Castle Hills Rehabilitation And Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1985-07-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 344-4553 or your local Medicaid office to verify current eligibility.

Castle Hills Rehabilitation And Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 42.5/100, placing it #14525 of 14703 facilities nationally and #1166 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Castle Hills Rehabilitation And Care Center receives a reported average of 2 hours 32 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 21 minutes; Licensed Practical Nurse (LPN) — 48 minutes; Nurse Aide — 1 hour 23 minutes. On weekends, total nurse staffing is 2 hours 7 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 8 fine(s) totaling $140,095. 43 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 8 fine(s) totaling $140,095, and 0 Medicare payment denial(s). Total penalties: 8. The Total Weighted Health Survey Score is 353.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Castle Hills Rehabilitation And Care Center ranks 14525th out of 14,703 facilities (composite score: 42.5/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1166th out of 1,177 nursing homes. In San Antonio, it ranks 58th out of 58 facilities. For 2026 staffing: total nurse hours rank #13,973 nationally and RN hours rank #11,849 nationally (#633 in TX). Our composite quality score of 42.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Antonio, visit: https://nursinghomesnearme.org/texas/san-antonio/