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Highland Nursing Center

Nursing Home Facility

5819 Pecan Valley Dr, San Antonio, TX 78223

Nursing Home Care Senior Living
Highland Nursing Center

Highland Nursing Center is a senior care community located in San Antonio, TX. It provides nursing home care and senior living for older adults in the San Antonio area. To learn more or schedule a tour, call (210) 532-1911.

With 59 beds, Highland Nursing Center is smaller than most nearby options, senior care communities in San Antonio average about 176 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 62% of its licensed beds, so availability is more likely here than at busier communities nearby.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in March 2026 and recorded 14 deficiencies.

Residents receive about 3.8 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Communities in San Antonio average about 3.4 hours. Nursing staff turnover over the past year was about 42%.

The community is located in Bexar County, TX.

Medicare five-star ratings

  • Overall 2/5
  • Health inspections 2/5
  • Staffing 4/5
  • Quality measures 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Highland Nursing Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 59
  • Occupancy 62%
  • Nursing hours per resident/day 3.8
  • Annual staff turnover 42%
  • Last health inspection March 2026

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