Federal inspection record · CMS data as of October 1, 2026

Huebner Creek Health & Rehabilitation Center

8306 Huebner Rd, San Antonio, TX · (210) 691-3111

CMS overall rating

2 of 5

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Certified beds
146
Residents per day
100
Ownership
For-Profit
Chain
Creative Solutions In Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 12, 2007

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Huebner Creek Health & Rehabilitation Center carries 140.75 inspection points. That is fewer than 21% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 140.75 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

56 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 37 4 pts
E 14 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 3 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 13, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected December 14, 2024

Everything else, by area of care

Resident Rights11F
  1. D

    Keep residents' personal and medical records private and confidential.

    May 6, 2026 · Complaint · F583 · Corrected May 11, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    March 15, 2026 · Complaint · F558 · Corrected April 1, 2026

  3. D

    Keep residents' personal and medical records private and confidential.

    March 11, 2026 · Standard · F583 · Corrected April 1, 2026

  4. D

    Reasonably accommodate the needs and preferences of each resident.

    November 26, 2025 · Complaint · F558 · Corrected November 27, 2025

  5. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    November 26, 2025 · Complaint · F561 · Corrected November 27, 2025

  6. C

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    May 23, 2025 · Complaint · F575 · Corrected May 24, 2025

  7. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    January 15, 2025 · Complaint · F584 · Corrected February 7, 2025

  8. E

    Keep residents' personal and medical records private and confidential.

    November 14, 2024 · Complaint · F583 · Corrected November 15, 2024

  9. F

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    October 13, 2024 · Complaint · F563 · Corrected October 19, 2024

  10. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    December 6, 2023 · Standard · F584 · Corrected December 7, 2023

  11. D

    Reasonably accommodate the needs and preferences of each resident.

    December 6, 2023 · Standard · F558 · Corrected December 7, 2023

Quality of Life and Care11E
  1. E

    Provide appropriate foot care.

    March 27, 2026 · Complaint · F687 · Corrected April 3, 2026

  2. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 11, 2026 · Standard · F677 · Corrected April 1, 2026

  3. D

    Provide safe and appropriate respiratory care for a resident when needed.

    March 11, 2026 · Standard · F695 · Corrected April 1, 2026

  4. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    March 11, 2026 · Standard · F698 · Corrected April 1, 2026

  5. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    January 15, 2026 · Complaint · F690 · Corrected February 6, 2026

  6. E

    Provide activities to meet all resident's needs.

    November 26, 2025 · Complaint · F679 · Corrected November 27, 2025

  7. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 15, 2025 · Standard · F684 · Corrected February 7, 2025

  8. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 6, 2023 · Standard · F677 · Corrected December 7, 2023

  9. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    December 6, 2023 · Standard · F690 · Corrected December 7, 2023

  10. D

    Provide enough food/fluids to maintain a resident's health.

    December 6, 2023 · Standard · F692 · Corrected December 7, 2023

  11. D

    Provide safe and appropriate respiratory care for a resident when needed.

    December 6, 2023 · Standard · F695 · Corrected December 7, 2023

Resident Assessment and Care Planning11E
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 27, 2026 · Complaint · F842 · Corrected April 3, 2026

  2. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    March 11, 2026 · Standard · F640 · Corrected April 1, 2026

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 11, 2026 · Standard · F656 · Corrected April 1, 2026

  4. D

    Ensure each resident receives an accurate assessment.

    January 15, 2026 · Complaint · F641 · Corrected February 6, 2026

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    November 26, 2025 · Complaint · F656 · Corrected November 27, 2025

  6. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    June 26, 2025 · Complaint · F842 · Corrected July 11, 2025

  7. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    January 15, 2025 · Standard · F655 · Corrected February 7, 2025

  8. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 15, 2025 · Standard · F656 · Corrected February 7, 2025

  9. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    January 15, 2025 · Standard · F657 · Corrected February 7, 2025

  10. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    December 13, 2024 · Complaint · F842 · Corrected December 14, 2024

  11. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 14, 2024 · Complaint · F842 · Corrected November 15, 2024

Infection Control6E
  1. E

    Provide and implement an infection prevention and control program.

    March 11, 2026 · Standard · F880 · Corrected April 1, 2026

  2. D

    Provide and implement an infection prevention and control program.

    February 13, 2026 · Complaint · F880 · Corrected February 16, 2026

  3. D

    Provide and implement an infection prevention and control program.

    June 26, 2025 · Complaint · F880 · Corrected July 11, 2025

  4. D

    Provide and implement an infection prevention and control program.

    April 11, 2025 · Complaint · F880 · Corrected April 14, 2025

  5. E

    Provide and implement an infection prevention and control program.

    November 14, 2024 · Complaint · F880 · Corrected November 15, 2024

  6. E

    Provide and implement an infection prevention and control program.

    December 6, 2023 · Standard · F880 · Corrected December 7, 2023

Pharmacy Service4E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    June 4, 2026 · Complaint · F755 · Corrected June 12, 2026

  2. D

    Ensure medication error rates are not 5 percent or greater.

    March 11, 2026 · Standard · F759 · Corrected April 1, 2026

  3. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    March 11, 2026 · Standard · F761 · Corrected April 1, 2026

  4. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    January 15, 2025 · Standard · F761 · Corrected February 7, 2025

Nutrition and Dietary4E
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 4, 2026 · Complaint · F812 · Corrected June 12, 2026

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 11, 2026 · Standard · F812 · Corrected April 1, 2026

  3. D

    Dispose of garbage and refuse properly.

    March 11, 2026 · Standard · F814 · Corrected April 1, 2026

  4. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 15, 2026 · Complaint · F812 · Corrected February 6, 2026

Nursing and Physician Services3D
  1. C

    Post nurse staffing information every day.

    February 13, 2026 · Complaint · F732 · Corrected February 16, 2026

  2. C

    Post nurse staffing information every day.

    May 23, 2025 · Complaint · F732 · Corrected May 24, 2025

  3. D

    Post nurse staffing information every day.

    December 6, 2023 · Standard · F732 · Corrected December 7, 2023

Environmental2E
  1. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    June 4, 2026 · Complaint · F921 · Corrected June 12, 2026

  2. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    October 13, 2024 · Complaint · F919 · Corrected November 13, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    December 13, 2024 · Complaint · F609 · Corrected December 14, 2024

  2. D

    Respond appropriately to all alleged violations.

    December 13, 2024 · Complaint · F610 · Corrected December 14, 2024

Administration1D
  1. D

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    January 15, 2025 · Standard · F940 · Corrected February 7, 2025

Inspection history

  1. 2026-03-11

    27 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  2. 2025-01-15

    21 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (6 deficiencies)

  3. 2023-12-06

    8 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 2 h 41 min of nursing staff time a day, 22 min of it from a registered nurse.

This home

2 h 41 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$14,327 in federal fines on record over the past three years.

DatePenaltyAmount
2024-12-13Fine$14,327

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse4.3%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.1 pts better2.2%2.3%13.5%
Percentage of long-stay residents who lose too much weight1 pts better1.9%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.9 pts better12.9%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.7 pts better8.1%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.6 pts better6.3%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts better11.6%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts better0.3%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts better7.2%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts worse5.1%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.2 pts better98.9%88.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse2.5%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.2 pts better98.6%85.4%80.1%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Basaldua, SandraAdp Of The SNF · Individual0%1 facilities
Bexar I Enterprises, LLCOperational/Managerial Control · Organization0%1 facilities
Bexar I Enterprises, LLCAdp Of The SNF · Organization0%1 facilities
Blake, GaryOperational/Managerial Control · Individual0%139 facilities
Blake, GaryAdp Of The SNF · Individual0%139 facilities
Blake, MalisaOperational/Managerial Control · Individual0%139 facilities
Bowers, SeanManaging Control - Governing Body · Individual0%40 facilities
Cisneros, AlfredManaging Control - Governing Body · Individual0%42 facilities
Cobb, TravisManaging Control - Governing Body · Individual0%42 facilities
Cooper, StephenManaging Control - Governing Body · Individual0%45 facilities
Hardin, SherrieManaging Control - Governing Body · Individual0%40 facilities
Huggins, LindaCorporate Director · Individual0%138 facilities
Kerzee, RichardManaging Control - Governing Body · Individual0%42 facilities
Korenek, PatriciaManaging Control - Governing Body · Individual0%40 facilities
Soechting, PaulManaging Control - Governing Body · Individual0%39 facilities
Strack, JoeManaging Control - Governing Body · Individual0%40 facilities
Thompson, JohnnyCorporate Officer · Individual0%79 facilities
Willig, ZacharyCorporate Director · Individual0%84 facilities
Zarate, JocelynAdp Of The SNF · Individual0%2 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 11, 2026 · K353 · Corrected April 1, 2026

  2. F

    Install a fire alarm system that can be heard throughout the facility.

    January 15, 2025 · K341 · Corrected February 14, 2025

  3. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 15, 2025 · K321 · Corrected January 17, 2025

  4. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 15, 2025 · K372 · Corrected February 10, 2025

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    December 6, 2023 · K353 · Corrected December 6, 2023

  6. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    December 6, 2023 · K355 · Corrected December 6, 2023

Emergency Preparedness1F
  1. F

    Conduct risk assessment and an All-Hazards approach.

    March 11, 2026 · E6 · Corrected April 1, 2026

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    January 15, 2025 · K511 · Corrected January 17, 2025

·

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