The Heights On Huebner
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
sometimes staff needed to help Resident #1 with her meal the whole mealtime. She revealed the staff knew what resident needed assistance by keeping an eye on the residents in the dining room, but CNAs also used the Kardex (a section in residents' medical record that told the CNAs what to do for resident care) to find out about resident care. Interview on 11/05/25 at 02:53 PM, LVN B revealed both Resident #1 and Resident #2 needed help getting fed at mealtimes. She revealed she knew a resident needed help with eating based on observations at mealtimes and did not need a care plan to know this. Interview on 11/06/25 at 11:52 AM, SLP revealed he worked with Resident #1 and not Resident #2. He revealed Resident #1 needed help with eating at mealtimes. He revealed it was important for Resident #1 to receive help at mealtimes so she could receive proper nutrition, and it would be a safety issue if she did not receive help. Interviews on 11/06/25 at 01:01 PM, MDS nurse C and MDS nurse D revealed multiple staff were able to update resident care plans because it could be challenging for MDS nurses to be able to document everything necessary for resident care in their respective care plans. They revealed they oversaw that the care plans were up to date but might miss some updates. MDS nurse C revealed Resident #1 would sometimes feed herself, but other days Resident #1 needed help with eating. MDS nurse C further revealed Resident #2 also needed help eating and their care plans needed to be updated. MDS nurse D revealed updating care plans were important because it was the residents' plan of care and a blueprint. Interview on 11/06/2025 at 01:27 PM, the ADON revealed Resident #1 and Resident #2 needed help when being fed and the nursing staff looked at care plans to know this about resident care. Interview on 11/06/25 at 04:35 PM, the DON and ADM revealed it was challenging to keep care plans up to date; however, they were important for resident care. They revealed the updated care plan updated the Kardex which told CNAs what to do. They revealed they ensured their CNAs and nurses were up to date with knowing what to do for resident care. Record review of facility's policy, Care Plan, dated February 2017, reflected, .The care plan should serve as a guide, which should direct care needs, care choices and care preferences.
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THE HEIGHTS ON HUEBNER in SAN ANTONIO, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAN ANTONIO, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE HEIGHTS ON HUEBNER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.