Nursing home report
SAN ANTONIO, TX · Medicare-certified · 53 beds
HIGHLAND NURSING CENTER in San Antonio has a 2 out of 5 overall rating, with a 2-star health inspection rating but stronger 4-star staffing and quality ratings. Reported staffing is 3.81 hours per resident per day, below the federal benchmark of 4.1, and there were $0 fines in the last 24 months.
Health inspections
Staffing
3.8112 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8112.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2026 — widespread issue, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited March 2026 — widespread issue, potential for harm.
F-Tag 887 — 42 CFR §483.80 — S/S: F
The nursing home failed to make sure all staff got required training on its quality improvement program. Cited November 2023 — widespread issue, potential for harm.
F-Tag 944 — 42 CFR §483.95 — S/S: F
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited March 2026 — limited pattern, potential for harm.
F-Tag 627 — 42 CFR §483.15(c) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 14 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 8 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 14 health deficiencies.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
