All citations for Castle Hills Rehabilitation and Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Castle Hills Rehabilitation and Care Center

Last standard health inspection on record

September 12, 2025

Showing 1 to 25 of 110 citations

  1. Immediate jeopardy to resident health or safety

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of March 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 17, 2024).

  2. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of March 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 17, 2024).

  3. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 13, 2025).

  4. Immediate jeopardy to resident health or safety

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level J.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of May 2, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

  5. Immediate jeopardy to resident health or safety

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of May 2, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

  6. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 2, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (June 20, 2024).

  7. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 24, 2024).

  8. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 24, 2024).

  9. No harm, with potential for more than minimal harm

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of August 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 18, 2026).

  10. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of August 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 18, 2026).

  11. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of August 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 18, 2026).

  12. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of May 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 21, 2026).

  13. No harm, with potential for more than minimal harm

    Provide primary/alternate means for communication.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2025).

  14. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2024).

  15. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2024).

  16. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2024).

  17. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  18. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  19. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  20. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  21. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of August 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 18, 2026).

  22. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 24, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2026).

  23. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

  24. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2026).

  25. No harm, with potential for more than minimal harm

    Keep all essential equipment working safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0908, Environmental Deficiencies. Inspection of December 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.