# Highland Nursing Center

Highland Nursing Center is a Medicare/Medicaid-certified nursing home (Nursing facility · Medicaid only) in San Antonio, TX, CMS Certification Number 45E341, with 51 certified beds and about 34 residents per day. CMS rates it 1/5 overall (health inspections 2/5, staffing 1/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 5819 Pecan Valley Dr, San Antonio, TX 78223 (Bexar County)
- Ownership type: For profit - Corporation

- Operator (legal business name): not published
- CMS chain: not part of a CMS-reported chain

- Phone: 2105321911
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/45E341

## Inspection record
8 inspections in the CMS window (latest 2026-03-27); 60 citations (39 health, 21 fire safety); 0 at actual harm and 1 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2023-10-11 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity K (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2026-03-27 — [K-0211](https://carefield.site/deficiency/cms-k0211) Keep aisles, corridors, and exits free of obstruction in case of emergency. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [K-0355](https://carefield.site/deficiency/cms-k0355) Properly select, install, inspect, or maintain portable fire extinguishes. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [K-0511](https://carefield.site/deficiency/cms-k0511) Have properly installed electrical wiring and gas equipment. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [K-0741](https://carefield.site/deficiency/cms-k0741) Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0553](https://carefield.site/deficiency/cms-f0553) Allow resident to participate in the development and implementation of his or her person-centered plan of care. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0627](https://carefield.site/deficiency/cms-f0627) Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0791](https://carefield.site/deficiency/cms-f0791) Provide or obtain dental services for each resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0842](https://carefield.site/deficiency/cms-f0842) Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0887](https://carefield.site/deficiency/cms-f0887) 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. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-03-27 — [F-0908](https://carefield.site/deficiency/cms-f0908) Keep all essential equipment working safely. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- …and 40 more on the source page.

## Penalties
No fines or payment denials in the CMS penalties file (about the last three years).

## Staffing (PBJ, hours per resident per day)
- Total nurse: n/a (state avg 3.41615, US 3.90085)
- RN: n/a
- Nursing staff turnover: 35.5%

## Nearby nursing homes
- [Pecan Valley Rehabilitation and Healthcare](https://carefield.site/facility/cms-676250) — 1.6 km, CMS overall 4/5
- [Buena Vida Nursing and Rehab-San Antonio](https://carefield.site/facility/cms-455390) — 1.7 km, CMS overall 1/5
- [The Rio at Mission Trails](https://carefield.site/facility/cms-676297) — 2.2 km, CMS overall 1/5
- [Southeast Nursing & Rehabilitation Center](https://carefield.site/facility/cms-675883) — 2.5 km, CMS overall 3/5
- [Windsor Mission Oaks](https://carefield.site/facility/cms-675409) — 4.4 km, CMS overall 3/5
- [Normandy Terrace Nursing & Rehabilitation Center](https://carefield.site/facility/cms-675823) — 5.4 km, CMS overall 1/5
- [San Jose Nursing Center](https://carefield.site/facility/cms-45e312) — 7.3 km, CMS overall 3/5
- [River City Care Center](https://carefield.site/facility/cms-675896) — 7.3 km, CMS overall 1/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45E341&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45E341&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45E341&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45E341&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45E341&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=45E341&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-45e341 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.