Highland Nursing Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 9 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
Below average in Texas · Below recommended RN staffing · Above average staffing · No penalties on record
What this means for your family
While the facility maintains a clean environment, there are significant patterns of poor communication from management and unprofessional behavior from nursing staff. If you choose this facility, we recommend visiting frequently at different hours and being very assertive in demanding updates on care plans.
Google Reviews
Google Reviews
9 reviews on Google“Families should approach this facility with significant caution due to recurring reports of unprofessional nursing staff, lack of communication from administration, and issues with patient neglect. While the facility is noted by some for being clean and lacking unpleasant odors, multiple reviewers highlight a lack of empathy and competence in management and nursing care.”
Quality Themes
Strengths
- Cleanliness and lack of unpleasant odors
- Hardworking CNA staff
- Clean environment
Concerns
- Unprofessional or unfriendly nursing staff (mentioned by 2 reviewers)
- Poor communication from administration and management (mentioned by 2 reviewers)
- Lack of empathy from administrative staff (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 9 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard great things about how clean and well-maintained the facility is; what are your daily routines for ensuring the environment stays fresh and comfortable for residents?
- 2Since we value staying in the loop, what is your preferred method for keeping families updated on any changes in a resident's daily care or health status?
- 3We are so glad to hear the CNAs are such hard workers; how do you support your nursing team to ensure they can provide compassionate, empathetic care during busy shifts?
- 4In the event of a medical emergency during the night, what is the specific protocol for notifying the family and coordinating immediate care?
- 5What kind of daily activities or social outings do you have planned to help residents stay engaged and connected with one another?
- 6How does the administration work closely with the nursing staff to ensure that communication remains clear and consistent for both staff and family members?
Personalized based on this facility's data
Key Review Excerpts
“The most positive thing I can say about this facility is that it’s usually very clean and doesn’t smell badly compared to other nursing homes that have a terrible smell as soon as you walk in.”
“I have my father here, the staff is not quit friendly, when ask for help. They make comments when I take my dad out for the day. I was sent a letter for care plan, no one knew anything about it.”
“Highland Nursing Center is a favorite heirloom jewel you won't soon want to leave, reminiscent of a simple time long ago”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 14 measures
7
measures
5
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents who fell and were seriously hurt
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Highland Nursing Center has persistent concerns with families filing 8 complaints triggering inspections revealing serious issues. The facility repeatedly struggles with accident prevention and safety hazards, medication management errors, and infection control across multiple surveys from 2022 to 2025. While all deficiencies show correction dates, the recurring pattern of the same safety and medication problems suggests ongoing challenges with maintaining consistent care standards.
Jan 10, 2025Routine10
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jan 10, 2025Complaint5
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Dec 6, 2024Complaint1
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Nov 30, 2023Routine22
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Oct 11, 2023Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Sep 23, 2022Routine8
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Ownership & Operations
Who Operates This Facility
San Antonio Health Service Corporation
for profit
MR. MICHAEL A TRIANA
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
9 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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