Skilled nursing facility · CMS certification number 676136
Huebner Creek Health & Rehabilitation Center
San Antonio, Texas · Medicare and Medicaid · 146 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $14,327.00 · Payment denials: 0. The most recent penalty on file: December 13, 2024, Fine, $14,327. Every penalty on file ↓
Huebner Creek Health & Rehabilitation Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering April 1, 2024 to March 31, 2025 (364 days), and CMS processed it on September 29, 2025.
- Net patient revenue rose from $5.0M in fiscal year 2024 to $6.8M in fiscal year 2025.
- Its result from service to patients: −$1.9M (2023), −$1.8M (2024), −$930K (2025).
- Its cost reports on file run from fiscal year 2007 to fiscal year 2025.
- Its net patient revenue of $6.8M ranks 239th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
Huebner Creek Health & Rehabilitation Center: Medicare cost reports
| Form CMS-2540-10 | 2025 · report 1440324 | 2024 · report 1442163 | 2023 · report 1399992 | 2022 · report 1341873 | 2021 · report 1329147 | 2020 · report 1302134 | 2019 · report 1292479 | 2018 · report 1273907 | 2017 · report 1246476 | 2016 · report 1214062 | 2015 · report 1137686 | 2014 · report 1105847 | 2013 · report 1088926 | 2012 · report 1029584 | 2011 · report 1015535 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | April 1, 2024 | April 1, 2023 | June 1, 2022 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | October 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | March 31, 2025 | March 31, 2024 | March 31, 2023 | May 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | 150 | — | — | — | — | — | — | — | — | 91 | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled |
| Processed by CMS | September 29, 2025 | November 10, 2025 | December 4, 2024 | February 6, 2023 | August 5, 2022 | October 20, 2021 | August 9, 2021 | November 17, 2020 | November 26, 2019 | November 16, 2018 | July 25, 2016 | July 29, 2015 | April 21, 2015 | May 16, 2013 | October 26, 2012 |
| Total patient revenue | $7,452,053 | $5,626,079 | $4,160,509 | $4,178,746 | $11,943,372 | $12,103,379 | $13,936,905 | $13,086,809 | $10,298,859 | $10,653,805 | $12,003,650 | $11,040,909 | $2,441,843 | $15,168,930 | $14,896,517 |
| Contractual allowances and discounts | $617,584 | $672,871 | $768,683 | $721,354 | $2,806,413 | $3,819,772 | $4,384,233 | $3,887,034 | $2,047,017 | $2,131,451 | $2,762,910 | $2,320,042 | $466,202 | $5,613,968 | $4,697,091 |
| Net patient revenue | $6,834,469 | $4,953,208 | $3,391,826 | $3,457,392 | $9,136,959 | $8,283,607 | $9,552,672 | $9,199,775 | $8,251,842 | $8,522,354 | $9,240,740 | $8,720,867 | $1,975,641 | $9,554,962 | $10,199,426 |
| Total operating expenses | $7,764,047 | $6,783,681 | $5,340,029 | $3,756,727 | $9,821,409 | $9,814,012 | $10,499,673 | $9,890,737 | $8,942,277 | $9,358,677 | $9,551,293 | $8,638,891 | $2,078,513 | $9,802,320 | $10,250,636 |
| Net income from service to patients | −$929,578 | −$1,830,473 | −$1,948,203 | −$299,335 | −$684,450 | −$1,530,405 | −$947,001 | −$690,962 | −$690,435 | −$836,323 | −$310,553 | $81,976 | −$102,872 | −$247,358 | −$51,210 |
| Total other income | $552,520 | $835,521 | $818,753 | $169,788 | $594,089 | $843,260 | $4,976 | $10,974 | $6,115 | $9,919 | $9,508 | $2,054 | $414 | $141,361 | $121,451 |
| Net income after other income | −$377,058 | −$994,952 | −$1,129,450 | −$129,547 | −$90,361 | −$687,145 | −$942,025 | −$679,988 | −$684,320 | −$826,404 | −$301,045 | $84,030 | −$102,458 | −$105,997 | $70,241 |
| Net income | −$377,058 | −$994,952 | −$1,129,450 | −$129,547 | −$90,361 | −$687,145 | −$942,025 | −$679,988 | −$684,320 | −$826,404 | −$301,045 | $84,030 | −$102,458 | −$105,997 | $70,241 |
| Total facility beds, all components | 146 | 146 | 146 | 146 | 146 | 146 | 146 | 146 | 146 | 146 | 146 | 146 | 146 | 146 | 146 |
| Bed days available, all components | 53,290 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,007 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 20,321 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 5,773 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 27,101 | 21,265 | 15,860 | 11,770 | 32,697 | 31,701 | 38,296 | 37,538 | 35,033 | 35,462 | 38,103 | 33,633 | 7,712 | 37,169 | 42,682 |
| Medicare discharges | 46 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 140 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 183 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 369 | 194 | 164 | 271 | 863 | 798 | 1,016 | 875 | 645 | 601 | 614 | 488 | 105 | 536 | 384 |
| Average length of stay, Medicare, in days | 21.89 | 36.05 | 43.68 | 28.03 | 24.31 | 34.09 | 22.26 | 23.94 | 28.61 | 26.44 | 34.24 | 39 | 43.02 | 22.61 | 23.3 |
| Average length of stay, Medicaid, in days | 145.15 | 345.09 | 347.93 | 502 | 334.79 | 261.11 | 365.08 | 430.46 | 387.31 | 259.49 | 305.18 | 365.47 | 443.67 | 296.41 | 294.5 |
| Average length of stay, all patients, in days | 73.44 | 109.61 | 96.71 | 43.43 | 37.89 | 39.73 | 37.69 | 42.9 | 54.31 | 59 | 62.06 | 68.92 | 73.45 | 69.35 | 111.15 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 415473 | 2009 · report 399779 | 2008 · report 350493 | 2007 · report 309967 |
|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | April 12, 2007 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 |
| Days, where not a full year | — | — | — | 263 |
| Report status | settled | settled | settled | as submitted |
| Processed by CMS | August 17, 2011 | May 19, 2011 | July 15, 2009 | May 27, 2008 |
| Net patient revenue | $9,507,532 | $8,249,849 | $6,853,814 | $2,748,790 |
| Total operating expenses | $9,053,711 | $7,859,699 | $6,999,898 | $3,921,633 |
| Net income from service to patients | $453,821 | $390,150 | −$146,084 | −$1,172,843 |
| Total other income | $15,523 | $6,244 | $29,920 | $3,762 |
| Net income | $469,344 | $396,394 | −$116,164 | −$1,169,081 |
| Total facility beds, all components | 146 | 146 | 146 | 292 |
| Total patient days, all components | 43,758 | 38,695 | 32,840 | 13,483 |
| Total discharges, all components | 395 | 342 | 346 | 152 |
| Average length of stay, Medicare, in days | 24.45 | 30.64 | 34.07 | 39.18 |
| Average length of stay, Medicaid, in days | 294.61 | 293.59 | 293.84 | 285.67 |
| Average length of stay, all patients, in days | 110.78 | 113.14 | 94.91 | 88.7 |
Net income, fiscal years 2010, 2009, 2008, 2007. Checked against the form’s own arithmetic: what that check shows.
Huebner Creek Health & Rehabilitation Center: nurse staffing hours by quarter →
Who owns Huebner Creek Health & Rehabilitation Center, as filed with CMS
Care Compare
- ADP OF THE SNF: BASALDUA, SANDRA (individual), since 04/17/2025; BEXAR I ENTERPRISES, LLC (organization), since 05/08/2025; BLAKE, GARY (individual), since 09/01/2022; ZARATE, JOCELYN (individual), since 01/01/2025
- CORPORATE DIRECTOR: HUGGINS, LINDA (individual), since 09/01/2022; WILLIG, ZACHARY (individual), since 01/01/2025
- CORPORATE OFFICER: THOMPSON, JOHNNY (individual), since 01/01/2024
- MANAGING CONTROL - GOVERNING BODY: BOWERS, SEAN (individual), since 07/01/2024; CISNEROS, ALFRED (individual), since 02/18/2008; COBB, TRAVIS (individual), since 10/05/2022; COOPER, STEPHEN (individual), since 11/11/2022; HARDIN, SHERRIE (individual), since 09/04/2024; KERZEE, RICHARD (individual), since 09/24/2007; KORENEK, PATRICIA (individual), since 05/05/2018; SOECHTING, PAUL (individual), since 11/22/2024; STRACK, JOE (individual), since 02/11/2022
- OPERATIONAL/MANAGERIAL CONTROL: BEXAR I ENTERPRISES, LLC (organization), since 09/01/2022; BLAKE, GARY (individual), since 09/01/2022; BLAKE, MALISA (individual), since 06/01/2022
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20220705000368).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: WEST WHARTON COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 06/01/2022
- ADP OF THE SNF: BEXAR I ENTERPRISES, LLC (organization), since 05/08/2025; GARY R BLAKE (individual), since 09/01/2022; JOCELYN VILLAN ZARATE (individual), since 01/01/2025; SANDRA BASALDUA (individual), since 04/17/2025
- CORPORATE DIRECTOR: LINDA F HUGGINS (individual), 0.00%, since 09/01/2022; ZACHARY WILLIG (individual), 0.00%, since 01/01/2025
- CORPORATE OFFICER: JOHNNY THOMPSON (individual), 0.00%, since 01/01/2024
- MANAGING CONTROL - GOVERNING BODY: ALFRED CISNEROS (individual), since 02/18/2008; JOE STRACK (individual), since 02/11/2022; PATRICIA A KORENEK (individual), since 05/05/2018; PAUL SOECHTING (individual), since 11/22/2024; RICHARD KERZEE (individual), since 09/24/2007; SEAN BOWERS (individual), since 07/01/2024; SHERRIE HARDIN (individual), since 09/04/2024; STEPHEN COOPER (individual), since 11/11/2022; TRAVIS COBB (individual), since 10/05/2022
- OPERATIONAL/MANAGERIAL CONTROL: BEXAR I ENTERPRISES, LLC (organization), since 09/01/2022; GARY R BLAKE (individual), 50.00%, since 09/01/2022; MALISA A BLAKE (individual), 50.00%, since 06/01/2022
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: WEST WHARTON COUNTY HOSPITAL DISTRICT; BEXAR I ENTERPRISES, LLC; BEXAR I ENTERPRISES, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: GARY R BLAKE; JOCELYN VILLAN ZARATE; SANDRA BASALDUA; LINDA F HUGGINS; ZACHARY WILLIG; JOHNNY THOMPSON; ALFRED CISNEROS; JOE STRACK; PATRICIA A KORENEK; PAUL SOECHTING; RICHARD KERZEE; SEAN BOWERS; SHERRIE HARDIN; STEPHEN COOPER; TRAVIS COBB; GARY R BLAKE; MALISA A BLAKE.
Changes in ownership
- September 1, 2025, enrollment ownership file; no longer listed: HONOR X ENTERPRISES, LLC (OTHER); LINDA F HUGGINS (W-2 MANAGING EMPLOYEE); DAVID MAK (CORPORATE OFFICER); first listed: ALFRED CISNEROS (MANAGING CONTROL - GOVERNING BODY), associated since February 18, 2008; ZACHARY WILLIG (CORPORATE DIRECTOR), associated since January 1, 2025; JOCELYN VILLAN ZARATE (ADP OF THE SNF), associated since January 1, 2025; SHERRIE HARDIN (MANAGING CONTROL - GOVERNING BODY), associated since September 4, 2024; TRAVIS COBB (MANAGING CONTROL - GOVERNING BODY), associated since October 5, 2022; JOE STRACK (MANAGING CONTROL - GOVERNING BODY), associated since February 11, 2022; LINDA F HUGGINS (CORPORATE DIRECTOR), associated since September 1, 2022; SEAN BOWERS (MANAGING CONTROL - GOVERNING BODY), associated since July 1, 2024; STEPHEN COOPER (MANAGING CONTROL - GOVERNING BODY), associated since November 11, 2022; SANDRA BASALDUA (ADP OF THE SNF), associated since April 17, 2025; PAUL SOECHTING (MANAGING CONTROL - GOVERNING BODY), associated since November 22, 2024; GARY R BLAKE (ADP OF THE SNF), associated since September 1, 2022; BEXAR I ENTERPRISES, LLC (ADP OF THE SNF), associated since May 8, 2025; PATRICIA A KORENEK (MANAGING CONTROL - GOVERNING BODY), associated since May 5, 2018; JOHNNY THOMPSON (CORPORATE OFFICER), associated since January 1, 2024; RICHARD KERZEE (MANAGING CONTROL - GOVERNING BODY), associated since September 24, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- October 31, 2022, enrollment ownership file; no longer listed: CREATIVE SOLUTIONS IN HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL); HONOR X ENTERPRISES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); LINDA F HUGGINS (W-2 MANAGING EMPLOYEE); GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL); GARY R BLAKE (5% OR GREATER INDIRECT OWNERSHIP INTEREST); MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL); MALISA A BLAKE-DEANE (5% OR GREATER INDIRECT OWNERSHIP INTEREST); first listed: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since June 1, 2022; HONOR X ENTERPRISES, LLC (OTHER), associated since June 1, 2022; LINDA F HUGGINS (W-2 MANAGING EMPLOYEE), associated since June 1, 2022; GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2022; BEXAR I ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2022; MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2022; DAVID MAK (OFFICER), associated since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Inspections of Huebner Creek Health & Rehabilitation Center
- Cycle 1: health March 11, 2026 (27 deficiencies), fire safety March 11, 2026 (2)
- Cycle 2: health January 15, 2025 (21 deficiencies), fire safety January 15, 2025 (4)
- Cycle 3: health December 6, 2023 (8 deficiencies), fire safety December 6, 2023 (2)
Deficiencies cited at Huebner Creek Health & Rehabilitation Center
57 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 32 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0755, pharmacy service: June 4, 2026 (E, from a complaint, corrected June 12, 2026).
- F 0812, nutrition and dietary: June 4, 2026 (D, from a complaint, corrected June 12, 2026); March 11, 2026 (E, corrected April 1, 2026); January 15, 2026 (E, from a complaint, corrected February 6, 2026).
- F 0921, environmental: June 4, 2026 (D, from a complaint, corrected June 12, 2026).
- F 0583, resident rights: May 6, 2026 (D, from a complaint, corrected May 11, 2026); March 11, 2026 (D, corrected April 1, 2026); November 14, 2024 (E, from a complaint, corrected November 15, 2024).
- F 0687, quality of life and care: March 27, 2026 (E, from a complaint, corrected April 3, 2026).
- F 0842, resident assessment and care planning: March 27, 2026 (D, from a complaint, corrected April 3, 2026); June 26, 2025 (D, from a complaint, corrected July 11, 2025); December 13, 2024 (D, from a complaint, corrected December 14, 2024); November 14, 2024 (E, from a complaint, corrected November 15, 2024).
- F 0558, resident rights: March 15, 2026 (D, from a complaint, corrected April 1, 2026); November 26, 2025 (D, from a complaint, corrected November 27, 2025); December 6, 2023 (D, corrected December 7, 2023).
- F 0640, resident assessment and care planning: March 11, 2026 (D, corrected April 1, 2026).
- F 0656, resident assessment and care planning: March 11, 2026 (D, corrected April 1, 2026); November 26, 2025 (D, from a complaint, corrected November 27, 2025); January 15, 2025 (D, corrected February 7, 2025).
- F 0677, quality of life and care: March 11, 2026 (D, corrected April 1, 2026); December 6, 2023 (E, corrected December 7, 2023).
- F 0695, quality of life and care: March 11, 2026 (D, corrected April 1, 2026); December 6, 2023 (D, corrected December 7, 2023).
- F 0698, quality of life and care: March 11, 2026 (D, corrected April 1, 2026).
- F 0759, pharmacy service: March 11, 2026 (D, corrected April 1, 2026).
- F 0761, pharmacy service: March 11, 2026 (D, corrected April 1, 2026); January 15, 2025 (D, corrected February 7, 2025).
- F 0814, nutrition and dietary: March 11, 2026 (D, corrected April 1, 2026).
- F 0880, infection control: March 11, 2026 (E, corrected April 1, 2026); February 13, 2026 (D, from a complaint, corrected February 16, 2026); June 26, 2025 (D, from a complaint, corrected July 11, 2025); April 11, 2025 (D, from a complaint, corrected April 14, 2025); November 14, 2024 (E, from a complaint, corrected November 15, 2024); December 6, 2023 (E, corrected December 7, 2023).
- F 0732, nursing and physician services: February 13, 2026 (C, from a complaint, corrected February 16, 2026); May 23, 2025 (C, from a complaint, corrected May 24, 2025); December 6, 2023 (D, corrected December 7, 2023).
- F 0641, resident assessment and care planning: January 15, 2026 (D, from a complaint, corrected February 6, 2026).
- F 0690, quality of life and care: January 15, 2026 (D, from a complaint, corrected February 6, 2026); December 6, 2023 (D, corrected December 7, 2023).
- F 0561, resident rights: November 26, 2025 (D, from a complaint, corrected November 27, 2025).
- F 0679, quality of life and care: November 26, 2025 (E, from a complaint, corrected November 27, 2025).
- F 0575, resident rights: May 23, 2025 (C, from a complaint, corrected May 24, 2025).
- F 0584, resident rights: January 15, 2025 (E, from a complaint, corrected February 7, 2025); December 6, 2023 (E, corrected December 7, 2023).
- F 0655, resident assessment and care planning: January 15, 2025 (D, corrected February 7, 2025).
- F 0657, resident assessment and care planning: January 15, 2025 (D, corrected February 7, 2025).
- F 0684, quality of life and care: January 15, 2025 (D, corrected February 7, 2025).
- F 0940, administration: January 15, 2025 (D, corrected February 7, 2025).
- F 0609, freedom from abuse, neglect, and exploitation: December 13, 2024 (D, from a complaint, corrected December 14, 2024).
- F 0610, freedom from abuse, neglect, and exploitation: December 13, 2024 (D, from a complaint, corrected December 14, 2024).
- F 0689, quality of life and care: December 13, 2024 (J, from a complaint, corrected December 14, 2024).
- F 0563, resident rights: October 13, 2024 (F, from a complaint, corrected October 19, 2024).
- F 0919, environmental: October 13, 2024 (E, from a complaint, corrected November 13, 2024).
- F 0692, quality of life and care: December 6, 2023 (D, corrected December 7, 2023).
- F 0623, resident rights: August 17, 2023 (D, from a complaint, corrected August 18, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| December 13, 2024 | Fine | $14,327 | 113457 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Huebner Creek Health & Rehabilitation Center in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: WEST WHARTON COUNTY HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2007-04-12
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2106913111
- Chain Name: CREATIVE SOLUTIONS IN HEALTHCARE
- Chain ID: 169
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 100.1
- Overall Rating: 2
- Health Inspection Rating: 2
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in San Antonio
Report a figure on Huebner Creek Health & Rehabilitation Center’s record that differs from its CMS file, quoting 676136.