Facility profile · CCN 455510
Castle Hills Rehabilitation And Care Center
66 federal citations on record , including 8 at the Immediate Jeopardy level, and 8 federal enforcement actions totaling $140,095.
Record summary
Federal record · Q1 202666
Total citations
61
Last 3 years
8
Actual harm+
8
Federal penalties
$140,095
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
66 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 16, 2026 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jan 16, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 10, 2025 | F908 | Keep all essential equipment working safely. | E | Complaint |
| Dec 10, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Nov 25, 2025 | F726 | 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. | D | Complaint |
| Nov 14, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint |
| Nov 14, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Sep 12, 2025 | F926 | Have policies on smoking. | D | Standard |
| Sep 12, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 12, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Sep 12, 2025 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard |
| Sep 12, 2025 | F761 | 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. | D | Standard |
| Sep 12, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Sep 12, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 12, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 12, 2025 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Sep 12, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Sep 12, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Aug 15, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Jun 26, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 2, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | J | Complaint |
| May 2, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | J | Complaint |
| Sep 13, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Sep 10, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Aug 23, 2024 | F908 | Keep all essential equipment working safely. | D | Standard |
| Aug 23, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 23, 2024 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Aug 23, 2024 | F761 | 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. | D | Standard |
| Aug 23, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Aug 23, 2024 | F726 | 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. | D | Standard |
| Aug 23, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Aug 23, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 23, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Aug 23, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Aug 2, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Mar 23, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Mar 23, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Mar 16, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Mar 16, 2024 | F760 | Ensure that residents are free from significant medication errors. | K | Complaint |
| Mar 16, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Mar 16, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint |
| Dec 21, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Dec 21, 2023 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint |
| Jul 14, 2023 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard |
| Jul 14, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Jul 14, 2023 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Jul 14, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 14, 2023 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Jul 14, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 14, 2023 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Jul 14, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jul 14, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jul 14, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Jul 14, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard |
| Jul 10, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jul 10, 2023 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint |
| Jul 10, 2023 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint |
| Jul 10, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jul 10, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint |
| Jun 29, 2023 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | E | Complaint |
| Jun 29, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Complaint |
| Apr 18, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Apr 18, 2023 | F732 | Post nurse staffing information every day. | C | Complaint |
| Apr 18, 2023 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint |
| Apr 18, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Apr 18, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 8 enforcement actions against this facility, including 8 civil money penalties totaling $140,095 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 12, 2025 | Fine | $19,120 | — |
| May 2, 2025 | Fine | $27,094 | — |
| Aug 2, 2024 | Fine | $10,226 | — |
| Mar 16, 2024 | Fine | $55,648 | — |
| Jun 29, 2023 | Fine | $5,078 | — |
| May 8, 2023 | Fine | $4,587 | — |
| Apr 17, 2023 | Fine | $13,762 | — |
| Mar 20, 2023 | Fine | $4,580 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
Concerned about care at Castle Hills Rehabilitation And Care Center?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys