Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Heights On Huebner during CMS and state inspections, most recent first.
Two residents with severe cognitive and physical impairments had care plans that were not updated to reflect their need for assistance with eating, despite assessments and staff observations indicating they required help at mealtimes. Staff interviews and therapy documentation confirmed the need for feeding assistance, but the care plans inaccurately stated the residents could feed themselves, leading to a deficiency in person-centered care planning.
Staff failed to wear required gowns while providing catheter care to a resident with a suprapubic catheter under enhanced barrier precautions. Both the LVN and CNA involved acknowledged awareness of the policy but did not follow it during the care activity, despite clear signage and prior training. The facility's policy required gown and glove use for residents with indwelling medical devices.
A facility failed to develop a baseline care plan for a resident's BiPap use within 48 hours of admission. The resident, who used a BiPap machine nightly, did not have a documented care plan or physician's order for its use. This oversight was acknowledged by the MDS nurse and the DON, who recognized the importance of including BiPap care in the baseline care plan to ensure appropriate care.
A resident using a BiPap device nightly since admission did not have physician's orders for its care, leading to a lack of guidance for facility staff. The resident, with multiple health conditions, used the BiPap independently without assistance from nurses, and the facility lacked a specific policy for BiPap care.
An expired Anasept Gel was found in a treatment cart, with the treatment nurse unaware of its presence. The facility lacked a specific policy on expired medications, though it was expected that nurses discard them.
A medication cart on the 100 Hall was found unattended and unlocked, with keys hanging from the lock, allowing unauthorized access to medications. RN A, responsible for the cart, was not in sight, and although she removed the keys, she did not lock the cart. RN B claimed to check locks routinely but could not recall if the cart was unlocked. The DON and Administrator confirmed that carts should be locked, and keys kept with the responsible nurse, as per facility policy.
The facility failed to develop and implement comprehensive care plans for three residents with indwelling devices, such as a colostomy, foley catheter, and suprapubic catheter. These care plans were only updated after state surveyor intervention, despite facility policy requiring timely updates upon admission and changes in condition.
Failure to Update Care Plans for Residents Needing Feeding Assistance
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans for two residents with significant cognitive and physical impairments. Both residents had documented needs for assistance with eating, as evidenced by their medical diagnoses, MDS assessments indicating severely impaired cognition, and therapy evaluations showing the need for supervision or physical help during meals. Despite this, their care plans inaccurately stated that they were able to feed themselves without physical assistance, only noting that they might need help preparing their trays or drinks. These care plans were not updated to reflect the residents' actual needs for feeding assistance, as confirmed by multiple staff interviews and therapy documentation. Staff interviews revealed that both residents regularly required help with eating, with some days necessitating full assistance throughout the meal. Nursing and therapy staff acknowledged the importance of providing this support for safety and nutritional reasons. The facility's process for updating care plans was described as challenging, with oversight sometimes resulting in missed updates. The care plans serve as the basis for the Kardex, which guides CNAs in resident care, and the lack of accurate, updated information in these documents led to the deficiency cited by surveyors.
Failure to Follow Enhanced Barrier Precautions During Catheter Care
Penalty
Summary
Facility staff failed to follow established infection prevention and control protocols during the provision of catheter care to a resident with a suprapubic catheter who was under enhanced barrier precautions (EBP). Specifically, an LVN and a CNA were observed performing catheter care while wearing gloves but not gowns, despite an EBP sign being posted outside the resident's door and a physician's order for EBP related to the suprapubic catheter. Both staff members acknowledged during interviews that they were aware of the requirement to wear gowns in addition to gloves for residents on EBP, citing prior training, but stated they had forgotten to don the gowns during the care activity. The resident involved had a history of cerebral palsy and obstructive and reflux uropathy, and was assessed as having an indwelling suprapubic catheter. The facility's infection prevention and control policy, revised in April 2024, required the use of gown and gloves for high-contact care activities involving residents with indwelling medical devices, regardless of MDRO colonization status. The Director of Nursing Services confirmed that staff should have worn both gown and gloves during the care and that failure to do so was not in accordance with facility policy.
Failure to Develop Baseline Care Plan for BiPap Use
Penalty
Summary
The facility failed to ensure a baseline care plan was completed and provided for a resident within 48 hours of admission, specifically regarding the resident's BiPap care. The resident, a female with intact cognitive function, was admitted with a BiPap machine, which she used every night for sleeping. Despite this, there was no baseline care plan or physician's order for the BiPap care documented within the required timeframe. This oversight was acknowledged by the MDS nurse, who admitted to missing the BiPap care in the baseline care plan. The deficiency was identified through observations, interviews, and record reviews. The resident's room contained a BiPap machine, and both the resident and a CNA confirmed its nightly use since admission. The MDS nurse and the DON both recognized the importance of including the BiPap care in the baseline care plan to ensure appropriate care. The facility's policy required the care plan to be initiated upon admission and developed within 48 to 72 hours, which was not adhered to in this case.
Failure to Provide Physician-Ordered BiPap Care
Penalty
Summary
The facility failed to provide necessary respiratory care for a resident who required BiPap (Bilevel Positive Airway Pressure) support every night since admission. The resident, a female with a history of vertebral fracture, chronic obstructive pulmonary disease, pleural effusion, type 2 diabetes mellitus, and muscle wasting, did not have any physician's orders regarding her BiPap care. Despite using the BiPap nightly, there was no baseline care plan or physician's orders to guide the facility staff on how to set up the machine or care for the tubing. Observations and interviews revealed that the resident brought the BiPap from home and used it independently, without assistance from facility nurses. The MDS nurse and the Director of Nursing acknowledged the absence of physician's orders and the lack of a specific policy regarding BiPap care. This oversight could potentially lead to inadequate care for residents using BiPap devices, as the facility staff lacked guidance on providing appropriate care.
Expired Medication Found in Treatment Cart
Penalty
Summary
The facility failed to provide adequate pharmaceutical services by not ensuring the removal of expired medications from a treatment cart. During an observation on October 31, 2024, an expired medication, Anasept Gel, which expired on September 14, 2023, was found in the treatment cart. A treatment nurse, LVN-C, acknowledged the presence of the expired gel and admitted to not knowing why it was still in the cart, despite the facility's expectation that nurses discard expired medications. The Director of Nursing (DON) confirmed that there was no specific policy regarding expired medications, but reiterated that expired medications should be discarded from medication carts. A review of the facility's policy on medication cart use and storage did not specifically address the handling of expired medications.
Medication Cart Security Breach
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in locked compartments, as required by professional principles. During an observation, a medication cart on the 100 Hall was found unattended and unlocked, with keys hanging from the lock outside the nurses' station. The drawers of the cart were facing outward, allowing anyone passing by to access the medications. RN A, who was responsible for the cart, was not in sight, and although she removed the keys from the lock, she did not secure the cart. This situation was observed by a surveyor, who noted that an unidentified male visitor walked by the unlocked cart. Interviews with staff revealed inconsistencies in the handling of the medication cart. RN B, who was also working on the 100 Hall, claimed to routinely check the locks on medication carts but could not recall if the cart was unlocked when she passed by. The Director of Nursing (DON) and the Administrator both confirmed that medication carts should be locked and keys kept with the responsible nurse or medication aide. The facility's Medication Cart Use & Storage Policy mandates that carts remain locked except during medication administration, and keys should be in the possession of the nurse or medication aide until the next shift.
Failure to Develop Comprehensive Care Plans for Residents with Indwelling Devices
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for three residents, which described the services needed to attain or maintain their highest practicable physical, mental, and psychosocial well-being. Resident #5's care plan did not indicate that she had a colostomy, despite having surgery for it three to four months prior and requiring specific care for the colostomy as per physician orders. Similarly, Resident #6's care plan did not include his foley catheter, which had been in place since mid-April, and Resident #7's care plan did not mention his suprapubic catheter, which was ordered in early May. These care plans were only updated after state surveyor intervention on May 14, 2024. Interviews with the MDS Coordinator and the DON revealed that care plans should be updated upon admission and within twenty-four hours of any changes in the resident's condition. The facility's policy also stated that care plans should be initiated upon admission and continuously developed during the initial 48-72 hours. The failure to include these indwelling devices in the residents' care plans could place them at risk of not having their needs identified and appropriate interventions established. The MDS Coordinator admitted to updating the care plans only after the state investigator's arrival, indicating a lapse in adhering to the facility's policy and expectations for timely and accurate care planning.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near San Antonio
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Patriot Heights Health Care Center | 0.6 mi | — | 1 | 1 |
| Remington Transitional Care Of San Antonio | 1.5 mi | — | 3 | 0 |
| Wurzbach Nursing And Rehabilitation | 1.5 mi | — | 0 | 0 |
| Ignite Medical Resort San Antonio, Llc | 1.7 mi | — | 18 | 0 |
| Huebner Creek Health & Rehabilitation Center | 1.8 mi | — | 25 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.