San Antonio, TX · less than 1 mile away
Highland Nursing Center
⌖ San Antonio, TX · Bexar County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds53
Medicare / MedicaidMedicaid only
OwnershipFor-profit (corporation)
About Highland Nursing Center
Highland Nursing Center is a 53-bed for-profit nursing home in San Antonio, TX. Medicare rates it 1 out of 5 stars overall (much below average); the average in Texas is 2.7. At its last full inspection (Mar 2026), inspectors found 14 problems, more than the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. About 42% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameHighland Nursing Center
LocationBexar County, Texas
Phone(210) 532-1911
Address5819 Pecan Valley Dr, San Antonio, TX 78223 · Bexar County
CMS provider number45E341
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceSeptember 30, 1979 (46 years)
✗ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Mar 2026.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Nursing staff turnover42% a yearTexas average: 55%Strength
Things to ask about
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- Health citations at last inspection14 (Mar 2026)Texas average: 9.4. Most citations are minor and corrected within weeks.Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury8.3%State average: 3.3%Worse than average
- Pressure sores (bedsores)2.4%State average: 3.8%Better than average
- Given antipsychotic drugs1.1%State average: 9.6%Better than average
- Hospital stays per 1,000 resident days4.1State average: 2.2Worse than average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 1 star now, down from 2 stars in January 2019. It has ranged from 1 to 4 stars and changed 14 times.
Overall rating1★
Health inspections2★
Staffing1★
Quality of care4★
Nurse hours per resident per day3.8
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 1 | 3 | 5 | 3.4 |
| Jan 2020 | 1 | 1 | 2 | 1 | 3.5 |
| Jan 2021 | 3 | 3 | 2 | 3 | 3.3 |
| Jan 2022 | 3 | 3 | 3 | 4 | 4.1 |
| Jan 2023 | 4 | 4 | 3 | 3 | 4.1 |
| Jan 2024 | 2 | 2 | 3 | 4 | 4.2 |
| Feb 2025 | 1 | 2 | 3 | 1 | 3.7 |
| Feb 2026 | 2 | 2 | 4 | 3 | 3.6 |
| Sep 2026 | 1 | 2 | 1 | 4 | – |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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