Highland Nursing Center
Nursing Home Facility
5819 Pecan Valley Dr, San Antonio, TX 78223
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 169 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 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in San Antonio average about 2.3 stars. 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.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 39 problems at Highland Nursing Center. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 8 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, widespread
Infection Control
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.
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Could cause more than minimal harm, a pattern
Resident Rights
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, a pattern
Environmental
Keep all essential equipment working safely.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Show 6 more
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Could cause more than minimal harm, one or a few residents
Resident Rights
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide or obtain dental services for each resident.
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Minimal harm or the potential for it, widespread
Nutrition and Dietary
Dispose of garbage and refuse properly.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
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
Resident & family reviews
No one has shared a review of Highland Nursing Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.