Highland Nursing Center

    5819 Pecan Valley Dr, San Antonio, TX, 78223
    3.2 · 14 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Troubling care despite friendly staff

    I have mixed feelings: the place can feel homey with friendly, compassionate caregivers, lively activities and parts that are kept clean, but my overall experience was troubling. Management is inconsistent and uncommunicative, I encountered bait-and-switch tactics, missing belongings, staff smoking breaks, and suspected over-sedation to simplify care. Night supervision and wandering protocols are inadequate, I saw administrator intimidation and even police involvement, and I no longer trust the standards of care. Visit daily and watch closely if you must - otherwise I strongly advise avoiding this facility.

    Pricing

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    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

    3.21 · 14 reviews

    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 facility (reported by multiple reviewers)
    • Compassionate and friendly caregivers (reported by several reviewers)
    • Well-staffed (according to some reviews)
    • Homey, small-group, family-run bungalow atmosphere
    • Owners/founders on premises and on-call
    • Lively on-site activities (social dances, church services, Bible bingo, organ music, disco)
    • Beauty salon on-site
    • Resident cat and wildlife birds contributing to a nostalgic charm
    • Dietary/food looks good and staff try to do their best
    • Courteous and responsive customer service (in some reports)
    • Residents treated with respect (in some reports)

    Cons

    • Unfriendly, impatient, or unempathetic nurses and staff
    • Alleged sedative use to ease staff workload
    • Administrative staff lacks empathy; reports of intimidation
    • Belongings lost, misused, or mishandled (clothes/blankets)
    • Staff taking smoking breaks during shifts
    • Serious safety concerns including suspected preventable death and insufficient night rounds
    • Strong urine/fecal odor and reports of severe cleanliness/hygiene issues (contradictory reports exist)
    • Poor communication about care plans; unanswered questions
    • Inconsistent or inadequate night-time supervision; wandering not well-managed
    • Poor management/administration and reported incompetence in upper management
    • Bait-and-switch tactics and lack of transparency
    • Doorway blockade/administrator intimidation and police involvement in at least one incident
    • Limited or no off-site activities reported by some reviewers
    • No marketing materials available (reported)
    • Must visit daily to monitor care (according to some reviewers)
    • Lacks private rooms
    • Expensive (one review) despite mixed quality reports
    • Contradictory reports about cleanliness and staffing consistency

    Summary review

    The reviews for Highland Nursing Center are strongly polarized, with distinct clusters of positive and negative experiences. On the positive side, numerous reviewers describe the facility as homey and small-group in character — a family-run bungalow with nostalgic charm. Several reviewers praise specific amenities and programming: lively on-site activities (social dances, church services, Bible bingo, organ music, disco), an on-site beauty salon, and even a resident cat and visiting wildlife that contribute to a comforting atmosphere. Multiple accounts highlight compassionate, courteous caregivers and responsive customer service; some families say the facility is well-staffed, that residents are treated with respect, and that dietary staff and the dining appear to do their best. A few reviewers explicitly state they would recommend the facility or even choose to live there themselves, and note owners or the founder being on premises and available as positives.

    Contrasting sharply with those reports are serious and recurring criticisms about care quality, management, and safety. Several reviewers report unempathetic or impatient nursing staff and administrative personnel who are dismissive or intimidating. There are alarming allegations including use of sedatives to ease staff workload, loss or misuse of resident belongings (clothes and blankets), staff taking smoking breaks during shifts, and at least one report suggesting a preventable death due to insufficient rounds. Multiple reviewers describe poor communication about care plans, unanswered questions, staff blaming each other, and a pattern of needing to visit daily to ensure adequate care. These are not isolated complaints; they form a consistent theme of unreliable and sometimes negligent care from the perspective of several families.

    Facility conditions and cleanliness receive mixed but crucial attention. While several reviewers explicitly call the facility clean and praise housekeeping, other accounts raise severe hygiene concerns: reports of strong urine and fecal odor, a "smell of death," and overall poor cleanliness for certain residents or shifts. This contradiction suggests significant inconsistency in housekeeping or infection-control practices — some residents experience well-maintained rooms and common areas, while others encounter unacceptable odors and hygiene lapses. Night-time supervision and wandering management are another specific area of concern: a few reviewers note inadequate night monitoring, with one family reporting that their mother wanders at night and that the facility’s system is incompatible with her needs.

    Management, transparency, and administrative behavior are central themes in the negative reviews. Complaints include poor management, bait-and-switch tactics, lack of marketing materials or clear documentation, and an apparent inability or unwillingness to maintain consistent standards of care. There are reports of administrator intimidation, a doorway blockade, and even police involvement in disputes, which raise red flags about dispute resolution and resident/family relations. Several reviewers explicitly advise avoiding the facility, arguing that relatives must "visit daily" and actively manage care to prevent neglect.

    Activities and dining are another mixed area: some residents and families praise lively, regular programs and decent food, while others say activities are limited and there are no off-site outings. Similarly, staff competency is inconsistent in reviewers’ accounts: some describe compassionate, mindful caregivers and well-treated residents, while others describe incompetent staff and upper management, eroding trust. Structural or logistic issues are noted too — the facility reportedly lacks private rooms and is located on the outskirts, and at least one reviewer called it expensive despite mixed experiences.

    In summary, Highland Nursing Center elicits strongly divergent experiences. For some families and residents it provides a warm, small-community environment with engaged staff, good food, and active programming; for others it demonstrates troubling lapses in empathy, communication, hygiene, supervision, and management that have led to significant safety and trust concerns. The most important patterns are the inconsistency: positive reports of cleanliness, staff compassion, and programming coexist with serious allegations of neglect, poor hygiene, sedative misuse, and administrative hostility. Prospective families should weigh these polarized reports carefully, tour the facility in person, ask detailed questions about night-time supervision, wandering protocols, medication practices, personal-item handling, staff smoking policies, and complaint-resolution procedures, and consider repeated visits and direct references from current resident families before making a placement decision.

    Location

    Map showing location of Highland Nursing Center

    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.

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