Pricing ranges from
    $4,722 – 6,138/month

    Manatee River Assisted Living

    820 5th St W, Palmetto, FL 34221
    • Assisted Living
    • Memory Care

    Family run clean welcoming facility

    I moved in here and am very pleased - it's family-owned and owner-run, with friendly, helpful staff (nurses on-site) who respond quickly and keep residents well cared for. The facility is clean and homey, rooms are a good size, meals are nutritious with three choices a day and cheery family-style dining, and there are plenty of activities (exercise, bingo, weekly movies, church) plus resident dogs and a convenient location. Communication and management are easy to work with, and overall it feels welcoming and well run - I'd recommend it.

    Current/former resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current 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

    Reviews

    4.38·(24)

    Overall rating

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

      4.1
    • Staff

      4.3
    • Meals

      3.8
    • Amenities

      3.3
    • Value

      3.3

    Pros

    • Compassionate, accessible caregiving staff
    • Family-owned, owner-operated management
    • On-site nursing support
    • Home-like, small-scale setting
    • Consistent three-meal daily dining with nutritious options
    • Family-style dining and multiple dining areas
    • Engaging activities program (bingo, games, exercises, church)
    • Pet-friendly environment including assistance-dog access
    • Affordable private-pay pricing
    • Responsive administration and easy-to-reach management
    • Specialized Alzheimer's and respite-care availability
    • Convenient location with transportation access

    Cons

    • Inconsistent medication administration and recordkeeping
    • Variable staffing levels, particularly on weekends
    • Gaps in incident documentation and family notification processes
    • Inconsistent housekeeping and sanitation practices in some areas
    • Irregular laundry and linen-change procedures
    • Unreliable meal-service timing and menu consistency
    • Limited or inconsistent weekend activity programming
    • Deferred maintenance and worn facility areas
    • Communication shortcomings between staff and families
    • Perceived unequal treatment based on payment status
    • Marketing and listing accuracy concerns

    Summary of reviews

    Manatee River Assisted Living presents as a small, family-owned, owner-operated community with a home-like atmosphere and on-site nursing support. Many reviewers emphasize the welcoming nature of the staff, accessible management, and a caring approach to residents. The dining program and social aspects are frequently highlighted: the facility provides three daily meals, family-style dining in multiple dining areas, routine group activities such as bingo, games, exercises and church attendance, and is pet-friendly—including accommodation of an assistance dog. Several families also cited affordability and availability of respite and Alzheimer’s-care services as reasons for choosing the facility.

    Care quality and staffing feedback is mixed. Positive comments focus on compassionate, responsive caregivers and visible nursing presence; however, a number of reviewers identified operational weaknesses that affect care consistency. Key concerns include inconsistent medication administration and recordkeeping, variable staffing levels (notably on weekends), and gaps in incident documentation and family notification processes. Some reviewers also raised issues related to communication tone and responsiveness between staff and families, and perceptions of differential treatment tied to payment arrangements.

    Dining and activities are generally seen as strengths in terms of menu variety and social engagement, but operational inconsistencies were noted. While many residents enjoy the food and the communal dining experience, others reported irregular meal timing and variability in menu or dessert availability. Activity programming is present and often appreciated during weekdays, but weekend programming and engagement appear limited in some instances.

    Facility condition and housekeeping feedback is mixed as well. The community’s smaller scale and home-like layout are positives for social connection, yet several reviewers described deferred maintenance and worn areas of the building. There are also sanitation and housekeeping concerns in specific common areas, inconsistencies in linen-change and cleaning routines, and occasional maintenance delays. These issues appear clustered in older or high-traffic parts of the facility.

    Management and transparency present a similar pattern of strengths and weaknesses. Many families praised the approachable, hands-on management style and said administration was easy to work with. At the same time, others raised concerns about communication, accuracy of online listings or advertisements, and the need for clearer policies on incident reporting, medication protocols, and weekend staffing. Given the mixed feedback, prospective residents and families would be advised to conduct an in-person visit, ask for current staffing schedules (including weekend coverage), request written medication and incident-reporting procedures, review housekeeping and linen-change schedules, and confirm any marketing claims about amenities and services prior to committing. These steps can help clarify whether the facility’s strengths align with an individual resident’s care needs and expectations.

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    Location

    Map showing location of Manatee River Assisted Living

    Manatee River Assisted Living is located at 820 5th St W, Palmetto, FL, 34221.

    About Manatee River Assisted Living

    Manatee River Assisted Living sits in Midtown, Palmetto, Florida, at 820 5th Street West, and the building isn't far from other rental options and neighborhood amenities, which helps families get where they need to go, and the big thing is it's family owned and managed, so the place feels homelike and relaxed from the time you walk in. The staff here stay awake and available 24 hours every day, which seems important when you've got people who might need a little help moving from bed to wheelchair or keeping up with daily medicines, and they definitely know how to make residents feel comfortable by pitching in with bathing, dressing, and grooming, or even managing insulin for folks with diabetes. The community covers both independent living and assisted care, with dedicated Alzheimer's and memory care programs for people who need that sort of support, and there's a secured memory care area with cameras throughout to keep everyone safe, which gives families some peace about who's coming or going.

    They organize all sorts of activities and you'll notice a full calendar on the wall, lots of games, exercise times, and social events-sometimes you'll see a group enjoying game night, or maybe people out in the garden, and that sort of varied day seems to help keep minds and bodies busy. The campus divides into five smaller neighborhoods, each with sunlit shared dining and living spaces, so residents tend to get to know each other and the staff well, and the outdoor courtyards and patios always look nice when the weather's good, while inside there are recreation rooms and common spaces with TVs for gatherings and visits. Units are single rooms, often with various apartment styles and different policies depending on your needs, and the place is pet-friendly, so some folks have their animals with them.

    Meals and snacks come cooked and ready so no cooking is needed, and guests can come sit in on meals, which seems to help keep things lively. Haircuts and barber visits happen on-site, housekeeping and laundry services keep things tidy without anyone having to haul linens, and community dining offers a chance for neighbors to catch up over food. For residents needing transportation, drivers handle those trips, and staff help with medication, personal care, and even offer financial advice, plus help with VA benefits if needed. Memory care staff are all specially trained to help those with Alzheimer's or other cognitive concerns, and personalized wellness plans guide things like exercise and mobility activities tailored for individual needs, so everyone receives care that matches their challenges and strengths, and the management says the higher staff-to-resident ratio really helps. You'll find extras like secured parking and doormen, swimming pools, and a barbecue spot, but some of those details can shift depending on which neighborhood or apartment style you pick, and there's an entry fee to start, along with regular rent and some bills, but people can get help understanding costs. The state licenses the place, and the law protects against discrimination due to gender identity, orientation, or where income comes from.

    Overall, Manatee River Assisted Living keeps things straightforward by focusing on warmth, safety, independence, and daily support, and people around seem to rate it well-about 4.1 stars out of 13 reviews-which tells more than anything that people usually feel looked after and comfortable there.

    People often ask...

    Manatee River Assisted Living offers competitive pricing, with rates starting at a cost of $4,722 per month.

    Manatee River Assisted Living offers assisted living, memory care, and board and care.

    There are 9 photos of Manatee River Assisted Living on Mirador.

    The full address for this community is 820 5th St W, Palmetto, FL 34221.

    No, Manatee River Assisted Living 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.

    Safety & Compliance

    In Florida, the Agency for Health Care Administration (AHCA) licenses assisted living facilities and publishes the results of its standard, complaint, and monitoring inspections.

    License number11967181
    StatusActive
    Facility typeAssisted Living Facility
    Capacity85 residents
    View the official license record

    Inspection Reports

    36

    Reports

    0

    Type A Citations

    0

    Type B Citations

    24

    Complaints

    14

    Years

    16 Jun 2025Standard
    Concluded that deficiencies were corrected at the time of survey after a revisit to a change of ownership survey.
    • A0001DEFINITIONS
    16 Jun 2025Complaint
    Found no deficiencies.
    30 Apr 2025Complaint
    Investigated a complaint about generator monitoring; found no deficient practice.
    • A0008ADMISSIONS - HEALTH ASSESSMENT
    30 Apr 2025Standard
    Found deficiencies in medication storage and resident self-administration oversight, with improper storage practices and inadequate policy adherence identified in the findings.
    • Class 3A0055MEDICATION - STORAGE AND DISPOSAL
    • A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
    14 Mar 2025Standard
    Investigated deficiencies found improper medication handling and insufficient staff training; identified specific failures in self-administration supervision and in-service training.
    • Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
    • Class 3A0081TRAINING - STAFF IN-SERVICE
    • A0004LICENSURE - REQUIREMENTS
    06 Nov 2024Complaint
    Investigated the generator monitoring complaint and found no deficiencies.
    • A0004LICENSURE - REQUIREMENTS
    06 Nov 2024Complaint
    Investigated a complaint; a revisit found previously identified deficiencies corrected at the time of the survey.
    17 Sept 2024Complaint
    Investigated a complaint about medication assistance and found deficiencies in staff oversight of residents' self-administration, with improper assistance and failure to follow required procedures.
    • Class 3A0052MEDICATION - ASSISTANCE WITH SELF-ADMIN
    17 Jun 2024Standard
    Found no deficiencies.
    29 Apr 2024Standard
    Found the 3-day emergency food supply was not up to date or adequate for the current census, with food items missing from the supply closet.
    • Class 3A0093FOOD SERVICE - DIETARY STANDARDS
    22 Mar 2024Complaint
    Verified previously cited deficiencies were corrected via desk review.
    09 Feb 2024Complaint
    Identified deficiencies in staff training and recordkeeping; training hours were not documented and required resident rights and elopement training were missing for some staff.
    • Class 3A0081TRAINING - STAFF IN-SERVICE
    • Class 3CZ875ALZHEIMER DISEASE/DEMENTIA; TRAINING
    02 Oct 2023Complaint
    Found no deficiencies. The complaint and generator monitoring survey on 10/02/2023 did not identify any deficient practices.
    20 Jun 2023Complaint
    Investigated a complaint and generator monitoring survey and found no deficient practice.
    17 Apr 2023Complaint
    Investigated a complaint and related monitoring issue; found no deficient practice identified.
    27 Dec 2022Complaint
    Investigated a complaint and generator monitoring visit; no deficiencies identified.
    22 Sept 2022Complaint
    Found no deficiencies during a complaint investigation and generator monitoring visit.
    13 Apr 2022Standard
    Found no deficiencies. A biennial re-licensure and complaint investigation was conducted on 2022-04-13.
    • A0004LICENSURE - REQUIREMENTS
    07 Jan 2022Complaint
    Found no deficiencies after the complaint investigation.
    19 Aug 2021Complaint
    Investigated a complaint and generator monitoring visit, and found no deficiencies.
    24 Feb 2021Complaint
    Investigated a complaint and focused on infection-control concerns; deficiencies were found and corrected at the time of survey.
    12 Jan 2021Complaint
    Investigated found that required resident elopement drills were not conducted and elopement procedures were not fully documented.
    • Class 3A0032RESIDENT CARE - ELOPEMENT STANDARDS
    12 Mar 2020Standard
    Found no deficiencies during the biennial survey.
    06 Jan 2020Complaint
    Found no deficiencies.
    05 Jul 2019Expansion
    Found no deficiencies during a capacity increase survey.
    15 May 2019Complaint
    Found no deficiencies during the visit.
    27 Feb 2019Complaint
    Found no deficiencies during a complaint survey conducted on February 27, 2019.
    07 Nov 2018Complaint
    Investigated a complaint and found no deficiencies.
    17 May 2018Complaint
    Found no deficiencies after a complaint investigation.
    17 Apr 2018Standard
    Verified a previously cited deficiency was corrected during a follow-up visit.
    22 Feb 2018Standard
    Identified deficiencies in medication storage and handling, including leaving medication unsecured and not following storage policy.
    • Class 3A0055MEDICATION - STORAGE AND DISPOSAL
    28 Nov 2016Complaint
    Investigated a complaint; found no deficiencies.
    23 Feb 2016Standard
    Found no deficiencies noted during the abbreviated biennial survey conducted on February 23, 2016.
    27 Aug 2015Complaint
    Verified no deficiencies were identified during the unannounced complaint survey.
    17 Mar 2014Standard
    Found no deficiencies during the abbreviated biennial state licensure survey.
    • A0167RESIDENT CONTRACTS
    • A0162RECORDS - RESIDENT
    03 Jul 2012Complaint
    Found no deficiencies during a complaint survey conducted on 2012-07-03.

    Disclaimer

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

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