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Complaint Investigation

Castle Hills Rehabilitation And Care Center

November 25, 2025 · San Antonio, TX · 8020 Blanco Rd
Citations 1
CMS Rating 1/5
Beds 143
Provider ID 455510
Healthcare Facility
Castle Hills Rehabilitation And Care Center
San Antonio, TX  ·  View full profile →
Inspection Summary

Castle Hills Rehabilitation and Care Center in San Antonio, TX — inspection on November 25, 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.

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Inspection Findings

FF0726
Nursing and Physician Services Deficiencies
Potential for More Than Minimal Harm

During an interview on [DATE] at 04:40 p.m., RN A stated she was notified a few weeks ago that her CPR certification had expired.

She stated she felt competent in responding to a code and did not believe her expired certification would have impacted her resident care.

During an interview on [DATE] at 05:07 p.m., the DON stated she did not have a competencies checklist.

She stated that the process to verify CPR and AED competency was to obtain a certification document.

Record review of policy titled, Cardiopulmonary Resuscitation (CPR), date revised [DATE], revealed: Policy:It is the policy of this facility to adhere to residents' rights to formulate advance directives. In accordance to these rights, this facility will implement guidelines regarding cardiopulmonary resuscitation (CPR).Policy Explanation and Compliance Guidelines: .3. CPR certified staff will be available at all times.4. CPR certified staff will maintain current CPR certification for healthcare providers through a CPR provider whose training includes a hands-on session either in a physical or virtual instructor-led setting in accordance with accepted national standards.

Facility ID:

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.


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