Castle Hills Rehabilitation And Care Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
especially shift change and ensure that the alarm is set at 8 PM to 6 AM. CMA stated if a resident was missing to follow missing person protocol. During an interview on 9/12/25 at 9:05 AM, CMA J (Medical Records and Receptionist) stated she works as weekends. She stated that training was initiated after the incident of elopement of 9/6/25. She remembered from the training to report immediately to the Administrator any allegation of ANE. She commented that resident rights needed to be respected.
Regarding elopement, she stated: to monitor movement of the exit door and check the elopement binder.
Moreover, she stated the alarm was set at 8:00 PM and the receptionist evaluated the alarm system and then sent a notice to management on the What Apps that the alarm was set and secured. PRN Staff During telephone interview on 9/12/25 at 1:30 PM, Receptionist AA, stated the highlights of the in-services were: report abuse, respect resident rights, and for elopement check on the exit door and check the alarm was set. Receptionist stated that a elopement binder was at the receptionist desk and her training called for search for missing residents and reporting to management. During a telephone interview on 9/12/25 at 1:35 PM, LVN Q stated the key points of her in-services were: to report ANE and follow protocols on elopement and missing persons. LVN stated the training stressed to headcount residents during shift change and throughout the day. During a telephone interview on 9/12/25 at 1:38 PM, CNA BB stated, the in-services stressed to report ANE and respect resident rights. Also, the CNA stated she needed to headcount her residents and monitor the movement of wanders. The CNA stated she needed to ensure doors were armed and locked at 8:00 PM. In the event a resident went missing she was to follow the missing person checklist.
During a telephone interview on 9/12/25 at 1:43 PM, CNA CC stated she attended in-services and remembered to report any allegations of ANE to the Abuse Coordinator, the Administrator. She stated that as a CNA she needed to headcount her caseload and check on the arming of doors after 8:00 PM. If a resident went missing, she would participate in the search of the resident. During an interview on 9/12/25 at 10:57 AM, the Administrator stated the 1:1 [for Resident #74] started on 9/7/25 at 7:00 AM by staff member CMA J and continued by CMA K and thereafter continued on a 24-hour basis until resident's discharge on [DATE REDACTED] at 5:00 PM. Key Record Reviews: Record review of receptionist timecards [receptionist F, G and J] from 9/6/25 to 9/11/25 reflected a schedule of hours from 8:00 AM to 10:00 PM. Record revies of Resident #74's Nurse Note dated 9/6/25 at 10:33 PM authored by RN E read: .CNA [D] reports to this nurse [RN E], resident noted at bus stop across
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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.