The Heights on Huebner

Name: The Heights on Huebner
Address: 10127 HUEBNER RD, San Antonio, TX, 78240, US
Telephone: 2108580828

10127 Huebner Rd, San Antonio, TX 78240 · Bexar County · 120 certified beds · avg 113 residents/day · certified since Jul 1, 2009

Part of chain: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.90

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 14, 2026	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 14, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 14, 2026	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 14, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 14, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 14, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jan 14, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 14, 2026	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 20, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
May 2, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 1, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Nov 1, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Nov 1, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 24, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
May 16, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Sep 29, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Sep 29, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Sep 29, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 8).

Year	Citations	Worst severity that year
2023	3	D
2024	5	E
2025	2	D
2026	8	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.90	3.46	3.95	bottom 17% in Texas; bottom 11% in the U.S.
Registered Nurse hours	0.47	0.44	0.69	top 31% in Texas; bottom 33% in the U.S.
Weekend total nurse staffing	2.56	3.04	3.50	bottom 19% in Texas; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.50	0.34	0.48	top 14% in Texas; top 33% in the U.S.
Total nursing staff turnover (%)	42.7	55.3	45.8	top 27% in Texas; top 44% in the U.S.
RN turnover (%)	27.3	54.6	42.9	top 14% in Texas; top 24% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.09, RN 0.50, weekend 2.73. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bexar County Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	02/28/2015
Aegis Therapies, INC.	Organization	ADP of the SNF	NOT APPLICABLE	02/28/2015
Aleman, Ashley	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2017
Aleman, Ashley	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2017
Campbell, Leslie	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2020
Campbell, Leslie	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2020
Capital Funding Group, INC.	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	11/01/2021
Carvajal Pharmacy LTC	Organization	ADP of the SNF	NOT APPLICABLE	02/28/2015
Castillo, Lynnea	Individual	Operational/Managerial Control	NOT APPLICABLE	02/28/2015
Castillo, Lynnea	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2015
Clayton, Jonathon	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2023
Clayton, Jonathon	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2023
Estes, Margaret	Individual	Operational/Managerial Control	NOT APPLICABLE	02/23/2009
Estes, Margaret	Individual	ADP of the SNF	NOT APPLICABLE	02/23/2009
Fellbaum, Ernest	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2015
Hurley, Christopher	Individual	Corporate Officer	NOT APPLICABLE	09/26/2014
Martinez, Ashley	Individual	Operational/Managerial Control	NOT APPLICABLE	09/14/2020
Martinez, Ashley	Individual	ADP of the SNF	NOT APPLICABLE	09/14/2020
Nutritious Lifestyles, INC.	Organization	ADP of the SNF	NOT APPLICABLE	02/28/2015
Plante & Moran PLLC	Organization	ADP of the SNF	NOT APPLICABLE	02/28/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Patriot Heights Health Care Center	0.6 mi	San Antonio, TX	★★☆☆☆	2/5	abuse
Remington Transitional Care of San Antonio	1.5 mi	San Antonio, TX	★★★★☆	3/5
Wurzbach Nursing and Rehabilitation	1.5 mi	San Antonio, TX	★★☆☆☆	2/5
Ignite Medical Resort San Antonio, LLC	1.7 mi	San Antonio, TX	★★★☆☆	2/5
Huebner Creek Health & Rehabilitation Center	1.8 mi	San Antonio, TX	★☆☆☆☆	2/5
Sorrento	1.9 mi	San Antonio, TX	★★☆☆☆	2/5
Mesa Vista Inn Health Center	1.9 mi	San Antonio, TX	★☆☆☆☆	2/5
Avir at San Knoll	1.9 mi	San Antonio, TX	★☆☆☆☆	1/5
The Heights at Medical Center	1.9 mi	San Antonio, TX	★☆☆☆☆	2/5
The Atrium Rehabilitation Center	2.3 mi	San Antonio, TX	★★★★☆	4/5
Oak Park Nursing and Rehabilitation Center	2.5 mi	San Antonio, TX	★★☆☆☆	2/5
The Lev at San Antonio	2.9 mi	San Antonio, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in San Antonio →

Facility data as of CMS processing date 2026-08-01. CCN 676224.

The Care File

Visit checklist — The Heights on Huebner

10127 Huebner Rd, San Antonio, TX 78240 · 2108580828

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676224 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)