Castle Hills Rehabilitation And Care Center
Castle Hills Rehabilitation and Care Center in San Antonio, TX — inspection on September 12, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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] 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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.