Nursing Homes · Medicare certified
Highland Nursing Center
5819 Pecan Valley Dr · San Antonio, TX 78223 · 53 certified beds
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About Highland Nursing Center
Highland Nursing Center is a nursing home in San Antonio, Texas. Public records list 53 beds. It is Medicare certified. Ownership records list a for-profit operator. We hold 39 inspection citations for this listing, the most recent dated 27 March 2026. Public enforcement records list no fine or payment denial against it. Reported staffing works out to 3.81 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated June 2026.
Public record
CMS Care Compare · Source data June 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
4.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
25
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
25
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
25
Inspection history (39)
Records from October 2023 to March 2026.
March 27, 2026 · D
Citation F0657Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · F
Citation F0887Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0887 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · E
Citation F0627Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0627 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · D
Citation F0610Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · C
Citation F0814Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0814 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Dispose of garbage and refuse properly. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · D
Citation F0553Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0553 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow resident to participate in the development and implementation of his or her person-centered plan of care. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · E
Citation F0689Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · E
Citation F0812Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · F
Citation F0880Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · D
Citation F0791Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0791 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain dental services for each resident. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · E
Citation F0908Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0908 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · E
Citation F0842Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0842 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · D
Citation F0550Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVMarch 27, 2026 · D
Citation F0609Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2026-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-27.GOVJanuary 10, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-01-10 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-02-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-10.GOVJanuary 10, 2025 · E
Citation F0689Federal surveyors cited this nursing home on 2025-01-10 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-02-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-10.GOVJanuary 10, 2025 · E
Citation F0759Federal surveyors cited this nursing home on 2025-01-10 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-02-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-10.GOVJanuary 10, 2025 · D
Citation F0761Federal surveyors cited this nursing home on 2025-01-10 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-02-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-10.GOVJanuary 10, 2025 · E
Citation F0584Federal surveyors cited this nursing home on 2025-01-10 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-02-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-10.GOVJanuary 10, 2025 · D
Citation F0700Federal surveyors cited this nursing home on 2025-01-10 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-02-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-10.GOV
Penalties
Total fines on file: $0
Staffing
Latest: 3.81 nurse staffing hours per resident per day (2026Q1)
Staffing trend (4 periods)
- 2025Q43.81 hrs/resident/day
- 2026-06-013.81 hrs/resident/day
- 2026-07-013.81 hrs/resident/day
- 2026Q13.81 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit - Corporation
Recent changes to this listing
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$5,627/moNearby alternatives
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
- CMS nursing homes (provider info)as of June 2026
- City, County, Licensed capacity, Map location, Medicare certification number, Name, Ownership type, Phone number, State, Street address, ZIP code
Read how we handle every file on the data sources page.