HIGHLAND NURSING CENTER — Nursing Home in SAN ANTONIO, TX

5819 PECAN VALLEY DR, SAN ANTONIO, TX, 78223 | 2105321911

CMS Five-Star Rating

★★☆☆☆ 2/5

Based on health inspections, staffing, and quality measures

Facility Overview

Medicaid
Certified Beds53
Average Residents/Day33.7
CMS Certification Number45E341

Staffing Levels

Hours Per Resident Day (HPRD)

Total Nurse Staffing 3.73 HPRD
RN Staffing 0.59 HPRD

Health Inspection Findings & Deficiencies

Most Recent Inspection January 10, 2025
Total Deficiencies 8

HIGHLAND NURSING CENTER had 8 health inspection deficiencies on its most recent inspection (January 10, 2025).

Inspection Findings — January 10, 2025

  • Ensure medication error rates are not 5 percent or greater. (Level E)
    Corrected — February 17, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Level E)
    Corrected — February 17, 2025
  • 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. (Level D)
    Corrected — February 17, 2025
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Level E)
    Corrected — February 17, 2025
  • 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. (Level E)
    Corrected — February 17, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level D)
    Corrected — February 17, 2025
  • 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. (Level D)
    Corrected — February 17, 2025
  • Provide and implement an infection prevention and control program. (Level E)
    Corrected — February 17, 2025
CareQED Analysis

Highland Nursing Center is a 53-bed nursing home in San Antonio, Texas. It holds a 2-star CMS overall rating. Total nurse staffing is 3.7 hours per resident day, above the Texas average of 3.4. Its most recent inspection, in January 2025, cited 8 deficiencies, none of them severe.

Bottom line: The facility’s nurse staffing appears stronger than many in the state, which is a meaningful positive for day-to-day care. However, the recent inspection raised several concerns about accident hazards and supervision in resident areas, so you may want to ask how the home has addressed those safety and environment issues going forward.

Frequently Asked Questions

Is HIGHLAND NURSING CENTER Medicare and Medicaid certified?

HIGHLAND NURSING CENTER is not Medicare certified and Medicaid certified according to CMS data.

What is HIGHLAND NURSING CENTER's CMS star rating?

HIGHLAND NURSING CENTER has an overall CMS rating of 2 out of 5 stars.

How is staffing at HIGHLAND NURSING CENTER?

HIGHLAND NURSING CENTER reports 3.7331 total nurse hours per resident day.

Has HIGHLAND NURSING CENTER had health inspection deficiencies?

On its most recent inspection, HIGHLAND NURSING CENTER had 8 total deficiencies, including 0 classified as severe.

How many beds does HIGHLAND NURSING CENTER have?

HIGHLAND NURSING CENTER has 53 certified beds.

Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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