Castle Hills Rehabilitation and Care Center

8020 Blanco Rd, San Antonio, TX 78216

Phone: 2103444553

CMS ratings and facility information

Castle Hills Rehabilitation and Care Center is a Medicare-certified nursing facility in San Antonio, Bexar County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measures rating1 of 5
Certified beds143
OwnershipFor profit - Limited Liability company
CMS certification number455510

Staffing

Total nurse hours per resident day2.96
RN hours per resident day0.59
Nurse aide hours per resident day1.71

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.2events_per_1000_resident_days20250101-20251231
Emergency-department visits1.75events_per_1000_resident_days20250101-20251231
Falls with major injury6.6percent2025Q2-2026Q1
Pressure ulcers7.29percent2025Q2-2026Q1
Urinary tract infections3.35percent2025Q2-2026Q1
Antipsychotic medication use10.71percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-09-120689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-09-120803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E
2025-09-120812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-09-120558Reasonably accommodate the needs and preferences of each resident.D
2025-09-120641Ensure each resident receives an accurate assessment.D
2025-09-120656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-09-120677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-09-120761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2025-09-120880Provide and implement an infection prevention and control program.D
2025-09-120926Have policies on smoking.D
2025-09-120577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C
2024-08-230641Ensure each resident receives an accurate assessment.E
2024-08-230812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-08-230558Reasonably accommodate the needs and preferences of each resident.D
2024-08-230689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-08-230690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-08-230726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D
2024-08-230755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-08-230761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2024-08-230810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D
2024-08-230908Keep all essential equipment working safely.D
2023-07-140582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E
2023-07-140584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2023-07-140760Ensure that residents are free from significant medication errors.E
2023-07-140812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-07-140921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2023-07-140944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E
2023-07-140645PASARR screening for Mental disorders or Intellectual DisabilitiesD
2023-07-140656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-07-140661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D
2023-07-140695Provide safe and appropriate respiratory care for a resident when needed.D
2023-07-140814Dispose of garbage and refuse properly.D

Penalties

DateTypeAmount
2025-09-12Fine,418
2025-05-02Fine,094
2024-08-02Fine,226
2024-03-16Fine,648

Ownership records

NameTypeRole
FRIO HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
RUFF, MICHAELIndividualMANAGING CONTROL - GOVERNING BODY
RUFF, MICHAELIndividualCORPORATE OFFICER
CASTLE HILLS NURSING AND REHAB CENTER LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
BEWSEY, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL
PORRAS, PETERIndividualOPERATIONAL/MANAGERIAL CONTROL
CASTLE HILLS NURSING AND REHAB CENTER LLCOrganizationADP OF THE SNF
AZIZ, WESAMIndividualADP OF THE SNF
PORRAS, PETERIndividualADP OF THE SNF

Compare nursing homes in Bexar County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.