Nursing homes › Texas › Highland Nursing Center
5819 Pecan Valley Dr, San Antonio, TX 78223 · 2105321911 · 53 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Corporation.
Total nurse staffing: 3.81 (Texas median: 3.27). RN hours: 0.44. Weekend total: 3.55. Nursing staff turnover: 42%.
All-time on record: 39 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-27 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-04-30 |
| 2026-03-27 | 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. | F | Health | corrected 2026-04-30 |
| 2026-03-27 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | E | Health | corrected 2026-04-30 |
| 2026-03-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2026-04-30 |
| 2026-03-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-04-30 |
| 2026-03-27 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2026-04-30 |
| 2026-03-27 | Keep all essential equipment working safely. | E | Health | corrected 2026-04-30 |
| 2026-03-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-04-30 |
| 2026-03-27 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2026-04-30 |
| 2026-03-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2026-04-30 |
| 2026-03-27 | Respond appropriately to all alleged violations. | D | Health | corrected 2026-04-30 |
| 2026-03-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-04-30 |
| 2026-03-27 | Provide or obtain dental services for each resident. | D | Health | corrected 2026-04-30 |
| 2026-03-27 | Dispose of garbage and refuse properly. | C | Health | corrected 2026-04-30 |
| 2025-01-10 | 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. | E | complaint | corrected 2025-02-17 |
| 2025-01-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2025-02-17 |
| 2025-01-10 | Ensure medication error rates are not 5 percent or greater. | E | complaint | corrected 2025-02-17 |
| 2025-01-10 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-02-17 |
| 2025-01-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2025-02-17 |
| 2025-01-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-02-17 |
| 2025-01-10 | 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. | D | Health | corrected 2025-02-17 |
| 2025-01-10 | 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. | D | complaint | corrected 2025-02-17 |
| 2024-12-06 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | complaint | corrected 2024-12-31 |
| 2023-11-30 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Health | corrected 2024-01-05 |
| 2023-11-30 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Health | corrected 2024-01-05 |
| 2023-11-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-01-05 |
| 2023-11-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-01-05 |
| 2023-11-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-01-05 |
| 2023-11-30 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2024-01-05 |
| 2023-11-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-01-05 |
| 2023-11-30 | Respond appropriately to all alleged violations. | D | Health | corrected 2024-01-05 |
| 2023-11-30 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2024-01-05 |
| 2023-11-30 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-01-05 |
| 2023-11-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-01-05 |
| 2023-11-30 | 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. | D | Health | corrected 2024-01-05 |
| 2023-11-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-01-05 |
| 2023-11-30 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Health | corrected 2024-01-05 |
| 2023-10-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2023-11-10 |
| 2023-10-11 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2023-11-10 |
No federal fines or payment denials on record.
No detailed ownership records on file.
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 45E341. Corrections: data@carerecords.org.