Health inspection·January 15, 2026

F 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure the assessment accurately reflected the resident's status for 2 of 5 residents (Resident #1 and #2) reviewed for assessments. 1. Resident #1's admission MDS, dated [DATE], was coded No regarding the resident had a pressure ulcer. Resident #1 had a pressure ulcer to her right buttock. 2. Resident #2's Medicare-5 days MDS, dated [DATE], was coded No regarding the resident had an indwelling urinary catheter. Resident #2 had an indwelling urinary catheter. These failures could place residents at risk for inadequate care due to inaccurate assessments.The findings included: 1. Record review of Resident #1's face sheet, dated 01/15/2026, revealed the resident was [AGE] years old female, originally admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses of intracerebral hemorrhage (sudden bleeding into the tissues of the brain), type 2 diabetes mellitus (the body has trouble controlling blood sugar and using it for energy), and dementia (over time destroy nerve cells and damage the brain). Further record review of the resident's face sheet revealed the resident was discharged from the facility on 07/22/2025. Record review of Resident #1's admission MDS, dated [DATE], revealed the resident's BIMS score was 4 out of 15, which indicated the resident had severe cognitive impairment, and in Section M (Skin Condition), it was coded No regarding the question of Does this resident have one or more unhealed pressure ulcers/injuries? Record review of Resident #1's comprehensive care plan, dated 07/01/2025, revealed The resident has a pressure ulcer or potential for pressure ulcer development, Resident has actual unstageable pressure ulcer to right buttock. Record review of Resident #1's physician order, dated 06/20/2025, revealed the resident had the order of Clean right buttock with normal saline, pat dry, and apply triad - once daily. Record review of Resident #1's Weekly-Ulcer Assessment, dated 06/20/2025, revealed the resident had state II pressure ulcer right buttock area near sacrum and for the wound treatment, Clean the wound with normal saline, pat dry. Apply triad and leave open to air. Interview on 01/14/2026 at 4:15 p.m. with MDS nurse-A stated because Resident #1 had a pressure ulcer to her sacrum area, Yes should have been coded to the question of Does this resident have one or more unhealed pressure ulcers/injuries? in Section M (Skin Condition) of the resident's admission MDS, dated [DATE], instead of No. The MDS nurse-A said it was mistake, he did not know what reason the former MDS nurse coded No to this question, and the former MDS nurse did not work anymore. The MDS nurse-A said coding accurately was a MDS nurse's responsibility, and inaccurate MDS assessment might affect improper care to Resident #1. 2. Record review of Resident #2's face sheet, dated 01/15/2026, revealed the resident was [AGE] years old female, originally admitted to the facility on [DATE], and readmitted on [DATE] with diagnoses of sepsis (the body responded improperly to an infection), urinary tract infection (an infection in any part of the urinary system), type 2 diabetes mellitus (the body has trouble controlling blood sugar and using it for energy), and dementia (over time destroy nerve cells and damage the brain). Record review of Resident #2's Medicare-5 days MDS, dated [DATE], revealed the resident's BIMS score was 8 out of 15, which Residents Affected - Few (continued on next page) 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 4 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 01/15/2026 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)