Highland Nursing Center

Nursing home in San Antonio, TX

Medicaid-certified1★ overall (CMS)

Call (210) 532-1911 Send a message Map ↗

Public-record details

Address: 5819 Pecan Valley Dr, San Antonio, TX 78223
Phone: (210) 532-1911
Listed under: For-profit, No fines in 3 years
Medicare CCN: 45E341
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 1 of 5
Quality measures rating: 4 of 5
Certified beds: 53
Average residents per day: 33
Ownership: For-profit, corporation
Legal business name: Legal Business Name Not Available
Certified for: Medicaid
First approved by Medicare/Medicaid: Sep 30, 1979
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident and family councils
Sprinklers in all required areas: Yes

CMS certification number 45E341. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 27, 2026. CMS lists 39 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 11, 2023 to Mar 27, 2026): 8 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Mar 27, 2026	Dispose of garbage and refuse properly. Nutrition and Dietary	C Potential for minimal harm, widespread
Mar 27, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
Mar 27, 2026	Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights	D Potential for more than minimal harm, isolated
Mar 27, 2026	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation	D Potential for more than minimal harm, isolated
Mar 27, 2026	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation	D Potential for more than minimal harm, isolated
Mar 27, 2026	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Mar 27, 2026	Provide or obtain dental services for each resident. Quality of Life and Care	D Potential for more than minimal harm, isolated
Mar 27, 2026	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights	E Potential for more than minimal harm, pattern
Mar 27, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	E Potential for more than minimal harm, pattern
Mar 27, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Mar 27, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern
Mar 27, 2026	Keep all essential equipment working safely. Environmental	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 39. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Nursing staff turnover (yearly): 42%
RN turnover (yearly): 33%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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