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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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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 53% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 26 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 72 analyzed
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.
Personalized based on this facility's data
Key Review Excerpts
“Day shift isn't so bad but overnights are pitiful. CNAs usually have the tv blaring while they snooze. Hallway lights to residents rooms are left on as residents are forced to lay sometimes for hours in their own filth.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
8
measures
2
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
Detailed Medicare record · up to 3-year lookback
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
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.
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.
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.
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.
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
Frio Hospital District
for profit
CASTLE HILLS REHABILITATION AND CARE CENTER LLC
PETER O PORRAS
Optima Care
8 facilities nationwide
Chain avg rating: 1.0/5 · Rank 1 of 1
Owners
Frio Hospital District
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
53 reviews from families & visitors
Official Website
Visit castlehillshc.com
Medicare data downloads
Original nursing home datasets
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