Highland Nursing Center
Nursing home in San Antonio, Texas, CMS certification number 45E341
5819 Pecan Valley Dr, San Antonio, TX 78223 · Bexar County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 51
- Certified for
- Medicaid
- Last standard inspection
- March 27, 2026
- Deficiencies at that inspection
- 14
- Fines in 3 years
- No fines
Does Highland Nursing Center take Medicare and Medicaid?
Highland Nursing Center is certified for Medicaid only, so Medicare won't pay for a stay here.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Highland Nursing Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Nursing staff turnover
- 35.5%
- Registered nurse turnover
- 50%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on March 27, 2026 and cited 14 deficiencies, plus 0 from complaint visits.
The visit before, on January 10, 2025, found 8.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Highland Nursing Center in the past 3 years.
Beds and residents
On an average day 34.1 residents live here, about 67% of its 51 certified beds.
- Certified beds
- 51
- Average residents per day
- 34.1
- Certified since
- September 30, 1979
- Resident or family council
- Both
Who owns Highland Nursing Center
- Legal business name
- Legal Business Name Not Available
- Ownership type
- For profit - Corporation
Other nursing homes near Highland Nursing Center
- Pecan Valley Rehabilitation and Healthcare3838 E Southcross Blvd, San Antonio 78222
- Buena Vida Nursing and Rehab-San Antonio5027 Pecan Grove, San Antonio 78222
- The Rio at Mission Trails6211 S New Braunfels Avenue, San Antonio 78223
- Southeast Nursing & Rehabilitation Center4302 East Southcross Blvd, San Antonio 78222
- Windsor Mission Oaks3030 S Roosevelt Ave, San Antonio 78214
See also all nursing homes in San Antonio.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 58 in San Antonio, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Highland Nursing Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Highland Nursing Center
What is the CMS star rating of Highland Nursing Center?
1 out of 5 stars overall.
Does Highland Nursing Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Highland Nursing Center?
14 cited at the last standard visit.
Who owns Highland Nursing Center?
Legal Business Name Not Available, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.