HIGHLAND NURSING CENTER
Address
5819 PECAN VALLEY DR
SAN ANTONIO, TX 78223
(210) 532-1911
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
78%Number of Residents and Certified Beds
- Residents: 46
- Certified Beds: 59
This Facility Accepts
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Part of a Chain or Franchise
Rating Details For Highland Nursing Center
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 26 Minutes | 47 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour | 37 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 19 Minutes | 2 Hours and 23 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 27 Minutes | 1 Hour and 24 Minutes |
| Total Nurse Hours | 3 Hours and 46 Minutes | 3 Hours and 47 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Texas Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 1% | 9% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 7% | 18% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 4% | 13% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 6% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 12% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 1% | 6% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | - | 4% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 4% | 12% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 49% | 46% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | - | 3% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/05/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
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Keep Accurate and Appropriate Medical Records.
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Keep Accurate and Appropriate Medical Records.
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Environmental
Have a Program to Keep Infection from Spreading.
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Provide Rooms That Are Big Enough for Each Resident.
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Have a Program to Keep Infection from Spreading.
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Provide Rooms That Are Big Enough for Each Resident.
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Provide Rooms That Are Big Enough for Each Resident.
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Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Properly Mark Drugs and Other Similar Products.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
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Resident Assessment
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Highland Nursing Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/04/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Portable Fire Extinguishers.
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Corridor Walls and Doors
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
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Corridor and Hallway Doors That Block Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Weekly Inspections and Monthly Testing of Generators.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Laboratories
Proper Facilities for the Use and Storage of Combustible Liquids.
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