Castle Hills Rehabilitation And Care Center
Inspection Findings
F-Tag F0644
F 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the recommendations in the Texas Medicaid & Healthcare Partnership (TMHP) via the Simple Care Forms System (SimpleCFS) website. The SW stated she was responsible for submitting NFSS's recommended by
the LIDDA into the TMHP SimpleCFS website. The SW stated Resident #1 had a care plan meeting with
the LIDDA on 4/16/2025 where the LIDDA recommended a custom wheelchair for Resident #1. The SW stated she had not submitted the NFSS for the custom wheelchair in the SimpleCFS website by 5/14/2025 because the DOR had not been able to secure the DME custom wheelchair from the DME vendor. The SW stated she was unaware she was required to enter the NFSS for the wheelchair in the SimpleCFS website within 20 days from the LIDDA care plan meeting. During an interview on 8/15/2025 at 4:00 PM the Administrator stated the facility's policy had not addressed the requirement from the State Agency to have a NFSS Submitted into the SimpleCFS website within 20 days from the LIDDA care plan meeting. The Administrator stated the risk to residents could be a possible delay in NFSS services however his policy was for residents to receive services prior to approval from the TMHP SimpleCFS regardless of a payor source. The Administrator stated Resident #1 was assessed by the DOR as safe in the bariatric wheelchair provided by the facility.
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Castle Hills Rehabilitation and Care Center in San Antonio, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in San Antonio, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Castle Hills Rehabilitation and Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.