Castle Hills Rehabilitation and Care Center
8020 Blanco Rd, San Antonio, TX, 78216
CMS ownership records associate this facility with Optima Care · For profit - Limited Liability company.
At a glance
- CMS overall
- 1
- of 5
- Health inspection
- 1
- of 5
- Staffing
- 1
- of 5
- Quality measures
- 1
- of 5
- Certified beds
- 143
- CMS-reported
CMS rating profile
The four CMS ratings on one aligned scale, with county and state averages for context.
Rating profile
How this facility's overall rating relates to its three CMS component ratings.
CMS-reported data · updated 2026-07-17
Comparative context
This facility's CMS overall rating next to its county and state averages.
CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating
Methodology
Inspections and citations
Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.
Citation profile
How many citations CMS reports, how severe, and when they occurred.
CMS-reported data · updated 2026-07-17
Methodology
Federal records
Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.
Federal fines (CMP)
Fine records over time, sized by amount.
- Sep 12, 2025$19,120
- May 2, 2025$27,094
- Aug 2, 2024$10,226
- Mar 16, 2024$55,648
- Jun 29, 2023$5,078
CMS-reported data · updated 2026-07-17
Payment denials
Payment-denial records over time, sized by duration.
No payment-denial records are included in this data for this facility.
CMS-reported data · updated 2026-07-17
Methodology
Staffing and care
Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.
Selected care measures
How this facility's reported care indicators sit against a typical level.
Long-stay residents given antipsychotic medication.
Long-stay residents with new or worsened pressure ulcers.
Long-stay residents with one or more falls with major injury.
CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating
Methodology
Ownership
Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.
| Owner / organization | Role |
|---|---|
| Frio Hospital District | 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| Ruff, Michael | MANAGING CONTROL - GOVERNING BODY |
| Ruff, Michael | CORPORATE OFFICER |
| Castle Hills Nursing and Rehab Center LLC | OPERATIONAL/MANAGERIAL CONTROL |
| Bewsey, Michael | OPERATIONAL/MANAGERIAL CONTROL |
| Porras, Peter | OPERATIONAL/MANAGERIAL CONTROL |
| Castle Hills Nursing and Rehab Center LLC | ADP OF THE SNF |
| Aziz, Wesam | ADP OF THE SNF |
| Porras, Peter | ADP OF THE SNF |
Nearby facilities
Other CMS-certified nursing homes near Bexar County.
Verify the current location and license with official sources.
| Facility | Location | Overall | Health | Staffing | CMS abuse icon | Federal penalties |
|---|---|---|---|---|---|---|
| Avir at Beaumont CCN 455001 | Beaumont, TX | 1 | 2 | 1 | Shown | $52,494 |
| Avir at New Braunfels CCN 455020 | New Braunfels, TX | 1 | 1 | 2 | Not shown | $147,263 |
| Baylor Scott & White Continuing Care Hospital Skil CCN 455069 | Temple, TX | 5 | 5 | 5 | Not shown | $0 |
| Knopp Healthcare and Rehab Center Inc CCN 455278 | Fredericksburg, TX | 4 | 4 | 3 | Not shown | $0 |
| Sharpville Residence and Rehabilitation Center CCN 455333 | Houston, TX | 4 | 4 | 3 | Not shown | $8,431 |
| Legacy Nursing and Rehabilitation CCN 455351 | Bryan, TX | 2 | 2 | 2 | Not shown | $12,375 |
Related research
Frequently asked questions
What is Castle Hills Rehabilitation and Care Center's CMS rating?
Castle Hills Rehabilitation and Care Center has a 1-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 1 for health inspections, 1 for staffing, and 1 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.
Where is Castle Hills Rehabilitation and Care Center located?
Castle Hills Rehabilitation and Care Center is located at 8020 Blanco Rd, San Antonio, TX, 78216 in Bexar County, and CMS lists 143 certified beds.
Does Castle Hills Rehabilitation and Care Center have federal penalties or payment denials on record?
The CMS data includes $117,166 in federal fine amounts and 0 payment-denial records for Castle Hills Rehabilitation and Care Center over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.
How does Castle Hills Rehabilitation and Care Center's rating compare to nearby facilities?
Castle Hills Rehabilitation and Care Center's CMS overall rating is 1 of 5. For comparison, the average CMS overall rating is 2.42 across 62 facilities in Bexar County, and 2.7 across Texas. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.
How can I verify Castle Hills Rehabilitation and Care Center's current information?
SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Castle Hills Rehabilitation and Care Center's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.
Technical appendix
Record identifiers
- CMS provider number (CCN)
- 455510
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 143
- Data snapshot
- 2026-07-17
All 65 citation records
| Date | CMS tag | Severity | Type | CMS deficiency status | Correction date |
|---|---|---|---|---|---|
| Mar 6, 2026 | 0761 | E | Complaint | Deficient, Provider has date of correction | Mar 20, 2026 |
| Feb 22, 2026 | 0641 | D | Complaint | Deficient, Provider has date of correction | Mar 15, 2026 |
| Feb 22, 2026 | 0656 | D | Complaint | Deficient, Provider has date of correction | Mar 15, 2026 |
| Feb 22, 2026 | 0842 | D | Complaint | Deficient, Provider has date of correction | Mar 15, 2026 |
| Jan 16, 2026 | 0755 | D | Complaint | Deficient, Provider has date of correction | Feb 20, 2026 |
| Jan 16, 2026 | 0880 | D | Complaint | Deficient, Provider has date of correction | Feb 20, 2026 |
| Dec 10, 2025 | 0812 | E | Complaint | Deficient, Provider has date of correction | Jan 10, 2026 |
| Dec 10, 2025 | 0908 | E | Complaint | Deficient, Provider has date of correction | Dec 12, 2025 |
| Nov 25, 2025 | 0726 | D | Complaint | Deficient, Provider has date of correction | Nov 26, 2025 |
| Nov 14, 2025 | 0812 | E | Complaint | Deficient, Provider has date of correction | Jan 10, 2026 |
| Nov 14, 2025 | 0925 | E | Complaint | Deficient, Provider has date of correction | Nov 30, 2025 |
| Sep 12, 2025 | 0689 | J | Complaint | Deficient, Provider has date of correction | Sep 13, 2025 |
| Sep 12, 2025 | 0558 | D | Standard | Deficient, Provider has date of correction | Sep 13, 2025 |
| Sep 12, 2025 | 0577 | C | Standard | Deficient, Provider has date of correction | Sep 13, 2025 |
| Sep 12, 2025 | 0641 | D | Standard | Deficient, Provider has date of correction | Sep 13, 2025 |
| Sep 12, 2025 | 0656 | D | Standard | Deficient, Provider has date of correction | Sep 13, 2025 |
| Sep 12, 2025 | 0677 | D | Standard | Deficient, Provider has date of correction | Sep 13, 2025 |
| Sep 12, 2025 | 0761 | D | Standard | Deficient, Provider has date of correction | Sep 13, 2025 |
| Sep 12, 2025 | 0803 | E | Standard | Deficient, Provider has date of correction | Sep 13, 2025 |
| Sep 12, 2025 | 0812 | E | Standard | Deficient, Provider has date of correction | Sep 13, 2025 |
| Sep 12, 2025 | 0880 | D | Standard | Deficient, Provider has date of correction | Sep 13, 2025 |
| Sep 12, 2025 | 0926 | D | Standard | Deficient, Provider has date of correction | Sep 13, 2025 |
| Aug 15, 2025 | 0644 | D | Complaint | Deficient, Provider has date of correction | Sep 14, 2025 |
| Jun 26, 2025 | 0609 | D | Complaint | Deficient, Provider has date of correction | Jun 30, 2025 |
| May 2, 2025 | 0655 | J | Complaint | Deficient, Provider has date of correction | May 3, 2025 |
How to verify this data
- The current CMS profile on Medicare’s Care Compare
- Your state survey agency’s latest inspection reports
- Any recent complaint investigations
- Current ownership and license status
SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.