For profit - Corporation · 53 certified beds · CMS number 45E341
Highland Nursing Center, San Antonio, TX
CMS records 39 health deficiencies at Highland Nursing Center in San Antonio, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 27, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists no fines or payment denials in the last three years.
- 39deficiencies, 3 cycles (TX median 25)
- 14in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $0fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Highland Nursing Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Highland Nursing Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (14 deficiencies)
Standard inspection Mar 27, 2026. CMS counts 14 health deficiencies and 6 fire safety deficiencies in this cycle.
Mar 27, 2026 · Standard inspection
14 deficiencies, highest F
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2026
F887 · COVID-19 vaccine education and offering
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 30, 2026
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 30, 2026
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2026
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Apr 30, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2026
F791 · Dental services in Medicaid nursing facilities
Requirement cited (CMS): Provide or obtain dental services for each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2026
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
F627 · Permitted transfers, discharge planning, and return rights
Requirement cited (CMS): Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2026
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
F553 · Taking part in care planning
Requirement cited (CMS): Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2026
Previous cycle: 9 deficiencies (standard inspection Jan 10, 2025)
Standard inspection Jan 10, 2025. CMS counts 9 health deficiencies and 7 fire safety deficiencies in this cycle.
Jan 10, 2025 · Standard + complaint inspection
8 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 17, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 17, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 17, 2025
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 17, 2025
F700 · Bed rail safety
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 17, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 17, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 17, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 17, 2025
Dec 6, 2024 · Complaint inspection
1 deficiency, highest E
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 31, 2024
Earlier cycle: 16 deficiencies (standard inspection Nov 30, 2023)
Standard inspection Nov 30, 2023. CMS counts 16 health deficiencies and 8 fire safety deficiencies in this cycle.
Nov 30, 2023 · Standard inspection
14 deficiencies, highest F
F944 · Quality program training
Requirement cited (CMS): Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jan 5, 2024
F868 · Quality committee membership and meetings
Requirement cited (CMS): Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F638 · Quarterly assessment reviews
Requirement cited (CMS): Assure that each resident’s assessment is updated at least once every 3 months.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2024
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2024
Oct 11, 2023 · Complaint inspection
2 deficiencies, highest K
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 10, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 10, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Highland Nursing Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 4 | Mar 27, 2026; Jan 10, 2025; Nov 30, 2023; Oct 11, 2023 |
| F609 Reporting suspected abuse and crimes | 3 | Mar 27, 2026; Nov 30, 2023; Oct 11, 2023 |
| F610 Investigating and responding to allegations | 2 | Mar 27, 2026; Nov 30, 2023 |
| F656 Comprehensive person-centered care plan | 2 | Jan 10, 2025; Nov 30, 2023 |
| F812 Food safety and sanitation | 2 | Mar 27, 2026; Nov 30, 2023 |
| F880 Infection prevention and control program | 2 | Mar 27, 2026; Jan 10, 2025 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- not reported
- RN hours per resident per day
- not reported
- Weekend nurse staff hours per resident per day
- not reported
- Nursing staff turnover
- 42.4% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Highland Nursing Center, copied as published; Texas medians are ours.
Facility details
- Address
- 5819 Pecan Valley Dr, San Antonio, TX 78223
- Phone
- (210) 532-1911
- County
- Bexar
- Accepts
- Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 53
- Average residents per day
- 32.9
- In Medicare/Medicaid since
- Sep 30, 1979
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Both
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 3 times)
- What steps are taken to keep residents protected while an incident is being investigated? (F610, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
Other nursing homes in San Antonio
- San Antonio West Nursing and Rehabilitation
San Antonio · 76 deficiencies - Parklane West Healthcare Center
San Antonio · 68 deficiencies - Castle Hills Rehabilitation and Care Center
San Antonio · 67 deficiencies - Crestway Nursing & Rehabilitation
San Antonio · 65 deficiencies - Oak Park Nursing and Rehabilitation Center
San Antonio · 60 deficiencies - Wurzbach Nursing and Rehabilitation
San Antonio · 58 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.