Nursing Home in San Antonio, TX · CMS Data August 2026

Highland Nursing Center

How Does Highland Nursing Center Rate?

Highland Nursing Center is a 53-bed for-profit nursing home in San Antonio, TX. CMS rates it 1 out of 5 stars overall (August 2026), with 2 for health inspections, 1 for staffing and 4 for quality measures. Its last standard health inspection, on March 27, 2026, cited 14 health deficiencies.

CMS overall rating: 1 of 5
Deficiencies at last inspection: 14
Certified beds: 53

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

5819 Pecan Valley Dr
San Antonio, TX 78223

1 of 5 CMS overall · Much below average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

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Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for Highland Nursing Center
Rating	Stars	CMS label
Overall rating	1 of 5	Much below average
Health inspections	2 of 5	Below average
Staffing	1 of 5	Much below average
Quality measures	4 of 5	Above average
Quality for long-stay residents	4 of 5	Above average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at Highland Nursing Center and the national median
Measure	This home	National median
Nursing staff turnover (past year)	42%	45%
Registered nurse turnover (past year)	33%	42%

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for Highland Nursing Center
Last standard health inspection	March 27, 2026
Health deficiencies cited at that inspection	14
Deficiencies from complaint inspections (same rating cycle)	0
Fines in the past 3 years	None
Payment denials in the past 3 years	0

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at Highland Nursing Center who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for Highland Nursing Center
Residents who	This home	National median	Compared
Received an antipsychotic medication	1.1%	13%	Lower than the national median
Received an antianxiety or hypnotic medication	35%	18%	Higher than the national median
Had a fall with major injury	8.3%	2.8%	Higher than the national median
Have pressure ulcers	2.4%	4.2%	Lower than the national median
Lost too much weight	7.9%	4.7%	Higher than the national median
Were physically restrained	0.0%	0.0%	At the national median
Have depressive symptoms	2.7%	3.6%	Lower than the national median
Needed more help with daily activities over time	6.2%	13%	Lower than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about Highland Nursing Center
Certified beds	53
Average residents per day	33
Ownership	For profit - Corporation
Certified for	Medicaid
First certified	September 1979
Councils	Resident council and family council

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Texas's State Long-Term Care Ombudsman (800-252-2412) can answer questions about residents' rights. See all nursing homes and senior care in Texas.