Nursing home in San Antonio, Texas
Highland Nursing Center
Medicaid
5819 PECAN VALLEY DR, San Antonio, TX 78223
(210) 532-1911
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home2
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
[25]
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Mar 27, 2026. CMS counts 14 health deficiencies in rating cycle 1.
- This nursing home14
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 39 health deficiencies on 5 inspection dates since Sep 30, 2023. By level of harm: 1 immediate jeopardy, 37 potential for harm, 1 minimal harm potential.
- 1 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 37 No actual harm, potential for more than minimal harm
- 1 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Mar 27, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0887 | 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 | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0842 | 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 | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0908 | Keep all essential equipment working safely.Environmental Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
Show the other 29 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Mar 27, 2026 | F0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0657 | 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 Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0791 | Provide or obtain dental services for each resident.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Mar 27, 2026 | F0814 | Dispose of garbage and refuse properly.Nutrition and Dietary Deficiencies | C Minimal harm potential, widespread | Standard | Deficient, Provider has date of correction Apr 30, 2026 |
| Jan 10, 2025 | F0584 | 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.Resident Rights Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Feb 17, 2025 |
| Jan 10, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Feb 17, 2025 |
| Jan 10, 2025 | F0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Feb 17, 2025 |
| Jan 10, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Feb 17, 2025 |
| Jan 10, 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Feb 17, 2025 |
| Jan 10, 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Feb 17, 2025 |
| Jan 10, 2025 | F0700 | 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.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Feb 17, 2025 |
| Jan 10, 2025 | F0761 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Feb 17, 2025 |
| Dec 6, 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Dec 31, 2024 |
| Nov 30, 2023 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Administration Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0693 | 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.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Nov 30, 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyAdministration Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2024 |
| Oct 11, 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Nov 10, 2023 |
| Oct 11, 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Nov 10, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.[25]
- This nursing homeNot available
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.[25]
- This nursing homeNot available
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home42.4%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 53 |
|---|---|
| Average residents per day | 32.9 |
| Ownership | For profit - Corporation |
| Provider type | Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Both |
| Automatic sprinklers in all required areas | Yes |
| Chain | Not part of a chain in the CMS file |
| Legal business name | Legal Business Name Not Available |
| First approved for Medicare and Medicaid | Sep 30, 1979 |
| County | Bexar |
| CMS certification number | 45E341 |
Also in San Antonio
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Morningside Manor | 147 | Non profit - Corporation | ||
| San Pedro Manor | 150 | Government - Hospital district | ||
| Silver Creek Nursing and Rehabilitation | 120 | For profit - Limited Liability company | ||
| Avir at San Antonio | 119 | For profit - Corporation | ||
| Broadway Nursing & Rehabilitation | 237 | For profit - Limited Liability company | ||
| Buena Vida Nursing and Rehab-San Antonio | 222 | Government - Hospital district | ||
| Castle Hills Rehabilitation and Care Center | 143 | For profit - Limited Liability company | ||
| Memorial Medical Nursing and Rehabilitation | 135 | Government - Hospital district | ||
| Meridian Care Monte Vista | 106 | For profit - Individual | ||
| Mesa Vista Inn Health Center | 144 | For profit - Corporation | ||
| Northeast Rehabilitation and Healthcare Center | 120 | Government - Hospital district | ||
| The Lev at San Antonio | 106 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| San Antonio VA Medical Center (VA South Texas Healthcare System) | Acute Care - Veterans Administration | Yes | |
| Methodist Hospital | Acute Care Hospitals | Yes | |
| Baptist Medical Center | Acute Care Hospitals | Yes | |
| CHRISTUS Santa Rosa Medical Center | Acute Care Hospitals | Yes | |
| University Health System | Acute Care Hospitals | Yes | |
| Children's Hospital of San Antonio | Not available | Childrens | Yes |
| San Antonio State Hosp State School | Not available | Psychiatric | No |
| South Texas Spine and Surgical Hospital | Not available | Acute Care Hospitals | Yes |
CMS footnotes on this page
- [25]
- The accuracy of the staffing data for this measure could not be validated by CMS.