The Heights on Huebner

    10127 Huebner Rd, San Antonio, TX, 78240
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Clean facility, inconsistent nursing care

    I have mixed feelings. The building is clean, elegant and welcoming, and many CNAs, therapists and some nurses were compassionate-therapy, activities and meals were often excellent. But I also saw serious problems: unresponsive nurses, missed or late meds, alarms left ringing, a fall that required an ER visit, lost/misreported items, poor leadership communication and frequent understaffing-especially nights. Staff quality was inconsistent: some angels, some rude or neglectful. If you need strong rehab and kind aides it can be good; if you need dependable nursing and management, I'd be cautious.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.41 · 327 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.3
    • Meals

      3.1
    • Amenities

      3.6
    • Value

      2.0

    Pros

    • Exceptional physical therapy and rehabilitation services
    • Strong wound care and skilled therapy teams
    • Many compassionate, attentive CNAs and nurses
    • Friendly, welcoming admissions and front desk staff
    • Very clean, well-maintained, and elegant facility
    • Engaging activities program (bingo, music, animal visits, crafts, church services)
    • Home-like atmosphere and comfortable common areas
    • Hot, homemade-style meals reported by several reviewers
    • Quick and helpful pre-admission/check-in process
    • Sense of community among residents
    • Dignified hospice and end-of-life care instances
    • Housekeeping and maintenance often praised
    • Secure entry and generally good grounds and exterior
    • Staff who go above and beyond in many individual accounts
    • Frequent positive reports about therapy-driven recoveries and improved mobility

    Cons

    • Inconsistent nursing quality and professionalism
    • Medication delays, mismanagement, and missed dose windows
    • Chronic short-staffing—especially nights and weekends
    • Poor communication with families and lack of leadership responsiveness
    • Safety incidents including falls, alarms ignored, and ER transfers
    • Missing or mishandled laundry and lost personal items/theft allegations
    • Management defensive or dismissive in response to complaints
    • Rude or unprofessional social worker and some administrative staff
    • Overmedication, inappropriate sedation, or medication errors reported
    • Call buttons unanswered and slow response to resident needs
    • Occasional inappropriate or inadequate physical therapy
    • Billing, discharge, and coordination problems (including abrupt discharges)
    • Allegations of racism, mockery, and physical mistreatment
    • Inconsistent food quality—some praise but many complaints
    • High staff turnover and lack of consistency in caregivers
    • Equipment and room maintenance issues (broken beds, lumpy mattresses)
    • Poor follow-up and failure to contact families about incidents or changes
    • Isolated reports of cleanliness problems (ants) and odor issues

    Summary review

    Overall impression: Reviews for The Heights on Huebner are strongly mixed, with a large body of highly positive feedback focused on rehabilitation, therapy, facility cleanliness, activities, and many individual staff members — and a significant number of negative reports that raise consistent concerns about nursing care, medication management, safety, communication, and management responsiveness. The most frequent positive theme is excellence in physical therapy and rehab outcomes; the most frequent negative themes are medication delays/mismanagement, short staffing (particularly nights/weekends), and poor communication from leadership.

    Care quality and staffing: Many reviewers praise the therapy departments and specific clinical services. Physical therapy and wound care are repeatedly described as outstanding, with multiple accounts of significant recovery, restored mobility, and excellent rehab programs. Several reviewers explicitly state that rehab stays were 'fantastic' and that therapists helped loved ones 'walk again' or regain function after major surgery. At the same time, nursing care is inconsistent across reports. Reviewers describe compassionate, attentive nurses and CNAs in many instances, but there are also numerous reports of rude or unprofessional nurses, night-shift neglect, and nurses being too busy to respond. Short staffing is a recurring complaint — reviewers say shifts are 'disappearing,' residents are left unattended during activities, and night coverage is insufficient. This staffing inconsistency appears to correlate with other problems such as delayed medications and safety incidents.

    Medication, safety, and adverse incidents: Medication management and safety concerns recur throughout the reviews. Examples include delayed or missed doses, medications given outside of recommended windows, alleged overmedication or inappropriate sedation, and instances where pain medication was delayed or denied. Multiple reviewers report safety incidents: residents falling (some requiring ER visits), alarms left ringing, beds or equipment broken, and patients left unattended during appointments or transfers. There are also serious allegations in some reviews — theft of clothing and personal items, loss of medical belongings (electric razors, clippers, cell phones), and even allegations of physical mistreatment or racism in isolated but severe accounts. These reports suggest potential systemic weaknesses in supervision, handoff communication, and resident safety protocols.

    Management, communication, and responsiveness: Communication and leadership responsiveness are major pain points. Many reviewers say administrators and the head nurse are difficult to reach, evasive, or absent on weekends; some described leadership as defensive or dismissive when complaints are raised. Families frequently state they were not contacted about incidents affecting residents, and promises of follow-up were not kept. Conversely, some reviews specifically praise admissions and front desk staff for being welcoming and efficient, indicating a split between the facility’s customer-facing operations and its clinical/management follow-through. Several reviews also highlight a difficult or argumentative social worker, and inconsistent case management support.

    Facility environment, activities, and dining: The facility’s physical environment is one of its strongest assets. The majority of reviews describe The Heights on Huebner as very clean, nicely decorated, and having an elegant or home-like atmosphere with pleasant smells, comfortable common areas, and attractive grounds. Activity programming receives frequent praise: bingo, visiting musicians, Sunday mass, animal visits, crafts, and celebrations are commonly mentioned and contribute to a sense of community for many residents. Dining opinions are mixed — some reviewers enthusiastically praise hot, homemade-style meals (ravioli, brisket) while others report poor meals, burnt items, or repetitive menus. Housekeeping and the general presentation of rooms are often commended, though a few isolated reports describe cleanliness problems such as ant infestations.

    Patterns and segmentation: A clear pattern emerges of differing experiences between short-term rehab patients and some long-term/residential patients. Rehab and therapy-focused stays tend to receive the most favorable feedback — with excellent therapy outcomes, attentive PT/OT staff, and high satisfaction. In contrast, long-term care reviews show more concerns about continuity of nursing care, medication administration, theft/laundry problems, and nighttime safety. High staff turnover and rotating caregivers contribute to inconsistent experiences: several reviewers emphasize that 'some staff are wonderful, some are not,' creating an unpredictable level of care depending on assignment and shift.

    Severity and frequency of complaints: While many positive reports paint The Heights as an excellent rehab center with warm staff and an inviting environment, the frequency and severity of negative reports cannot be ignored. Safety incidents (falls, alarms left unanswered), medication errors or delays, lost personal items, and poor leadership communication are repeated across reviews and include some serious anecdotes (ER transfers, abrupt discharge of a vulnerable patient, allegations of mistreatment). These recurring issues suggest areas where the facility’s policies, staffing, training, and oversight may need strengthening.

    Bottom line and considerations for families: The Heights on Huebner offers strong rehabilitation services, a clean and pleasant environment, and many compassionate, hardworking staff members — particularly in therapy, wound care, admissions, and among certain CNAs and nurses. However, prospective residents and families should weigh these strengths against consistent reports of medication and safety issues, short staffing (especially nights/weekends), management communication problems, and isolated but serious allegations (theft, mistreatment, racism). If you are considering placement, it would be prudent to (1) ask about current staffing ratios and night/weekend coverage, (2) review medication administration protocols and recent inspection/citation history, (3) discuss laundry and personal-item tracking procedures, (4) observe nurse responsiveness and call-button response times during a visit, and (5) clarify discharge, billing, and family-notification processes. Overall, the facility can provide excellent rehabilitative care and a warm environment for many patients, but the variability in nursing practice and administrative follow-through creates a meaningful risk for those requiring continual, attentive long-term nursing support.

    Location

    Map showing location of The Heights on Huebner

    About The Heights on Huebner

    The Heights on Huebner sits in San Antonio, Texas, serving seniors with skilled nursing, rehabilitation, memory care, respite care, and long-term care, and there's always a steady hum of activity going on there with programs like art, music, gardening, and outings, and you'll find two sensory gardens in their courtyards, a gazebo with a pond and live fish, and an advanced rehab gym for those who need it, which is nice to see, and folks can enjoy home-cooked local meals inside a private family dining room or relax with TV in rooms set up with electric beds, flat-screen TVs, and private bathrooms with showers-plus there's Wi-Fi everywhere and a beauty salon for a bit of upkeep and comfort. The place has 120 certified beds with about 108 residents on average each day, and nurse staffing runs about 3.13 hours per resident daily, which is a bit below the state average, but the nurse turnover rate is lower than most places, with about 44% compared to the state's 51.8%, so you see some stability there with staff. The Heights on Huebner is part of Touchstone Communities and has been managed by George Hernandez and the Bexar County Hospital District since 2015, and more recently by Touchstone Strategies Hb, LLC since 2021, so there's that sense of steady leadership, and they offer different services for all kinds of needs-whether someone's looking for daily help, needs some healing after an injury, or is living with memory loss, since the Memory Care wing features brain-boosting programs and secure, well-protected areas. Residents can get help with bathing, dressing, medication, and meals, and there's a registered dietician on staff to make sure meals meet special needs. Some special touches like guest parking, safe walkways, and transportation to appointments make life easier for families and residents alike, so it feels like a place set up to be helpful more than fancy. Now, on inspection, the state did find 11 deficiencies, including issues like pharmacy service, respiratory care, and resident assessment within 48 hours of admission, so you should know about that, and it's good to look at those reports and think about what matters most for your needs and peace of mind. The Heights on Huebner keeps a full slate of social events and amenities to help folks feel comfortable and make friends, and they're keen on working with families to fit care plans to individual goals, aiming for kindness and respect in the way they help seniors live each day. They've got a virtual tour if seeing the place ahead of time feels right, and families can expect a broad approach to health and happiness, with extras like housekeeping, therapies, laundry, on-site podiatry, and wheelchair assistance, making daily living a bit smoother for folks who need a little or a lot of help.

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