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Nursing homeFAID #12273

Highland Nursing Center

5819 PECAN VALLEY DR, SAN ANTONIO, TX, 78223

(210) 532-1911

51 licensed beds

CMS rates Highland Nursing Center 1 out of 5 overall. Federal inspectors issued 60 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

5819 Pecan Valley Dr

San Antonio, TX 78223

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

45E341

Care type

Nursing home

County

Bexar

Facility name

Highland Nursing Center

Street address

5819 PECAN VALLEY DR

City / state / ZIP

San Antonio, TX 78223

Phone

(210) 532-1911

About this facility — Highland Nursing Center

Highland Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 51 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 341 senior care facilities in San Antonio and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Highland Nursing Center 60 times across 9 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Corporation

Regulatory standing

Licensed / certified since

1979-09-30

CMS overall rating

1 of 5 stars

Health deficiencies

14 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-27

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-27Health inspection14 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-04-30

F-0553

D · No harm found

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2026-04-30

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-04-30

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2026-04-30

F-0627

E · No harm found

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2026-04-30

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-04-30

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-04-30

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2026-04-30

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-04-30

F-0814

C · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2026-04-30

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-04-30

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-04-30

F-0887

F · No harm found

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 2026-04-30

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2026-04-30

2025-01-10Health inspectionComplaint-triggered8 citations

F-0584

E · No harm foundFrom a 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 2025-02-17

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-17

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-17

F-0700

D · No harm found

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 2025-02-17

F-0759

E · No harm foundFrom a complaint

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-02-17

F-0761

D · No harm foundFrom a 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 2025-02-17

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-02-17

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-02-17

6 earlier / fire-safety inspections (38 citations)

2024-12-06Health inspectionComplaint-triggered1 citation

F-0552

E · No harm foundFrom a complaint

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-12-31

2023-11-30Health inspection14 citations

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-01-05

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-01-05

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2024-01-05

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-01-05

F-0638

E · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-01-05

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-01-05

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-01-05

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-01-05

F-0693

D · No harm found

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.

Corrected 2024-01-05

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-01-05

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-01-05

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-05

F-0868

D · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-01-05

F-0944

F · No harm found

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2024-01-05

2023-10-11Health inspectionComplaint-triggered2 citations

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-10

F-0689

K · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-10

2026-03-27Fire-safety inspection6 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-03-30

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-04-30

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-04-30

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-04-30

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-04-30

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-03-30

2025-01-10Fire-safety inspection7 citations

K-0211

C · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-17

K-0324

C · No harm found

Provide properly protected cooking facilities.

Corrected 2025-02-17

K-0341

F · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-02-17

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-17

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-17

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-02-17

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-02-17

2023-11-30Fire-safety inspection8 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-01-05

K-0211

C · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-11-28

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-12-29

K-0324

C · No harm found

Provide properly protected cooking facilities.

Corrected 2023-11-28

K-0325

E · No harm found

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-12-29

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-12-29

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-28

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-12-29

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 45E341.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 89% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nursing staff turnover, annual

36%

Higher than 13% of nursing homes in the state

State median: 50%

Resident outcomes

On 16 federal quality measures, this facility does better than the Texas average on 8 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	9.0%	15.8%	13.5%	Better than state
Lose too much weight	6.8%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	4.7%	0.8%	1.5%	Worse than state
Have depressive symptoms	2.5%	2.3%	13.5%	Near state average
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	6.3%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	96.1%	96.4%	93.7%	Near state average
Ability to walk independently worsened	5.3%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	36.8%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	1.1%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	4.9%	12.5%	18.3%	Better than state
Received an antipsychotic medication	3.3%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	3.63	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.63	1.97	1.69	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0609 3 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
K-0211 3 inspections. Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0511 3 inspections. Have properly installed electrical wiring and gas equipment.
F-0610 2 inspections. Respond appropriately to all alleged violations.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Children's Hospital of San Antonio, about 5.5 miles.
Baptist Medical Center, about 5.6 miles. CMS rating 3 of 5.
Brooke Army Medical Center (ft Sam Houston), about 6.4 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Pecan Valley Rehabilitation and Healthcare, San Antonio, about 1.0 miles. CMS rating 4 of 5.
Buena Vida Nursing and Rehab-san Antonio, San Antonio, about 1.1 miles. CMS rating 1 of 5.
The Rio At Mission Trails, San Antonio, about 1.4 miles. CMS rating 1 of 5.
Southeast Nursing & Rehabilitation Center, San Antonio, about 1.6 miles. CMS rating 3 of 5.
Windsor Mission Oaks, San Antonio, about 2.7 miles. CMS rating 3 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 60 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered