D

HIGHLAND NURSING CENTER

5819 PECAN VALLEY DR, SAN ANTONIO, TX 78223
Score: 51 / 100

Highland Nursing Center faces challenges in its CMS ratings, earning a D grade with a score of 51/100. The facility ranks in the 56th percentile among Texas nursing homes, suggesting significant room for improvement.

Staffing at Highland Nursing Center is near the national average, with 3.65 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 29 deficiencies at Highland Nursing Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.65 3.8 Average
Registered Nurses (RN) 0.62 0.7 Below Average
Licensed Practical Nurses (LPN) 0.85 0.7 Above Average
Certified Nursing Assistants (CNA) 2.18 2.4 Average
Weekend Total Nursing 3.28 3.8 Below Average
Weekend RN Hours 0.60 0.7 Below Average

🔍 Inspection & Deficiency History

29
Total Deficiencies
Jan 9, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 27 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 9, 2025 · Quality of Life and Care Deficiencies
  • Tag 0921 Severity E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Jan 9, 2025 · Environmental Deficiencies
  • Tag 0584 Severity E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jan 9, 2025 · Resident Rights Deficiencies
  • Tag 0759 Severity E
    Ensure medication error rates are not 5 percent or greater.
    Jan 9, 2025 · Pharmacy Service Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Jan 9, 2025 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.3% 4.5% Better
Falls with major injury 7.9% 3.0% Worse
On antipsychotic medication 8.0% 14.5% Better
Urinary tract infections 4.8% 2.5% Worse
ADL decline (daily activities) 6.1% 14.0% Better
Excessive weight loss 7.6% 7.5% Average
New/worsened incontinence 8.4% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
53
Provider Type
Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 9, 2025
Deficiencies (Cycle 1)
8