Health inspection·May 23, 2025

F 0575 Level of Harm - Potential for minimal harm Residents Affected - Many 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. Based on observation and interview the facility failed to post, in a form and manner accessible and understandable to residents, resident representatives list of names, addresses (mailing and email), and telephone numbers of all pertinent State agencies and advocacy groups, including the Office of the State Long-Term Care Ombudsman program for 3 of 3 days (05/21/2025, 05/22/2025, and 05/23/2025) reviewed for posting of required information. The facility failed to post the required Office of the State Long-Term Care Ombudsman program information from 05/21/2025 to 05/23/2025. This failure could place residents at risk of lack of knowledge of who to contact should they require advocacy, investigation, and not knowing their rights or how to exercise their rights. The findings included: During an observation on 05/21/2025 at 04:00 p.m., information regarding the state long-term care Ombudsman was not available in a public posting. During an observation on 05/22/2025 at 08:20 a.m., information regarding the state long-term care Ombudsman was not available in a public posting. During an observation and interview on 05/23/2025 at 11:05 a.m., information regarding the state long-term care Ombudsman was not available in a public posting. The DON revealed she could also not locate the state long-term care Ombudsman posting. She stated not having the posted ombudsman contact information would impact residents and their ability to contact the ombudsman. The DON was unable to provide a timeline of how long the ombudsman posting was missing and did not know if any of the facility staff were responsible for checking to ensure all the required postings were posted. A facility policy for required postings was requested during the interview. During an interview on 05/23/2025 at 12:37 p.m., the DON revealed she had spoken with the ADO and was told the facility did not have a policy regarding required postings. Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 676136 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 676136 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/23/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Huebner Creek Health & Rehabilitation Center 8306 Huebner Rd San Antonio, TX 78240 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)