Castle Hills Rehabilitation and Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 53 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (22 vs median 8.0)
Bottom 25% in Texas · Critically understaffed (RN) · $140,095 in fines
What this means for your family
The facility's physical therapy and recent renovations are significant assets for post-surgical recovery. However, families must exercise extreme caution and perform due diligence regarding recent state investigations and reports of nighttime neglect, as these are critical safety concerns.
Google Reviews
Google Reviews
53 reviews on Google“Families considering Castle Hills Rehabilitation and Care Center will find a facility praised for its exceptional physical therapy team and recent renovations that have modernized the building. While many reviewers highlight the kindness of the nursing and admissions staff, there are extremely serious allegations regarding documentation failures, resident deaths, and neglectful overnight care that must be investigated.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab results
- Recent facility renovations and cleanliness
- Kind and professional admissions and administrative staff
- On-site dialysis services
Concerns
- Serious allegations of neglect and documentation failures leading to resident death
- Poor overnight staffing and neglectful CNA behavior
- Inconsistent medication management and communication after discharge
- Discrepancies between promised and actual room types
Rating Trends
Tap a year to see what changed
Distribution · 72 analyzed
How They Respond to Reviews
The owner relies heavily on a small set of repetitive templates for positive reviews, rarely acknowledging specific details or staff mentions. Negative reviews are handled with a more structured, professional approach that directs the reviewer to specific contact channels.
Questions for Your Tour
- 1It is wonderful to see how clean and recently renovated the facility looks; what other recent improvements have been made to the resident living areas?
- 2How does the nursing team ensure that medication administration is handled accurately and that all changes are communicated clearly to the family?
- 3With the on-site dialysis services available, how do you coordinate care between the dialysis team and the primary nursing staff?
- 4What specific protocols are in place for monitoring residents during the overnight hours to ensure they are safe and well-attended to?
- 5How does the facility manage communication with families regarding updates on a resident's health or changes in their care plan?
- 6We are very impressed by the reputation of your physical therapy department; how do you tailor rehab programs to help residents regain their independence?
Personalized based on this facility's data
Key Review Excerpts
“The rehab team really listened and explained everything. They customize every persons care by the individual persons needs and made even sure we fully understood everything step and end goal!”
“My mother entered Castle Hills Rehab after a fall, just needing to regain her strength. Five weeks later, she was gone. A state investigation found repeated documentation failures and confirmed 37 complaints — two resulted in deaths.”
“The physical therapy team are miracle workers, and they truly help patients reach their goals.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
8
measures
1
measures
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of 98 deficiencies with 35 triggered by family complaints, indicating ongoing care quality issues. The most frequent problems involve medication management, accident prevention and safety hazards, and nutrition/food safety standards. While all deficiencies show correction dates, the recurring nature across multiple surveys suggests persistent challenges in maintaining standards, particularly around resident safety and pharmacy services.
Mar 6, 2026Complaint1
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Feb 22, 2026Complaint3
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 16, 2026Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 10, 2025Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Keep all essential equipment working safely.
Nov 25, 2025Complaint1
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nov 14, 2025Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Federal Penalties
Fine
Sep 12, 2025
$19,120
Fine
May 2, 2025
$27,094
Fine
Aug 2, 2024
$10,226
Fine
Mar 16, 2024
$55,648
Fine
Jun 29, 2023
$5,078
Ownership & Operations
Who Operates This Facility
Frio Hospital District
for profit
CASTLE HILLS REHABILITATION AND CARE CENTER LLC
PETER O PORRAS
Chain Affiliation
Optima Care
8 facilities nationwide
Chain avg rating: 1.0/5 · Rank 1 of 1
Ownership & Management
Owners
Frio Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
53 reviews from families & visitors
Official Website
Visit castlehillshc.com
Medicare data downloads
Original nursing home datasets
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