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HomeTexasHighland Nursing Center

Highland Nursing Center

5819 Pecan Valley Dr, San Antonio, TX 782232105321911Google Maps
2.6on Google(9 reviews)
2/5Below Average
Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
4/5
Quality
4/5
Beds
53
certified

How Highland Nursing Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
4/5
TX average
1.9/5
Above state average
Nursing hours per resident
3.81 hrs/day
TX average
3.39 hrs/day
Above state average
RN hours per resident
0.44 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
42.4%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 3.81 hours per resident per day, above the state average of 3.39.
Staff turnover is 42.4%, lower than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
11
deficiency citations
Inspected Jan 10, 2025
Most recent cycle
14
deficiency citations
Inspected Mar 27, 2026
The most recent cycle recorded 3 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Bexar County 65+
248,631
12.3% of county
County Population
2,014,059
Bexar County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Highland Nursing Center is a 2-star Medicaid certified nursing home in San Antonio, Texas with 53 certified beds. It has been operating since 1979. Its overall CMS rating is 2 out of 5.

Beds
53
Avg Residents/Day
32.9
Ownership
For profit - Corporation
Provider Type
Medicaid
In Hospital
No
First Approved
Sep 30, 1979
Sprinklers
Yes
Council
Both
County
Bexar
Last Inspection
Mar 27, 2026
Deficiencies (Cycle 1)
14
Weighted Score
120.3
Infection Citations
0

Deficiency Citations (39)

F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0887Potential for Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0627Potential for Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0814Minimal Harm

Dispose of garbage and refuse properly.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0700Potential for Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0944Potential for Harm

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0638Potential for Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Nov 30, 2023Corrected: NoCycle: 3

+ 9 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.36 hrs
National avg: 2.32 hrs
LPN1.01 hrs
National avg: 0.86 hrs
RN0.44 hrs
National avg: 0.69 hrs
Total Nursing3.81 hrs
National avg: 3.86 hrs
Weekend Total3.55 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
42.4%
RN Turnover
33.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Highland Nursing Center and nearby alternatives.

All Texas facilities
Highland Nursing Center
San Antonio, TXCurrent facility
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: None
Pecan Valley Rehabilitation and Healthcare
San Antonio, TX1.0 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: None
Buena Vida Nursing and Rehab-San Antonio
San Antonio, TX1.1 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $187,608
The Rio at Mission Trails
San Antonio, TX1.4 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $153,825
Southeast Nursing & Rehabilitation Center
San Antonio, TX1.6 mi
CMS
2/5
Health
1/5
Staffing
2/5
Recorded fines: $204,738
Windsor Mission Oaks
San Antonio, TX2.7 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $10,842
Normandy Terrace Nursing & Rehabilitation Center
San Antonio, TX3.4 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $287,359
FacilityDistanceCMSHealthStaffingRecorded fines
Highland Nursing Center
San Antonio, TX · Current facility
—2/52/54/5None recorded
Pecan Valley Rehabilitation and Healthcare
San Antonio, TX
1.0 mi3/53/51/5None recorded
Buena Vida Nursing and Rehab-San Antonio
San Antonio, TX
1.1 mi1/51/51/5$187,608
The Rio at Mission Trails
San Antonio, TX
1.4 mi1/52/51/5$153,825
Southeast Nursing & Rehabilitation Center
San Antonio, TX
1.6 mi2/51/52/5$204,738
Windsor Mission Oaks
San Antonio, TX
2.7 mi3/53/52/5$10,842
Normandy Terrace Nursing & Rehabilitation Center
San Antonio, TX
3.4 mi1/51/51/5$287,359

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Highland Nursing Center?▾
Highland Nursing Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Highland Nursing Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Highland Nursing Center participates in Medicaid, which may cover some or all costs depending on eligibility.
Has Highland Nursing Center had any health inspection violations?▾
Highland Nursing Center had 14 deficiency citations in its most recent health inspection (Mar 27, 2026). The current CMS dataset records no fines for this facility.
What are the staffing levels at Highland Nursing Center?▾
Highland Nursing Center provides 3.81 total nursing staff hours per resident per day, including 0.44 RN hours, 1.01 LPN hours, and 2.36 nurse aide hours. The total staff turnover rate is 42.4%.
How many beds does Highland Nursing Center have?▾
Highland Nursing Center has 53 certified beds with an average of 32.9 residents per day, resulting in approximately 62% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Highland Nursing Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 6 in San Antonio. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Highland Nursing Center?▾
On Google Maps, Highland Nursing Center has a rating of 2.6 out of 5 based on 9 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.