Highland Nursing Center
5819 Pecan Valley Dr, San Antonio, TX 78223 · Bexar County
For-profit · 53 certified beds · 62% occupancy · (210) 532-1911
The U.S. government (CMS) rates Highland Nursing Center 2 out of 5 stars overall — below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.81 nurse hours per resident per day. 17% above the Texas median of 3.27.
Nursing staff turnover: 42.4% · RN turnover: 33.3%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0880 · Mar 27, 2026Corrected Apr 30, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0887 · Mar 27, 2026Corrected Apr 30, 2026
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.
Infection Control Deficiencies
- Potential for harmTag F0627 · Mar 27, 2026Corrected Apr 30, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
- Potential for harmTag F0689 · Mar 27, 2026Corrected Apr 30, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Mar 27, 2026Corrected Apr 30, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0842 · Mar 27, 2026Corrected Apr 30, 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 Deficiencies
- Potential for harmTag F0908 · Mar 27, 2026Corrected Apr 30, 2026
Keep all essential equipment working safely.
Environmental Deficiencies
- Potential for harmTag F0550 · Mar 27, 2026Corrected Apr 30, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0553 · Mar 27, 2026Corrected Apr 30, 2026
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
- Potential for harmTag F0609 · Mar 27, 2026Corrected Apr 30, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 39 findings. See the full inspection history on Medicare.gov.