Health inspection·May 2, 2025

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases and infections for 1 of 3 residents (Residents #1) reviewed for infection control. Residents Affected - Few The facility failed to ensure LVN-A and CNA-B wore gowns while providing catheter care to Resident #1 who was on EBP. This failure could affect residents who required assistance with catheter care and could place residents at risk for cross contamination and infections. The finding included: Record review of Resident #1's admission Record, dated 04/29/2025 revealed a [AGE] year-old man initially admitted on [DATE] and re-admitted on [DATE] with diagnoses which included: Cerebral Palsy (a congenital disorder of movement and muscle tone) and Obstructive and Reflux Uropathy (condition where urine cannot drain through urinary tract and urine can back up into the kidneys). Record review of Resident #1's Quarterly MDS assessment dated [DATE] revealed a BIMS score of 13 indicating normal cognitive function. He was assessed as having an in-dwelling catheter. Record review of Resident #1's Care Plan, initiated 10/01/2016, revealed the resident required a Supra-pubic catheter (a small flexible tube inserted directly into the bladder through a small incision in the lower abdomen to drain urine), related to diagnosis of urinary retention. Record review of Resident #1's Order Summary dated 04/29/2025 revealed an order for enhanced barrier precautions related to suprapubic catheter. Observation on 05/01/2025 at 10:10 a.m. revealed LVN-A and CNA-B were performing catheter care to Resident #1, wearing gloves but no gowns. There was an EBP sign posted outside Resident #1's door. During an interview with LVN-A on 05/01/2025 at 10:20 a.m., LVN-A stated he knew he should have put on a gown in addition to the gloves to perform catheter care for Resident #1, because any residents with indwelling catheters should be on enhanced barrier precautions. LVN-A stated he knew what enhanced barrier precautions were and had received training in infection control, but just forgot to put on the gown. He stated that not wearing a gown while providing direct care to a resident with a catheter could result in spread of infection. (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 2 Event ID: 676224 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 676224 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/02/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Heights on Huebner 10127 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)