Highland Nursing Center
5819 Pecan Valley Dr · San Antonio, TX · 78223 · 2105321911
53 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.53 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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Potential for harm · D March 27, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D March 27, 2026
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D March 27, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2026
Respond appropriately to all alleged violations.
Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 27, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D March 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.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 27, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026
Provide or obtain dental services for each resident.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · E March 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 30, 2026 · Nutrition and Dietary
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Potential for harm · E March 27, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · F March 27, 2026
Provide and implement an infection prevention and control program.
Corrected April 30, 2026 · Infection Control
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Potential for harm · F March 27, 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.
Corrected April 30, 2026 · Infection Control
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Potential for harm · E March 27, 2026
Keep all essential equipment working safely.
Corrected April 30, 2026 · Environmental
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No harm found · C March 27, 2026
Dispose of garbage and refuse properly.
Corrected April 30, 2026 · Nutrition and Dietary
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Potential for harm · E January 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 17, 2025 · Quality of Life and Care
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Potential for harm · D January 10, 2025
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.
Corrected February 17, 2025 · Quality of Life and Care
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Potential for harm · E January 10, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 17, 2025 · Environmental
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Potential for harm · E January 10, 2025 · found via complaint
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.
Corrected February 17, 2025 · Resident Rights
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Potential for harm · D January 10, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 10, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected February 17, 2025 · Pharmacy Service
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Potential for harm · D January 10, 2025 · found via complaint
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.
Corrected February 17, 2025 · Pharmacy Service
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Potential for harm · E January 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 17, 2025 · Infection Control
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Potential for harm · E December 6, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 31, 2024 · Resident Rights
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Potential for harm · D November 30, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 30, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 45E341 · certified since September 30, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.