HIGHLAND NURSING CENTER Inspection Report, Violations & Safety Grade (SAN ANTONIO, Texas)

5819 PECAN VALLEY DR, SAN ANTONIO, Texas 78223

Phone: 2105321911

CMS Overall:1/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

34.1

Ownership

For profit - Corporation

Provider Type

Medicaid

County

Bexar

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall1/5

Health2/5

Staffing1/5

Quality4/5

Nurse Staffing Check

Metric	This Facility	Texas Avg	Difference
RN Hours per Resident per Day	0.00	0.44	-0.44
Total Nurse Hours per Resident per Day	0.00	3.42	-3.42
CMS Staffing Rating	1/5	1.9/5	-
Nursing Staff Turnover	35.5%	50.8%	-

Health Citation History

39 health citations on record

Date	Category	Description	Severity
2026-03-27	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F – Moderate Harm Potential
2026-03-27	Infection 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.	F – Moderate Harm Potential
2026-03-27	Resident Rights Deficiencies	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.	E – Moderate Harm Potential
2026-03-27	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2026-03-27	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2026-03-27	Resident 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.	E – Moderate Harm Potential
2026-03-27	Environmental Deficiencies	Keep all essential equipment working safely.	E – Moderate Harm Potential
2026-03-27	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2026-03-27	Resident Rights Deficiencies	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	D – Moderate Harm Potential
2026-03-27	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2026-03-27	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2026-03-27	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2026-03-27	Quality of Life and Care Deficiencies	Provide or obtain dental services for each resident.	D – Moderate Harm Potential
2026-03-27	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	C – Minimal Harm Potential
2025-01-10	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E – Moderate Harm Potential
2025-01-10	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2025-01-10	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E – Moderate Harm Potential
2025-01-10	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2025-01-10	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E – Moderate Harm Potential
2025-01-10	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2025-01-10	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	D – Moderate Harm Potential
2025-01-10	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D – Moderate Harm Potential
2024-12-06	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	E – Moderate Harm Potential
2023-11-30	Administration Deficiencies	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	F – Moderate Harm Potential
2023-11-30	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	E – Moderate Harm Potential
2023-11-30	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2023-11-30	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2023-11-30	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2023-11-30	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D – Moderate Harm Potential
2023-11-30	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2023-11-30	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2023-11-30	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D – Moderate Harm Potential
2023-11-30	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2023-11-30	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2023-11-30	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D – Moderate Harm Potential
2023-11-30	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2023-11-30	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	D – Moderate Harm Potential
2023-10-11	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	K – Immediate Jeopardy
2023-10-11	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	E – Moderate Harm Potential

Fire Safety Citation History

21 fire safety citations on record

Date	Category	Description	Severity
2026-03-27	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	F – Moderate Harm Potential
2026-03-27	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2026-03-27	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2026-03-27	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2026-03-27	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	E – Moderate Harm Potential
2026-03-27	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2025-01-10	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	F – Moderate Harm Potential
2025-01-10	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2025-01-10	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	E – Moderate Harm Potential
2025-01-10	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2025-01-10	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	C – Minimal Harm Potential
2025-01-10	Smoke Deficiencies	Provide properly protected cooking facilities.	C – Minimal Harm Potential
2025-01-10	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	C – Minimal Harm Potential
2023-11-30	Emergency Preparedness Deficiencies	Conduct risk assessment and an All-Hazards approach.	F – Moderate Harm Potential
2023-11-30	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2023-11-30	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2023-11-30	Smoke Deficiencies	Have properly installed hallway dispensers for alcohol-based hand rub.	E – Moderate Harm Potential
2023-11-30	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	D – Moderate Harm Potential
2023-11-30	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	C – Minimal Harm Potential
2023-11-30	Smoke Deficiencies	Provide properly protected cooking facilities.	C – Minimal Harm Potential
2023-11-30	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	C – Minimal Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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3-Year Complete Report ($19)

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