Nursing homes › Texas › Castle Hills Rehabilitation and Care Center
8020 Blanco Rd, San Antonio, TX 78216 · 2103444553 · 143 certified beds
Per CMS filings, this facility is affiliated with Optima Care, a group operating 8 facilities in 3 states. Group record: average rating 2.9/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $197,481 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 2.96 (Texas median: 3.27). RN hours: 0.59. Weekend total: 2.52.
All-time on record: 72 deficiency citations, including 8 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-20 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | complaint | corrected 2026-05-21 |
| 2026-05-20 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-05-21 |
| 2026-05-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-05-21 |
| 2026-05-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-05-16 |
| 2026-05-15 | Ensure 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 | complaint | corrected 2026-05-16 |
| 2026-05-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-05-16 |
| 2026-05-15 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-05-16 |
| 2026-04-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2026-05-31 |
| 2026-04-24 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-05-31 |
| 2026-03-06 | Ensure 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. | E | complaint | corrected 2026-03-20 |
| 2026-02-22 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2026-03-15 |
| 2026-02-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-03-15 |
| 2026-02-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-03-15 |
| 2026-01-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-02-20 |
| 2026-01-16 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-02-20 |
| 2025-12-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2026-01-10 |
| 2025-12-10 | Keep all essential equipment working safely. | E | complaint | corrected 2025-12-12 |
| 2025-11-25 | 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. | D | complaint | corrected 2025-11-26 |
| 2025-11-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2026-01-10 |
| 2025-11-14 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2025-11-30 |
| 2025-09-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-09-13 |
| 2025-09-12 | Ensure 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 | Health | corrected 2025-09-13 |
| 2025-09-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-09-13 |
| 2025-09-12 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-09-13 |
| 2025-09-12 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-09-13 |
| 2025-09-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-09-13 |
| 2025-09-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-09-13 |
| 2025-09-12 | Ensure 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 | Health | corrected 2025-09-13 |
| 2025-09-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-09-13 |
| 2025-09-12 | Have policies on smoking. | D | Health | corrected 2025-09-13 |
| 2025-09-12 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Health | corrected 2025-09-13 |
| 2025-08-15 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2025-09-14 |
| 2025-06-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-30 |
| 2025-05-02 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | J | complaint | corrected 2025-05-03 |
| 2025-05-02 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | J | complaint | corrected 2025-05-03 |
| 2024-09-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-09-30 |
| 2024-09-10 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-09-30 |
| 2024-08-23 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2024-09-23 |
| 2024-08-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-09-23 |
| 2024-08-23 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-09-23 |
| Date | Type | Amount |
|---|---|---|
| 2025-09-12 | Fine | $19,418 |
| 2025-05-02 | Fine | $27,094 |
| 2024-08-02 | Fine | $10,226 |
| 2024-03-16 | Fine | $55,648 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FRIO HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 02/01/2024 |
| RUFF, MICHAEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2024 |
| RUFF, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2024 |
| CASTLE HILLS NURSING AND REHAB CENTER LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2025 |
| BEWSEY, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| PORRAS, PETER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455510. Corrections: data@carerecords.org.