For-Profit Medicare Medicaid

HIGHLAND NURSING CENTER

5819 PECAN VALLEY DR, San Antonio, TX 78223

2.0 CMS Rating
For profit - Corporation
53 Certified Beds
63 Safety Score

Based on 2026 CMS Data

Official Government Ratings

Health Inspections

Frequency & severity of deficiencies


Staffing Levels

Nurse hours per resident per day


Quality Measures

Clinical outcomes & care quality

Resident & Family Councils Active

Active councils indicate resident empowerment and facility transparency.

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Care Quality Indicators

Pressure Ulcers (High Risk) 2.35%

Lower is better

Antipsychotic Medication Use 2.22%

Lower is better

Falls with Major Injury 9.76%

Lower is better

How HIGHLAND NURSING CENTER Compares

HIGHLAND NURSING CENTER is a 53-bed for-profit nursing facility in San Antonio, Texas. It holds an overall CMS rating of 2 out of 5 stars, below the Texas average of 2.7 stars. Its strongest area is quality measures (4 stars), while health inspections (2 stars) is its weakest. Its rate of falls resulting in major injury (9.8%) is above the Texas average of 3.3% — a measure worth asking the staff about. With 53 certified beds, it has notable available capacity at roughly 60% occupied.

Among the 58 nursing facilities ElderVoice tracks in San Antonio, 5 hold a 5-star rating and the local average is 2.4 stars.

By the numbers vs. Texas average

  • Long-stay antipsychotic medication use: 2.2% — better than the Texas average of 9.4% (76% lower).
  • Falls with major injury: 9.8% — worse than the Texas average of 3.3% (199% higher).
  • High-risk pressure ulcers: 2.4% — better than the Texas average of 4.0% (42% lower).

Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Texas averages across 1176 facilities tracked by ElderVoice.

The Senior Community Around San Antonio

San Antonio sits in Bexar County, where adults 65 and older make up about 12.1% of the population — a share of seniors in line with Texas as a whole (12.5% statewide). The area's median household income is consistent with state averages.

Residents 65+
239,416 (12.1%)
Median age
33.8 years
Median household income
$58,288
Median home value
$171,200

Demographics for Bexar County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near San Antonio.

Facility Details

CMS Provider ID 45E341
County Bexar
Total Beds 53
Occupied Beds 32
Occupancy Rate 60%
Ownership For profit - Corporation

Other Facilities in San Antonio

Location

5819 PECAN VALLEY DR, San Antonio, TX 78223

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Important Data Disclaimer

All facility information, ratings, and quality metrics displayed on this page are sourced from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog. Data was last updated: May 4, 2026.

ElderVoice does not endorse, recommend, or guarantee any nursing home facility. The Safety Score is a proprietary calculation based on publicly available CMS data and is provided for informational purposes only. It should not be the sole factor in your care decisions.

We strongly recommend visiting facilities in person, speaking with staff and current residents' families, and verifying all information directly with the facility before making any decisions. For official Medicare ratings and complaint information, visit Medicare Care Compare.