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Highland Nursing Center

5819 Pecan Valley Dr, San Antonio, Texas 78223

Overview

Highland Nursing Center has a Medicare overall rating of 1 out of 5, below the Texas average of 2.8. It ranks 37th of 58 nursing homes in San Antonio. Its strongest area is quality of care (4 of 5), and its weakest is staffing (1 of 5).

Its most recent standard inspection, on March 27, 2026, found 14 health deficiencies, more than the Texas average of 9.6. It has no fines on record for the past three years, while 68% of Texas nursing homes have been fined.

Highland Nursing Center is a for-profit facility with 51 certified beds, caring for about 34 residents on an average day. It accepts Medicaid and has participated since 1979.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

In San Antonio37th of 58 facilities

Top 64%

Within 100 miles141st of 197 facilities

Top 72%

In Texas879th of 1,166 facilities

Top 76%

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Inspections and penalties

Most recent standard inspection
March 27, 2026
Health deficiencies cited
14
Complaint-related deficiencies
0
Fines in the last 3 years
0
Payment denials
0
Total penalties
0

Facility details

Ownership
For profit - Corporation
Certified beds
51
Average residents per day
34
Participates in
Medicaid
Medicare/Medicaid since
September 30, 1979
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Both
Sprinklers in all required areas
Yes