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Skilled nursing facility · CMS certified · CCN 45E341

Highland Nursing Center

5819 Pecan Valley Dr, San Antonio, TX 78223 · Bexar County · one of 1,177 skilled nursing facilities in Texas
51
certified beds
1 / 5
overall CMS rating
For-profit
ownership type
62.1%
occupancy, Oct 2026: 33 residents a day · Texas 67.5%
Not reported
case mix
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There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Highland Nursing Center compares

Better than most of Bexar County on none of 6 lines.

Occupancy, Oct 202662.1%Behind mostHigher than 15 of the 61 other buildings in Bexar County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 73.1%. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Behind mostLevel with 23 of the 61 other buildings in Bexar County; the other 38 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Mid-packHigher than 11 of the 61 other buildings in Bexar County, level with 25

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 26 of the 61 other buildings in Bexar County; the other 35 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Mid-packHigher than 16 of the 60 other buildings in Bexar County, level with 20

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited24Behind mostFewer than 10 of the 61 other buildings in Bexar County, the same as 2

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 18. Source: CMS Provider Information, Oct 2026 file.

Better than most of Texas on none of 6 lines.

Occupancy, Oct 202662.1%Behind mostHigher than 427 of the 1,163 other buildings in Texas, level with 3

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 68.5%. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Behind mostLevel with 287 of the 1,165 other buildings in Texas; the other 878 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 211 of the 1,165 other buildings in Texas, level with 311

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 507 of the 1,163 other buildings in Texas; the other 656 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating4 / 5Mid-packHigher than 412 of the 1,162 other buildings in Texas, level with 388

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited24Behind mostFewer than 41 of the 1,176 other buildings in Texas, the same as 18

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 10. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Texas
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Highland Nursing Center
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Street View
5819 Pecan Valley Dr, San Antonio, TX
Map around Highland Nursing Center
Map · Bexar County
Bexar County, Texas
8 skilled nursing facilities; average overall rating 4.9, Texas 2.8.
See how Bexar County compares ›
Cost report, against Texas
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Texas. The rank counts from the top: 1st is the highest figure among Texas's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in Texas that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
65.9%
1,143
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
6.6%
1,146
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
66.8%
1,132
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$268
1,144
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$279
1,143
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$12
1,122
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
4.2%
1,111
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating1 / 5 · state 2.8
Health inspection2 / 5 · state 2.8
Staffing1 / 5 · state 1.9
Overall rating, last 8 quarters
052Q3’242Q4’241Q1’251Q2’252Q3’252Q4’252Q1’262Q2’26latest
back to 2 / 5 over the 8 quarters shown, having been as low as 1 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingTexasnationrecent quarters
Needed more help with daily activities9.0%better than state15.8%13.5%2025Q2: 0.0%2025Q3: 8.3%2025Q4: 16.0%2026Q1: 0.0%2026Q2: 11.5%
0.0% → 11.5%
Q2’25 to Q2’26
Catheter inserted and left in0.0%better than state0.3%0.7%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Urinary tract infection4.7%worse than state0.8%1.5%2025Q2: 0.0%2025Q3: 6.7%2025Q4: 0.0%2026Q1: 6.2%2026Q2: 5.9%
0.0% → 5.9%
Q2’25 to Q2’26
Fall with major injury6.3%worse than state3.2%3.2%2025Q2: 10.7%2025Q3: 10.0%2025Q4: 9.7%2026Q1: 3.1%2026Q2: 2.9%
10.7% → 2.9%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.4%1.5%too few quarters to chart
Ability to walk independently worsened5.3%better than state12.9%12.7%too few quarters to chart
Pressure ulcers1.1%better than state3.7%4.5%2025Q2: 5.3%2025Q3: 4.8%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
5.3% → 0.0%
Q2’25 to Q2’26
Given an antipsychotic3.3%better than state9.8%15.4%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 4.0%2026Q2: 9.1%
0.0% → 9.1%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Mar 2026
last standard survey
24
deficiencies cited · Texas avg 11.4
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Bexar County
buildingbedsoverallArmy Residence Community915 / 5Coronado at Stone Oak1125 / 5Lakeside Nursing and Rehabilitation Center1185 / 5Remington Transitional Care of San Antonio605 / 5St. Francis Nursing Home1075 / 5The Heights on Huebner1205 / 5The Mission at Blue Skies of Texas East805 / 5Legend Oaks Healthcare and Rehabilitation Center -1264 / 5
All Texas buildings in Bexar County ›
Texas at a glance
1,177
buildings
133,481
licensed beds
67%
occupancy
70%
for-profit
Texas market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyPecan Valley Rehabilitation and HealthcareSan Antonio · 1.0 mi1244 / 570-85%Buena Vida Nursing and Rehab-san AntonioSan Antonio · 1.1 mi2221 / 5under 70%The Rio at Mission TrailsSan Antonio · 1.4 mi1241 / 5under 70%Southeast Nursing & Rehabilitation CenterSan Antonio · 1.6 mi1163 / 5under 70%Windsor Mission OaksSan Antonio · 2.7 mi1503 / 570-85%Normandy Terrace Nursing & Rehabilitation CenterSan Antonio · 3.4 mi3201 / 5under 70%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Highland Nursing Center?
Highland Nursing Center in San Antonio, TX carries an overall CMS rating of 1 out of 5 stars in the Oct 2026 CMS file.
How many beds does Highland Nursing Center have?
Highland Nursing Center is certified for 51 beds in the Oct 2026 CMS file.
How full is Highland Nursing Center?
CMS's reported average residents put Highland Nursing Center's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.