San Antonio, TX

The Heights On Huebner

5-star overall rating with 5-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

10127 Huebner Rd, San Antonio, TX

(210) 858-0828

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

107

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Touchstone Communities

Operator or chain grouping

Approved since

2009-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

28 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.46

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.25

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.19

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.89

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.57

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.05

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

42%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,992

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

14.40

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 22.34% · Performance 22.44% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0.96

Baseline 7.71% · Performance 7.55% · Measure score 0.96 · Achievement 0.96 · Improvement 0.11

Total nurse turnover

4.80

Performance 44.05% · Measure score 4.80 · Achievement 4.80 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 2.98 hours · Performance 2.88 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.19%	10.72% 2.5 pts worse	No Different than the National Rate · Eligible stays 137 · Observed rate 15.33% · Lower 95% interval 9.67%
Discharge to community	43.41%	50.57% 7.2 pts worse	No Different than the National Rate · Eligible stays 112 · Observed rate 37.5% · Lower 95% interval 34.85%
Medicare spending per beneficiary	1.23	1.02 0.2 pts worse
Drug regimen review with follow-up	95.68%	95.27% 0.4 pts better	Numerator 133 · Denominator 139
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 139
Discharge self-care score	42.17%	53.69% 11.5 pts worse	Numerator 35 · Denominator 83
Discharge mobility score	33.73%	50.94% 17.2 pts worse	Numerator 28 · Denominator 83
Pressure ulcers or injuries, new or worsened	1.44%	2.29% 0.9 pts better	Numerator 2 · Denominator 139 · Adjusted rate 1.16%
Healthcare-associated infections requiring hospitalization	7.55%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 86 · Observed rate 8.14% · Lower 95% interval 4.49%
Staff COVID-19 vaccination coverage	5.88%	8.2% 2.3 pts worse	Numerator 7 · Denominator 119
Staff flu vaccination coverage	19.25%	42% 22.8 pts worse	Numerator 196 · Denominator 1018
Discharge function score	30.12%	56.45% 26.3 pts worse	Numerator 25 · Denominator 83
Transfer of health information to provider	97.87%	95.95% 1.9 pts better	Numerator 46 · Denominator 47
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 74 · Denominator 74
Resident COVID-19 vaccinations up to date	3.85%	25.2% 21.3 pts worse	Numerator 3 · Denominator 78

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.6	2.1 1.5 pts worse	1.9 1.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 2.9 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.1 0.1 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.5 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	3.3% 1 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.6% · Q3 2.7% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.7%	2.7% 2 pts better	11.4% 10.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.7%
Percentage of long-stay residents who lose too much weight	0.9%	3.3% 2.4 pts better	5.4% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.0%	18.9% 8.9 pts better	19.6% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 10.2% · Q3 8.0% · Q4 9.4% · 4Q avg 10.0%
Percentage of long-stay residents who received an antipsychotic medication	5.2%	10.8% 5.6 pts better	16.7% 11.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 6.8% · Q3 2.5% · Q4 2.4% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	2.3%	15.4% 13.1 pts better	16.3% 14 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.7%	16.1% 10.4 pts better	14.9% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 7.1% · Q3 6.1% · Q4 4.0% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.7%	15.0% 3.3 pts better	19.8% 8.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 10.4% · Q3 15.2% · Q4 6.9% · 4Q avg 11.7%
Percentage of long-stay residents with pressure ulcers	2.4%	4.2% 1.8 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 2.0% · Q3 0.0% · Q4 1.9% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.6%	89.7% 8.9 pts better	81.7% 16.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.7% · Q2 98.6% · Q3 98.9% · Q4 99.4% · 4Q avg 98.6%
Percentage of short-stay residents who had an outpatient emergency department visit	11.2%	12.0% 0.8 pts better	12.0% 0.8 pts better	Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 10.7% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.3%	1.5% 1.2 pts better	1.6% 1.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.5% · Q3 0.4% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.4%	88.0% 8.4 pts better	79.7% 16.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.8%	25.9% 1.1 pts better	23.9% 0.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 23.8% · Expected 22.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-01 · Fire 2024-11-01

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-09-29 · Fire 2023-09-29

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-07-22 · Fire 2022-07-22

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-11-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-13

E · Potential for more than minimal harm 2024-11-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-05

E · Potential for more than minimal harm 2024-11-01

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-11-21

D · Potential for more than minimal harm 2024-11-01

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-11-01

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-08

E · Potential for more than minimal harm 2022-07-22

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-07-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-11-21

D · Potential for more than minimal harm 2025-05-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-16

D · Potential for more than minimal harm 2024-11-01

F655 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-11-01

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-11-01

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-11-08

D · Potential for more than minimal harm 2024-08-24

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-09-20

E · Potential for more than minimal harm 2024-05-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-05-20

D · Potential for more than minimal harm 2023-09-29

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-10-06

D · Potential for more than minimal harm 2023-09-29

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-10-06

D · Potential for more than minimal harm 2023-09-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-10-06

D · Potential for more than minimal harm 2022-07-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2022-07-25

D · Potential for more than minimal harm 2022-07-22

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-07-26

D · Potential for more than minimal harm 2022-07-22

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-07-29

Penalties and ownership

What sits behind the stars

Ownership

Bexar County Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2015-02-28

Aleman, Ashley