Huebner Creek Rehab: Toenail Neglect Harms Residents - TX
Three residents had been waiting. One of them had nails that had not been cut in over a year. Another, a diabetic woman whose nurses acknowledged they could not legally trim her toenails themselves, had gone five months. A third resident told inspectors she hadn't seen the podiatrist in quite a while, though she couldn't pin down exactly how long.
When inspectors arrived on March 26, they asked to see the first resident's feet. Her toenails had grown a quarter inch beyond the flesh of her toes, some curving toward the skin. She told them, "The nurses don't cut my nails because I have diabetes. The podiatrist has to do it." She had asked the social worker what happened, she said, because the podiatrist used to come every three months and then just stopped.
The third resident's toenails were worse. Inspectors observed them growing between a half inch and a full inch past her toes. She said it hurt to wear shoes. She said it was embarrassing. A family member told inspectors that a hospital had flagged the problem and the social worker had said the resident was on the podiatrist's list during the March 4 visit. The podiatrist left before reaching her.
The social worker told inspectors she had to call the contracted podiatry company afterward just to find out who they had actually seen. The company said it couldn't return before April 20, a gap of nearly seven weeks from the visit where they had turned people away.
The facility's parent company uses a single contracted podiatry company across all its facilities. That arrangement left the social worker with no real leverage. She couldn't push the company to come sooner. She could offer to schedule an outside appointment, and she did, but the resident declined, saying she would wait for April 20. The social worker told inspectors the resident knew the date and was okay with it.
The assistant director of nursing, interviewed on March 26, said the same thing. She said the third resident had come to the front of the facility earlier that week and the social worker had told her the podiatrist would come in a month or an outside visit could be arranged. "Resident #3 said that she would wait," the ADON said. Then she added: "Long toenails can be a fall hazard and could cause pain."
She said it plainly, as a clinical fact, then moved on.
The director of nursing, interviewed the following day, described what the social worker had told her: some residents had not received foot care and that put them at risk for injury or infections. "They could have a hang nail," the DON said. "They can't wear shoes or a nail could break."
The facility's own nail care policy, undated, states that residents will be free from abnormal nail conditions and free from infection. It lists the specific risks that come with neglected toenails in elderly patients: fungal infections, thickening, ingrown nails, pressure from shoes. It notes in capital letters that nail trimming for residents with diabetes and peripheral vascular disease must be performed by a podiatrist.
The policy describes a goal. The March 4 visit describes what actually happened.
All three residents had insurance that covered four to six podiatry visits per year, the social worker confirmed. The coverage existed. The appointments did not.
The second resident, interviewed at 10:45 in the morning on March 26, kept it brief. "We have a podiatrist that cuts toenails," she said. "Haven't seen her in quite a while. She's good at what she does."
The third resident, the one with nails growing a full inch past her toes, said she wanted them cut as soon as possible. She said it hurt to wear shoes. She agreed to wait until April 20 because she was told that was the soonest anyone could come.
That was the choice she was given.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Huebner Creek Health & Rehabilitation Center from 2026-03-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 19, 2026 · Our methodology
Huebner Creek Health & Rehabilitation Center in San Antonio, TX was cited for neglect violations during a health inspection on March 27, 2026.
Three residents had been waiting.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.