Highland Nursing Center

Nursing Home · San Antonio, TX

CMS overall rating 1/5 For profit - Corporation

CMS certification number45E341

Contact & location

5819 Pecan Valley DR
San Antonio, TX 78223
Bexar County
Phone
(210) 532-1911
ZIP code
78223 – all care providers

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Facility details

Certified beds
53
Residents per day
32.9 (62% occupied)
Ownership
For profit - Corporation
Legal name
Legal Business Name Not Available
Medicare certified since
September 30, 1979
Participates in
Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
—
Registered nurses (RN)
—
Licensed practical nurses
—
Nurse aides
—
Weekend total
—
Nursing staff turnover
42.4 (state 55.3 · U.S. 45.8)%
RN turnover
33.3 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
March 27, 2026
Health deficiencies (last cycle)
14.0 (state 9.3 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
39 health · 21 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-03-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 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.
F0887 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-30
2026-03-27 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2026-04-30
2025-01-10 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-17
2025-01-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-17
2025-01-10 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-17
2025-01-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-17
2025-01-10 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-17
2025-01-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-17
2025-01-10 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.
F0700 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-17
2025-01-10 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-17
2024-12-06 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-31
2023-11-30 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-11-30 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-05
2023-10-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 K
Immediate jeopardy to resident health or safety		 Corrected 2023-11-10
2023-10-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-10

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Ownership Data Not Available

Frequently asked questions

What is the rating of Highland Nursing Center?

Highland Nursing Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Highland Nursing Center have?

It has 53 certified beds and cares for about 33 residents per day.

Has Highland Nursing Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Highland Nursing Center?

(210) 532-1911. The facility is located at 5819 Pecan Valley DR, San Antonio, TX 78223.

Other nursing homes in San Antonio

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.