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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasHighland Nursing Center

Highland Nursing Center

5819 Pecan Valley Dr, San Antonio, TX 782232105321911
2/5Below Average
Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
3/5
Beds
53
certified

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 53 certified beds with an average of 31.7 residents per day (60% occupancy)

• Last health inspection found 8 deficiencies (inspected Jan 10, 2025)

• No fines on record

• Total nursing staff: 3.65 hours per resident per day

• Staff turnover rate: 48.5%

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. The facility scored below average compared to Texas facilities.

Beds
53
Avg Residents/Day
31.7
Ownership
For profit - Corporation
Provider Type
Medicaid
In Hospital
No
First Approved
Sep 30, 1979
Sprinklers
Yes
Council
Both
County
Bexar
Last Inspection
Jan 10, 2025
Deficiencies (Cycle 1)
8
Weighted Score
95.3
Infection Citations
0

Deficiency Citations (29)

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: 1
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: 1
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: 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: 1
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: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jan 10, 2025Corrected: NoCycle: 1
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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 10, 2025Corrected: NoCycle: 1
F0552Potential for Harm

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

Survey: Dec 6, 2024Corrected: NoCycle: 2
F0607Potential for Harm

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

Survey: Nov 30, 2023Corrected: NoCycle: 2
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: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Nov 30, 2023Corrected: NoCycle: 2
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Nov 30, 2023Corrected: NoCycle: 2
F0638Potential for Harm

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

Survey: Nov 30, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Nov 30, 2023Corrected: 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: Nov 30, 2023Corrected: NoCycle: 2
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: 2
F0693Potential for Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey: Nov 30, 2023Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Nov 30, 2023Corrected: NoCycle: 2
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: 2
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: 2
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Nov 30, 2023Corrected: 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: 2
F0609Potential for Harm

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

Survey: Oct 11, 2023Corrected: NoCycle: 3
F0689Immediate Jeopardy

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

Survey: Oct 11, 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: Sep 23, 2022Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 23, 2022Corrected: NoCycle: 3
F0912Minimal Harm

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Survey: Sep 23, 2022Corrected: NoCycle: 3
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: Sep 23, 2022Corrected: NoCycle: 3
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 Aide2.18 hrs
National avg: 2.35 hrs
LPN0.85 hrs
National avg: 0.86 hrs
RN0.62 hrs
National avg: 0.68 hrs
Total Nursing3.65 hrs
National avg: 3.89 hrs
Weekend Total3.28 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
48.5%
RN Turnover
0.0%
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

Nearby Nursing Homes

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Pecan Valley Rehabilitation and Healthcare

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Buena Vida Nursing and Rehab-San Antonio

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The Rio at Mission Trails

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Southeast Nursing & Rehabilitation Center

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Windsor Mission Oaks

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Normandy Terrace Nursing & Rehabilitation Center

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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 3/5. This facility is rated below average.
Has Highland Nursing Center had any health inspection violations?▾
Highland Nursing Center had 8 deficiency citations in its most recent health inspection (Jan 10, 2025). The facility has no fines on record.
What are the staffing levels at Highland Nursing Center?▾
Highland Nursing Center provides 3.65 total nursing staff hours per resident per day, including 0.62 RN hours, 0.85 LPN hours, and 2.18 nurse aide hours. The total staff turnover rate is 48.5%.
How many beds does Highland Nursing Center have?▾
Highland Nursing Center has 53 certified beds with an average of 31.7 residents per day, resulting in approximately 60% occupancy. The facility is For profit - Corporation owned.
Are there other nursing homes near Highland Nursing Center?▾
Yes, there are 57 other nursing homes in San Antonio, Texas with an average rating of 2.5/5. You can compare all facilities on the San Antonio nursing homes page.