Highland Nursing Center is certified as a Medicaid facility and has been approved to provide these services since 1979-09-30. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 532-1911 or your local Medicaid office to verify current eligibility.

Highland Nursing Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (4★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 66.2/100, placing it #9889 of 14703 facilities nationally and #762 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Highland Nursing Center receives a reported average of 3 hours 39 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 37 minutes; Licensed Practical Nurse (LPN) — 51 minutes; Nurse Aide — 2 hours 11 minutes. On weekends, total nurse staffing is 3 hours 17 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 48.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

Highland Nursing Center has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. One substantiated complaint was recorded across the 5-year period. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 95.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Highland Nursing Center ranks 9889th out of 14,703 facilities (composite score: 66.2/100), placing it in the below average nationwide. Within TX, it ranks 762nd out of 1,177 nursing homes. In San Antonio, it ranks 41st out of 58 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #7,631 nationally and RN hours rank #6,313 nationally (#147 in TX). Our composite quality score of 66.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Antonio, visit: https://nursinghomesnearme.org/texas/san-antonio/