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.
January 10, 2025 · D
Citation F0656Federal surveyors cited this nursing home on 2025-01-10 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 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 F0921Federal surveyors cited this nursing home on 2025-01-10 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 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.GOVDecember 6, 2024 · E
Citation F0552Federal surveyors cited this nursing home on 2024-12-06 under CMS tag F0552 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2024-12-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-06.GOVNovember 30, 2023 · D
Citation F0693Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · D
Citation F0641Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · D
Citation F0607Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · F
Citation F0944Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0944 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · D
Citation F0695Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · E
Citation F0755Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · D
Citation F0636Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0636 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · D
Citation F0868Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0868 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · D
Citation F0610Federal surveyors cited this nursing home on 2023-11-30 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 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · E
Citation F0812Federal surveyors cited this nursing home on 2023-11-30 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 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · E
Citation F0689Federal surveyors cited this nursing home on 2023-11-30 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 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · E
Citation F0638Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0638 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assure that each resident’s assessment is updated at least once every 3 months. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVNovember 30, 2023 · D
Citation F0609Federal surveyors cited this nursing home on 2023-11-30 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 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOVOctober 11, 2023 · K
Citation F0689Federal surveyors cited this nursing home on 2023-10-11 under CMS tag F0689 (CMS scope/severity K: pattern, immediate jeopardy) 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 2023-11-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-11.GOVOctober 11, 2023 · E
Citation F0609Federal surveyors cited this nursing home on 2023-10-11 under CMS tag F0609 (CMS scope/severity E: pattern, 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 2023-11-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-11.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
No other listed providers in San Antonio yet.
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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.