HIGHLAND NURSING CENTER

5819 PECAN VALLEY DR, SAN ANTONIO, TX 78223 · CCN 45E341 · 53 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing4 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

39 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

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Serious inspection findings

2023-10-11 — IMMEDIATE JEOPARDY (tag F0689, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

3.10

state median 2.67

Weekend staffing gap

−5%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.21

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

42%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Corporation.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 37 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-03-27	F0550	Resident Rights Deficiencies	D	not recorded
2026-03-27	F0553	Resident Rights Deficiencies	D	not recorded
2026-03-27	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-27	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-03-27	F0627	Resident Rights Deficiencies	E	not recorded
2026-03-27	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-27	F0689	Quality of Life and Care Deficiencies	E	not recorded
2026-03-27	F0791	Quality of Life and Care Deficiencies	D	not recorded
2026-03-27	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2026-03-27	F0814	Nutrition and Dietary Deficiencies	C	not recorded
2026-03-27	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-03-27	F0880	Infection Control Deficiencies	F	not recorded
2026-03-27	F0887	Infection Control Deficiencies	F	not recorded
2026-03-27	F0908	Environmental Deficiencies	E	not recorded
2025-01-10	F0584	Resident Rights Deficiencies	E	not recorded
2025-01-10	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-01-10	F0689	Quality of Life and Care Deficiencies	E	not recorded
2025-01-10	F0700	Quality of Life and Care Deficiencies	D	not recorded
2025-01-10	F0759	Pharmacy Service Deficiencies	E	not recorded
2025-01-10	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-01-10	F0880	Infection Control Deficiencies	E	not recorded
2025-01-10	F0921	Environmental Deficiencies	E	not recorded
2024-12-06	F0552	Resident Rights Deficiencies	E	not recorded
2023-11-30	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-11-30	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-11-30	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-11-30	F0636	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-30	F0638	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-11-30	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-30	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-30	F0689	Quality of Life and Care Deficiencies	E	not recorded
2023-11-30	F0693	Quality of Life and Care Deficiencies	D	not recorded
2023-11-30	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-11-30	F0755	Pharmacy Service Deficiencies	E	not recorded
2023-11-30	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-11-30	F0868	Administration Deficiencies	D	not recorded
2023-11-30	F0944	Administration Deficiencies	F	not recorded
2023-10-11	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2023-10-11	F0689	Quality of Life and Care Deficiencies	K	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “HIGHLAND NURSING CENTER, SAN ANTONIO” at medicare.gov/care-compare.