Texas › Bexar County › San Antonio
Highland Nursing Center
5819 Pecan Valley Dr, San Antonio, TX 78223
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Highland Nursing Center is a For-profit, corporation nursing home in San Antonio, Texas, certified for 53 beds and caring for about 33 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (14, 9, 16 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 73.6 per 100 beds, more than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 39 | 38 | 25 | 28.7 |
| Citations per 100 beds | 73.6 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | — | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | — | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 42.4% | 50.0% | 52.1% | 45.8% |
| Fines listed | $0 | $15,616 | $16,801 | — |
County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Mar 2026, 10 Jan 2025.
Severity mix: K ×1 D ×18 E ×16 F ×3 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | 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. | F | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | E | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 30 Apr 2026 |
| 27 Mar 2026 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 30 Apr 2026 |
| 10 Jan 2025 | 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. | E | Complaint investigation | 17 Feb 2025 |
| 10 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 17 Feb 2025 |
| 10 Jan 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 17 Feb 2025 |
| 10 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 17 Feb 2025 |
| 10 Jan 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 17 Feb 2025 |
| 10 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 17 Feb 2025 |
| 10 Jan 2025 | 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. | D | Standard survey | 17 Feb 2025 |
| 10 Jan 2025 | 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. | D | Complaint investigation | 17 Feb 2025 |
| 6 Dec 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Complaint investigation | 31 Dec 2024 |
| 30 Nov 2023 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0693 | 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. | D | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 Jan 2024 |
| 30 Nov 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 5 Jan 2024 |
| 11 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 10 Nov 2023 |
| 11 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 10 Nov 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 42.4%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.3% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.1% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bexar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Army Residence Community | San Antonio | 91 | 5 | 5 | 4 | 18 | 19.8 | — | 5 Jun 2025 |
| Coronado At Stone Oak | San Antonio | 112 | 5 | 4 | 3 | 24 | 21.4 | — | 28 Jan 2026 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | 5 | 4 | 2 | 23 | 19.5 | $15K | 5 Jun 2026 |
| The Mission At Blue Skies of Texas East | San Antonio | 80 | 5 | 4 | 4 | 25 | 31.3 | $17K | 8 Aug 2025 |
| Morningside Manor | San Antonio | 147 | 4 | 3 | 3 | 26 | 17.7 | $5K | 11 Apr 2026 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 124 | 4 | 4 | 1 | 25 | 20.2 | — | 29 Apr 2026 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | 4 | 3 | 3 | 23 | 38.3 | — | 15 Dec 2025 |
| San Pedro Manor | San Antonio | 150 | 4 | 3 | 2 | 30 | 20.0 | $24K | 30 Apr 2026 |
All 62 facilities in Bexar County
Questions and answers
How many deficiencies has Highland Nursing Center been cited for?
39 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Highland Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Highland Nursing Center compare?
CMS does not report staffing hours for this facility.
Who operates Highland Nursing Center?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Highland Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 27 Mar 2026; the most recent standard health survey was 27 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.