Highland Nursing Center

    5819 Pecan Valley Dr, San Antonio, TX 78223
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    3.2ยท14 reviews

    Compassionate homey active assisted living

    My dad is thriving at this family-run, nostalgic bungalow - the staff are compassionate, mindful, and on-site owners are always reachable. The place is clean and homey with lively activities (dances, church services, Bible bingo, organ and disco nights), a beauty salon, a resident cat, and visiting birds; the food looks good. It's pricey but well worth it - I highly recommend it and would gladly live here for assisted care.

    Loved one of resident
    Jul 2026

    Schedule a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.21ยท(14)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.8
    • Staff

      2.9
    • Meals

      3.0
    • Amenities

      2.0
    • Value

      4.0

    Pros

    • Clean, well-maintained interior
    • Compassionate and friendly caregiving staff
    • Engaging on-site social and religious activities
    • Family-owned, home-like atmosphere
    • On-site beauty salon
    • Resident pet and wildlife presence
    • Responsive and courteous customer service
    • Committed dietary/kitchen staff
    • Owner/founder involvement in programming

    Cons

    • Variable staff responsiveness and communication
    • Inconsistent adherence to care plans and documentation
    • Medication management used to control behavior
    • Inadequate night-time supervision and wandering-risk controls
    • Belongings-management lapses
    • Staff break practices that reduce resident coverage
    • Sanitation and odor concerns in some areas
    • Management and administrative transparency gaps
    • Admissions and fee-clarity problems
    • Inconsistent activity offerings with limited off-site engagement
    • Limited private-room availability
    • Older physical plant and peripheral location

    Summary of reviews

    Care quality at this facility is described in mixed terms. Many reviews praise individual caregivers as compassionate and respectful, and families describe residents who are well cared for during daytime hours. At the same time, there are recurring operational concerns: some families describe sanitation and odor issues in certain areas, inconsistent adherence to written care plans, and gaps in night-time supervision that create wandering risk for residents who require continuous monitoring. Several reviewers raised concerns about medication-management practices used to manage resident behavior and about the facility's capacity to maintain consistent clinical rounds; at least one review linked insufficient monitoring to a serious outcome, which reviewers framed as an allegation requiring further investigation.

    Staffing and staff conduct are similarly mixed. Positive comments emphasize friendly, courteous caregivers, visible owner/founder involvement, and an attentive dietary team. Negative comments focus on impatient or unfriendly nurses at times, administrative interactions characterized as lacking empathy or overly confrontational, and operational behaviorsโ€”such as on-duty smoking breaksโ€”that families say reduce coverage. Communication gaps between clinical staff and families are a repeated theme: unresolved care-plan items, unanswered family questions, and shifting explanations across shifts contribute to uneven family confidence.

    Dining and activities receive generally positive notice for on-site programming and kitchen effort. Reviewers note that food presentation is acceptable and that the dietary staff appears committed to resident needs. On-site activities are often lively and varied in many accounts: social dances, religious services, music (organ, disco), Bingo-style programs, and a beauty salon are cited. At the same time, activity offerings are described as inconsistent across experiences, with limited off-site excursions and uneven promotion of scheduled events.

    The facilityโ€™s physical environment is described as clean and home-like by several families, and the small, family-run character is a strength for those seeking a bungalow-style setting with pets and nearby wildlife. Reviewers also describe an older building with limited private-room availability and an outskirt location; some consider the cost high relative to expectations. Belongings-management lapsesโ€”misplaced or misused clothing and linensโ€”appear as an operational weakness that influences family trust.

    Management and administrative practices are a core area of concern. Families cite limited transparency around admissions and fees, inconsistent marketing/materials availability, and what some call bait-and-switch enrollment experiences. There are reports of confrontational administrative interactions, and at least one review mentions law-enforcement involvement during a disagreement. Conversely, other families praise owner involvement and responsiveness, which underscores variability in administrative behavior.

    Notable patterns across the reviews are polarization and inconsistency: the same facility is described both as a compassionate, well-run small home and as a place requiring daily family oversight to ensure standards are met. That pattern suggests variability by shift, unit, or individual staff members rather than uniform performance across the facility. Prospective families should tour during different times of day, ask for written policies on medication management, wandering protocols, staffing ratios (especially at night), belongings handling, and admissions/fee transparency, and speak with current family members about recent experiences to assess whether the facilityโ€™s strengths align with the prospective residentโ€™s needs.

    Reviews written on Mirador

    We have no reviews to show about Highland Nursing Center.

    Help other families by writing a review about your experience with this community.

    Medicare Ratings

    2ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Highland Nursing Center

    Highland Nursing Center is located at 5819 Pecan Valley Dr, San Antonio, TX, 78223.

    About Highland Nursing Center

    Highland Nursing Center is a well-established senior care community that offers a range of supportive living options to meet the evolving needs of its residents. With a focus on providing a comfortable and nurturing environment, the center specializes in both nursing home care and assisted living services. At Highland Nursing Center, residents benefit from a comprehensive approach to care, designed to promote well-being, independence, and dignity in everyday life.

    Residents of Highland Nursing Center enjoy access to thoughtfully maintained facilities that prioritize comfort, safety, and social engagement. The community offers a selection of living arrangements tailored to meet personal preferences and levels of need. Each resident receives personalized attention from a dedicated staff committed to fostering a supportive home-like atmosphere. Nutritious meals are thoughtfully prepared and served to support health and enjoyment, with dining experiences designed to encourage social interaction among residents.

    Highland Nursing Center understands the importance of individualized care and strives to meet the unique requirements of every resident. The center is equipped to provide assistance with daily living activities while also offering opportunities for recreation and community involvement. Wellness programs, engaging activities, and a compassionate care team all contribute to a well-rounded living experience. Families can have peace of mind knowing that their loved ones are receiving attentive supervision throughout the day, with added attention to ensuring safety and comfort during evening and nighttime hours.

    Set in a location that supports accessibility and convenience, Highland Nursing Center provides seamless access to essential medical care as well as meaningful social opportunities. The center maintains a warm, inviting atmosphere that encourages residents to stay active and engaged, helping to foster a strong sense of community. Whether seeking short-term rehabilitation or long-term care, individuals and families will find Highland Nursing Center dedicated to enhancing quality of life through attentive and compassionate service.

    People often ask...

    Highland Nursing Center offers assisted living, memory care, board and care, and skilled nursing.

    The full address for this community is 5819 Pecan Valley Dr, San Antonio, TX 78223.

    No, Highland Nursing Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Highland Nursing Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Highland Nursing Center directly. There is no cost for this service. We are compensated by the community you select.

    Are you an owner or operator of this community?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 14 facilities$3,352/mo
    2. 64 facilities$4,260/mo
    3. 106 facilities$3,976/mo
    4. 132 facilities$3,771/mo
    5. 124 facilities$3,873/mo
    6. 81 facilities$4,188/mo
    7. 172 facilities$3,897/mo
    8. 41 facilities$3,715/mo
    9. 192 facilities$4,203/mo
    10. 39 facilities$4,498/mo
    11. 150 facilities$3,920/mo
    12. 65 facilities$4,101/mo
    ยฉ 2026 Mirador Living