HUEBNER CREEK HEALTH AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Huebner Creek Health and Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

HUEBNER CREEK HEALTH AND REHABILITATION CENTER
8306 HUEBNER RD
SAN ANTONIO, TX 78240
(210) 691-3111

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

74%

Number of Residents and Certified Beds

  • Residents: 108
  • Certified Beds: 146

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Converse | Boerne | Schertz

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Huebner Creek Health and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-168.8%
ADL Index Range: 2-101.9%
Total Percent:10.7%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-163.1%
ADL Index Range: 2-106.7%
Total Percent:9.8%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.4%
ADL Index Range: 2-100.3%
Total Percent:0.7%
 

Low Rehabilitation Plus Extensive Services

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-160.07%
Total Percent:0.07%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1611.8%
ADL Index Range: 6-1020.4%
ADL Index Range: 0-59.4%
Total Percent:41.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1613.0%
ADL Index Range: 6-1010.2%
ADL Index Range: 0-57.5%
Total Percent:30.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.0%
ADL Index Range: 6-101.9%
ADL Index Range: 0-50.2%
Total Percent:3.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.4%
ADL Index Range: 6-101.0%
Total Percent:2.4%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 11-160.5%
Total Percent:0.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.4%
Total Percent:0.4%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 2-5
- Less restorative nursing
0.07%
Total Percent:0.07%
 

Rating Details For Huebner Creek Health and Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours43 Minutes1 Hour and 21 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 18 Minutes50 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 26 Minutes2 Hours and 38 Minutes
Total Licensed Nurse Hours2 Hours2 Hours and 11 Minutes
Total Nurse Hours4 Hours and 27 Minutes4 Hours and 49 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season72%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination68%88%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder72%46%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%12%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%12%
Percent of Long-Stay Residents Who Lose Too Much Weight5%6%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%5%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%18%
Percent of Long-Stay Residents Who Were Physically Restrained-4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season89%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Have Pressure Sores9%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain21%16%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/20/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/17/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/05/2010
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/15/2011
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 05/20/2011
  • Correction Date: 05/21/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/09/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/08/2010
  • Correction Date: 05/05/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/03/2011
Keep All Essential Equipment Working Safely.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/01/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/17/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/17/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/17/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/09/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/08/2010
  • Correction Date: 04/09/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 05/20/2011
  • Correction Date: 06/01/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/13/2009
  • Correction Date: 04/17/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/20/2011
  • Correction Date: 05/27/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 05/20/2011
  • Correction Date: 05/27/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Huebner Creek Health and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 10/27/2008
  • Correction Date: 12/01/2008

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 10/15/2010
  • Correction Date: 10/20/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 03/03/2011
  • Correction Date: 03/07/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Huebner Creek Health and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/18/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/07/2010
  • Correction Date: 04/16/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/07/2010
  • Correction Date: 04/12/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/10/2009
  • Correction Date: 04/06/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/18/2011
  • Correction Date: 05/19/2011

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 04/07/2010
  • Correction Date: 04/16/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/07/2010
  • Correction Date: 04/16/2010

Laboratories

Proper Facilities for the Use and Storage of Combustible Liquids.
  • Inspection Date: 05/18/2011
  • Correction Date: 05/19/2011

Smoke Compartmentation and Control

Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 03/10/2009
  • Correction Date: 04/01/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 04/07/2010
  • Correction Date: 04/12/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011