Nursing Homes · Medicare certified
Highland Nursing Center
5819 Pecan Valley Dr · San Antonio, TX 78223 · 51 certified beds
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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
1.0Staffing
1.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (39)
Records from October 2023 to March 2026.
January 10, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 17, 2025.
January 10, 2025
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 17, 2025.
December 6, 2024
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 31, 2024.
November 30, 2023
Tag F0693Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0812Procure 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 January 5, 2024.
November 30, 2023
Tag F0689Ensure 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 January 5, 2024.
November 30, 2023
Tag F0638Assure that each resident’s assessment is updated at least once every 3 months.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 5, 2024.
November 30, 2023
Tag F0609Timely 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 January 5, 2024.
October 11, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K: pattern, immediate jeopardy. Corrected November 10, 2023.
October 11, 2023
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 10, 2023.
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.
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