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Nursing Homes · Medicare certified

Highland Nursing Center

5819 Pecan Valley Dr · San Antonio, TX 78223 · 51 certified beds

(210) 532-1911

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About Highland Nursing Center

Highland Nursing Center is a nursing home in San Antonio, Texas. Its capacity is 51 beds, below the Bexar County median of 120 for nursing homes. It is run by a for-profit operator. It is Medicare certified. Its public inspection record shows 39 citations, the most recent on March 27, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.56 hours per resident per day. It is one of 59 nursing homes listed in San Antonio. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

1.0

Staffing

1.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (39)

Records from October 2023 to March 2026.

  • March 27, 2026

    Tag F0657

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0887

    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.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0627

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0610

    Respond appropriately to all alleged violations.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0814

    Dispose of garbage and refuse properly.

    Severity C: widespread, no actual harm, potential for minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0553

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0689

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0812

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0791

    Provide or obtain dental services for each resident.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0908

    Keep all essential equipment working safely.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0842

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0550

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • March 27, 2026

    Tag F0609

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 30, 2026.

  • January 10, 2025

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 17, 2025.

  • January 10, 2025

    Tag F0689

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 17, 2025.

  • January 10, 2025

    Tag F0759

    Ensure medication error rates are not 5 percent or greater.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 17, 2025.

  • January 10, 2025

    Tag F0761

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 17, 2025.

  • January 10, 2025

    Tag F0584

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 17, 2025.

  • January 10, 2025

    Tag F0700

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 17, 2025.

See the source data on data.cms.gov (opens in a new tab)

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

3.56 nurse hours per resident per day in Q2 2026, down from 3.81 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Corporation

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Texas.

Nursing Homes

Texas median$5,627/mo

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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