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Who owns Castle Hills Rehabilitation and Care Center in San Antonio, Texas?
Ownership resolution: Public owner of record, private operator
Facility snapshot
| CCN | 455510 |
| Facility type | Skilled Nursing Facility |
| City | San Antonio |
| County | Bexar |
| State | Texas |
| Certified beds | 143 |
| CMS overall rating | 1 of 5 |
| Ownership type | For profit - Limited Liability company |
| Licence held by (statutory) | FRIO HOSPITAL DISTRICT |
| Corporate family | CASTLE HILLS NURSING AND REHAB CENTER LLC |
Ownership changes for Castle Hills Rehabilitation and Care Center
1 recorded change of ownership is on file for this facility; the most recent took effect 2024-02-01. The acquiring and prior entities, transaction types and complete history are part of the paid intelligence below.
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The complete ownership structure and operating entities, ownership percentages and association dates, the full recorded change-of-ownership history, financial and staffing indicators, distress analysis, and corporate-family context for this facility and every facility in Texas.
Purchase the Texas radar ($399) Texas ownership dataset ($249)Common questions
Who owns Castle Hills Rehabilitation and Care Center?
WhoOwnsCare resolves the facility's ownership filings to CASTLE HILLS NURSING AND REHAB CENTER LLC (single confidence).
Has Castle Hills Rehabilitation and Care Center changed ownership?
Yes — the most recent recorded change of ownership took effect 2024-02-01.
Ownership relationships for Castle Hills Rehabilitation and Care Center
| Operating family (who controls this facility) | Castle Hills Nursing And Rehab Center Llc |
|---|---|
| Operating entity | resolved (confidence moderate); the enrolled operating entity is named in the full report |
| Family resolution status (v1.0) | confirmed |
| CMS affiliation entity | OPTIMA CARE (CMS evidence; separate from the operating family) |
| Legal corporate parent | none on file from integrated SEC/IRS evidence |
| Management company | no management-company candidate identified in CMS control roles |
| Property owner | not derivable from the public sources currently integrated |
| Lender / security interests | none recorded |
Each row is a different relationship. Operating control, CMS affiliation, legal parentage, management, property ownership and financing are recorded separately and never merged.
Ownership history and financial reporting
| Recorded changes of ownership | 1 (latest 2024-02-01) |
|---|---|
| Latest cost-report period | 2025-01-01 to 2025-08-31 (243-day period) |
| Latest reported net result | negative |
| Reporting periods on file | 5 |
| Periods straddling an ownership change | 1 (never attributed to either party) |
Exact reporting periods are preserved and never annualised. Operating expense, net income, utilisation and the full ownership-change history with buyer and seller are in the complete report.
Distress summary
Distress 2.0 band: Severe Drivers: low or declining occupancy; elevated health-deficiency count; ownership-transition activity (short reporting periods, straddled changes of ownership); civil money penalty / enforcement activity.
Bands summarise six documented components; the score and component values are in the paid report.
Related research
Sources
CMS Medicare enrollment and ownership files, Care Compare provider information, Payroll Based Journal, Medicare cost reports (HCRIS), change of ownership records. Data vintage July–August 2026. Full methodology.