All states › Texas › San Antonio › Highland Nursing Center
5819 Pecan Valley Dr San Antonio, TX 78223 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 45E341 · See this home on Medicare Care Compare
Is Highland Nursing Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Highland Nursing Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
35.5% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.
About this nursing home
Paying for care at Highland Nursing Center: Medicare and Medicaid
Highland Nursing Center is certified for Medicaid but not Medicare, so Medicare won't pay for a rehab stay here after a hospital discharge. It can serve long-term residents covered by Texas Medicaid.
Health inspections
The most recent standard inspection was on March 27, 2026 and found 14 deficiencies. In total, inspectors issued 39 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 39 citations at Highland Nursing Center across 5 inspection dates, 8 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 11, 2023 (complaint inspection). The most common areas cited were quality of life and care (8) and resident assessment and care planning (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level K, October 11, 2023). 6 citations were under CMS's abuse, neglect and exploitation rules.
March 27, 2026 · 14 citations
FProvide and implement an infection prevention and control program.
FEducate 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.
EEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EKeep all essential equipment working safely.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide or obtain dental services for each resident.
CDispose of garbage and refuse properly.
January 10, 2025 · 8 citations · includes complaint inspection
EHonor 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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure medication error rates are not 5 percent or greater.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DTry 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.
DEnsure 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.
December 6, 2024 · 1 citation · includes complaint inspection
EEnsure that residents are fully informed and understand their health status, care and treatments.
November 30, 2023 · 14 citations
FConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
EAssure that each resident’s assessment is updated at least once every 3 months.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
October 11, 2023 · 2 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Questions to ask on a tour of Highland Nursing Center
- Inspectors cited the home at the immediate-jeopardy level on October 11, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 27, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
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Location
Hospitals near Highland Nursing Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.1 mi
- 1.7 mi
- 5.5 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Highland Nursing Center › All nursing homes in San Antonio ›
Compare Highland Nursing Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- St. Francis Nursing Home · San Antonio · 5 stars · 7.1 mi
- Pecan Valley Rehabilitation and Healthcare · San Antonio · 4 stars · 1.0 mi
- Legend Oaks Healthcare and Rehabilitation Center · San Antonio · 4 stars · 6.4 mi
- San Pedro Manor · San Antonio · 4 stars · 6.7 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.