Huebner Creek Health & Rehabilitation Center
Huebner Creek Health & Rehabilitation Center in San Antonio, TX — inspection on March 27, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Observation and interview on 3/26/26 at 3:00 PM with Resident #1 revealed he needed help with
nails were cut. Resident #1 stated, The nurses don't cut my nails because I have diabetes.
The
were observed to be up to 1/4 inch beyond the flesh of the toes with some nails curving toward the skin.
Interview on 3/26/26 at 10:45 AM Resident #2 stated, We have a podiatrist that cuts toenails.
Haven't seen her in quite a while.
She's good at what she does.
Observation and interview on 3/26/26 at 11:25 AM Resident #3 said she asked them (staff) about getting their toenails cut and they (staff) said as soon as the man comes. Resident #3 stated that their toenails were cut last year. Resident #3 stated, It hurts to wear shoes and it's embarrassing. Resident #3's toenails were observed to be 1/2 to 1 inch beyond the flesh of the toe.
Interview with a family member revealed the hospital had noticed the resident needed their nails cut and the social worker had stated that Resident #3 was on the list during the last podiatry visit, but they left before they saw Resident #3. Resident #3 said that she would like to get their toenails cut as soon as possible.
Interview on 3/26/26 at 11:44 AM with the ADON revealed Resident #3 was up at the front with the SW early this week, Monday or Tuesday, and the SW stated the podiatrist would come in a month or an outside facility visit could be arranged.
The ADON stated that Resident #3 said that she would wait.
The ADON stated that Resident #3's toenails were in need of attention but we have to respect the residents wishes if they want to wait.
She stated that long toenails can be a fall hazard and could cause pain.Interview on 3/27/26 at 3:55 PM with the DON stated the Social Worker stated that there were some residents that did not receive foot care and that this puts them at risk for injury or infections.
They could have a hang nail.
They can't wear shoes or a nail could break.Interview on 3/26/26 at 4:52 PM the SW stated, the current podiatry company came in on March 4, 2026, but stated that the list was too long and they were not able to see everyone.
The SW stated she had to call them (podiatry company) to provide a list of who they saw.
The contracted podiatry company stated they could not come again any earlier than April 20, 2026.
The facility's parent company uses a contracted podiatry company for all facilities. I spoke to Resident #3 yesterday and I asked her if she wanted me to make an appointment outside the facility.
She stated no, she would wait for the company to return.
She knew that the next visit would be on the 20th.
She was OK with waiting.
She was last seen on 10/28/2026.
Nurses and CNAs can cut fingernails.
Nurses attend to residents with diabetes.
Only the podiatrist cares for toenails.
The SW stated, Resident #1, Resident #2, and Resident #3 had insurance which allowed 4-6 podiatry visits per year.Review of a facility policy, Nail Care, undated, revealed Nail management is the regular care of the toenails and fingernails to promote cleanliness, and skin integrity of tissues, to prevent infection, and injury from scratching by fingernails or pressure of shoes on toenails. It includes cleansing, trimming, smoothing, and cuticle are and is usually done during the bath.
Nails can become thinner and more brittle in the elderly and thicker if peripheral circulation is impaired.
Nails are also important in assessment, as changes occur with certain medical conditions, such as clubbing with chronic obstructive pulmonary disease or cardiac disease.
Color changes with circulatory or lymphatic impairment and certain drug therapy is common.
Ingrown toenails are also common in the elderly.
Fungal infections of the toenails, dry, brittle ridges and thickening of the nails all occur in the elderly with some frequency. NAIL CARE, ESPECIALLY TRIMMING, IS PERFORMED BY A PODIATRIST IN THOSE WITH DIABETES AND PERIPHERAL VASCULAR DISEASE.GoalsNail care will be performed regularly and safely.The resident will free from abnormal nail conditionsThe resident will be free from infection.
676136 03/27/2026
Huebner Creek Health & Rehabilitation Center 8306 Huebner Rd San Antonio, TX 78240
subjective, in the clinical record of an individual resident and or soft resident file. It may include
clinical record are utilized in nursing documentation, such as assessment, care plan, nursing progress
discharge).
Documentation also occurs in the clinical software Point Click Care (PCC).
Goal 1.
The facility will maintain complete and accurate documentation for each resident on all appropriate clinical record sheets.2.
The facility will ensure that information is comprehensive and timely and properly signed.