The Heights On Huebner
THE HEIGHTS ON HUEBNER in SAN ANTONIO, TX — inspection on November 20, 2025.
Found 1 citation. 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
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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