Skilled NursingCMS verified

Highland Nursing Center

5819 Pecan Valley Dr, San Antonio, TX 78223 · Bexar County

2.0CMS overall rating(210) 532-1911

Fair

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates fair.

Availability outlookUsually has openings

Typically 60% full — availability is generally good.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A below-average federal rating — worth a careful look in San Antonio

Highland Nursing Center is a for-profit skilled nursing facility in San Antonio, TX, with 53 certified beds and an average of about 32 residents per day.

Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 3/5 on staffing, 4/5 on quality measures.

Staff provide about 3.81 total nurse hours per resident each day (0.44 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 47.1%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 14 health deficiencies at its most recent standard survey.

Strengths

✓No federal fines on record
✓Full sprinkler system
✓Active resident & family council

Things to ask about

•Below-average 2-star overall CMS rating
•Below-average health-inspection rating
•Below-average nurse staffing (3.81 hrs/resident/day)
•14 deficiencies at last survey

Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated San Antonio options — our advisors can help you compare.

At a glance

Certified beds: 53
Avg. residents/day: 32
Ownership: For profit - Corporation
Part of a chain: Independent
Continuing care: No
CMS provider #: 45E341

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$5,070–$7,610/mo (median $6,130)	Local market estimate

2024–2026 published survey medians, state median adjusted to local San Antonio prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Highland Nursing Center →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 3.81; National avg ≈ 3.9
RN hrs / resident / day: 0.44; National avg ≈ 0.75
Nursing staff turnover: 47.1%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey): 14
Federal fines: None on record
Total penalties: 0
Last standard survey: 2026-03-27
Sprinkler system: Yes
Resident & family council: Both

What inspectors found

The most recent findings from federal health inspections (39 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-03-27Severity F — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2026-03-27Severity F — potential for harmInfection Control Deficiencies

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.

2026-03-27Severity E — potential for harmResident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

2026-03-27Severity E — potential for harmQuality of Life and Care Deficiencies

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

2026-03-27Severity E — potential for harmNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2026-03-27Severity E — potential for harmResident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2026-03-27Severity E — potential for harmEnvironmental Deficiencies

Keep all essential equipment working safely.

2026-03-27Severity D — potential for harmResident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy

Location

5819 Pecan Valley Dr, San Antonio, TX

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

2.6

9 reviews →

Verified family reviews

No verified family reviews yet for Highland Nursing Center.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

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Common questions about Highland Nursing Center

How much does Highland Nursing Center cost?

Highland Nursing Center does not publish exact rates. Comparable skilled nursing in the San Antonio, TX area typically runs $5,070–$7,610 per month (median $6,130, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Highland Nursing Center's Medicare rating?

Medicare (CMS) rates Highland Nursing Center 2 out of 5 stars overall, including 2/5 for health inspections, 3/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.

How is the staffing at Highland Nursing Center?

Staff provide about 3.81 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 47.1% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Highland Nursing Center?

Highland Nursing Center has 39 health citations on its recent federal inspection record (last standard survey: 2026-03-27). The full citation-by-citation detail, with severity levels, is published on this page.

Does Highland Nursing Center have availability?

Typically 60% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Highland Nursing Center offer?

Highland Nursing Center in San Antonio, TX offers skilled nursing and is licensed for 53 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in San Antonio.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Start with a free shortlist →Take the 2-minute assessment

Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for Highland Nursing Center — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
Hold a spot
Most communities hold a residence with a small refundable deposit while you decide.