Highland Nursing Center
5819 Pecan Valley Dr, San Antonio, TX 78223
Phone: 2105321911
CMS ratings and facility information
Highland Nursing Center is a Medicare-certified nursing facility in San Antonio, Bexar County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 1 of 5 stars |
|---|---|
| Health inspection rating | 2 of 5 |
| Staffing rating | 1 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 53 |
| Ownership | For profit - Corporation |
| CMS certification number | 45E341 |
Staffing
| Total nursing staff turnover percent | 42.4 |
|---|---|
| RN turnover percent | 33.3 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 4.13 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 2.25 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 8.26 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 2.39 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 3.31 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 1.11 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-03-27 | 0880 | Provide and implement an infection prevention and control program. | F |
| 2026-03-27 | 0887 | 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 |
| 2026-03-27 | 0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | E |
| 2026-03-27 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2026-03-27 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-03-27 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2026-03-27 | 0908 | Keep all essential equipment working safely. | E |
| 2026-03-27 | 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2026-03-27 | 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D |
| 2026-03-27 | 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2026-03-27 | 0610 | Respond appropriately to all alleged violations. | D |
| 2026-03-27 | 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2026-03-27 | 0791 | Provide or obtain dental services for each resident. | D |
| 2026-03-27 | 0814 | Dispose of garbage and refuse properly. | C |
| 2025-01-10 | 0584 | 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 |
| 2025-01-10 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2025-01-10 | 0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2025-01-10 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2025-01-10 | 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-01-10 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-01-10 | 0700 | 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 |
| 2025-01-10 | 0761 | 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 |
| 2023-11-30 | 0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F |
| 2023-11-30 | 0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E |
| 2023-11-30 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2023-11-30 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2023-11-30 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-11-30 | 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2023-11-30 | 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-11-30 | 0610 | Respond appropriately to all alleged violations. | D |
| 2023-11-30 | 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
| 2023-11-30 | 0641 | Ensure each resident receives an accurate assessment. | D |
| 2023-11-30 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-11-30 | 0693 | 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 |
| 2023-11-30 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2023-11-30 | 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D |
Penalties
No penalties were listed in this CMS data snapshot.
Ownership records
| Name | Type | Role |
|---|---|---|
| Ownership Data Not Available |
Compare nursing homes in Bexar County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.