HIGHLAND NURSING CENTER in San Antonio has a 2-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 4 stars for quality measures. Reported staffing is 3.81 hours per resident day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: January 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8128.
Staffing detail
Registered nurses
0.44
Licensed practical nurses
1.07
Nurse aides
2.31
Weekend nursing
3.53
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.2%Improving
Residents with a fall causing major injury
9.8%Worsening
Residents with pressure ulcers (bedsores)
2.3%Steady
Residents with a urinary tract infection
3.3%Improving
Residents who lost too much weight
6.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.2%Worsening
Residents whose ability to walk got worse
13.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
34.5%Worsening
Residents with a long-term catheter
0.9%Improving
Residents with new or worsening incontinence
10.6%Worsening
Residents with depressive symptoms
2.8%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
96.7%Steady
What the inspectors found
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.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
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.
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F-Tag 944 — 42 CFR §483.95 — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited January 2025 — limited pattern, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2025 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited January 2025 — limited pattern, potential for harm.
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F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 8 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 14 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Occupancy
31.9 residents on an average day (60% of 53 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 46 years
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.