
Jun 29, 2023Fine
$5,078
May 8, 2023Fine
$4,587
Apr 17, 2023Fine
$13,762
Mar 20, 2023Fine
$4,580
Mar 13, 2023Fine
$4,580
Mar 6, 2023Fine
$4,580
Feb 28, 2023Fine
$4,580
Feb 21, 2023Fine
$4,580
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.