Highland Nursing Center

Name: Highland Nursing Center
Address: 5819 PECAN VALLEY DR, San Antonio, TX, 78223, US
Telephone: 2105321911

5819 Pecan Valley Dr, San Antonio, TX 78223 · Bexar County · 53 certified beds · avg 33 residents/day · certified since Sep 30, 1979

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

0.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Oct 11, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Nov 10, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (39)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 27, 2026	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 27, 2026	F · Potential for harm, facility-wide	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Mar 27, 2026	E · Potential for harm, repeated	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely.
Mar 27, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 27, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 27, 2026	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 27, 2026	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Mar 27, 2026	C · Minimal risk, facility-wide	The facility did not dispose of garbage and refuse properly.
Jan 10, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 10, 2025	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 10, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Jan 10, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jan 10, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 10, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Dec 6, 2024	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint
Nov 30, 2023	F · Potential for harm, facility-wide	The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better.
Nov 30, 2023	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Nov 30, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 30, 2023	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Nov 30, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 30, 2023	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Nov 30, 2023	D · Potential for harm, one-off	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Oct 11, 2023	▲ K · Immediate jeopardy, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Oct 11, 2023	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (8 → 14).

Year	Citations	Serious (G–L)	Worst severity that year
2023	16	1	K ▲
2024	1	0	E
2025	8	0	E
2026	14	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	0.00	3.46	3.95	—
Registered Nurse hours	0.00	0.44	0.69	—
Weekend total nurse staffing	0.00	3.04	3.50	—
Weekend RN hours (not acuity-adjusted)	0.00	0.34	0.48	—
Total nursing staff turnover (%)	42.4	55.3	45.8	top 26% in Texas; top 43% in the U.S.
RN turnover (%)	33.3	54.6	42.9	top 20% in Texas; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Pecan Valley Rehabilitation and Healthcare	1.0 mi	San Antonio, TX	★★★★☆	4/5
Buena Vida Nursing and Rehab-San Antonio	1.1 mi	San Antonio, TX	★☆☆☆☆	1/5	abuseSFF
The Rio at Mission Trails	1.4 mi	San Antonio, TX	★☆☆☆☆	2/5
Southeast Nursing & Rehabilitation Center	1.6 mi	San Antonio, TX	★★☆☆☆	1/5
Windsor Mission Oaks	2.7 mi	San Antonio, TX	★★★☆☆	3/5
Normandy Terrace Nursing & Rehabilitation Center	3.4 mi	San Antonio, TX	★☆☆☆☆	1/5	abuse
San Jose Nursing Center	4.5 mi	San Antonio, TX	★★★☆☆	3/5
River City Care Center	4.5 mi	San Antonio, TX	★☆☆☆☆	2/5	abuse
San Antonio North Nursing and Rehabilitation	6.2 mi	San Antonio, TX	★☆☆☆☆	1/5
Memorial Medical Nursing and Rehabilitation	6.2 mi	San Antonio, TX	★☆☆☆☆	1/5
Legend Oaks Healthcare and Rehabilitation Center -	6.4 mi	San Antonio, TX	★★★☆☆	3/5
Parklane West Healthcare Center	6.5 mi	San Antonio, TX	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 45E341.

The Care File

Visit checklist — Highland Nursing Center

5819 Pecan Valley Dr, San Antonio, TX 78223 · 2105321911

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Most serious findings on record:

▲ Oct 11, 2023 (F-0689, Immediate jeopardy, repeated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 45E341 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)