Overall sentiment in the reviews is mixed but leans positive with strong, repeated praise for the staff and rehabilitation services. A large number of reviewers describe Alamo Cove Rehab and Nursing Center as having compassionate, loving, and respectful caregivers who create a family-like atmosphere. Many accounts highlight long-tenured staff members who know residents by name, build relationships, and go above and beyond daily duties. The therapy program is frequently cited as a real strength — reviewers specifically praised physical and occupational therapy, mentioning staff by name (e.g., Brian and Jessica) and describing the facility as a great rehab option. Families also consistently note bright, clean rooms, comfortable beds, handicap-accessible bathrooms, and on-site amenities such as cable and a library. Activities and social engagement are recurring positives: residents are kept active, included in routines, and benefit from pet/therapy dog visits and other meaningful programming.
Despite the many favorable comments, there are significant and serious concerns reported by multiple reviewers that cannot be ignored. Several accounts describe chronic understaffing, increased workloads, and staffing instability tied to a sale of the facility and subsequent layoffs. These staffing issues are reported to have led to reduced attention to residents on some shifts, delayed responses to call lights, and lower overall quality of care. More alarmingly, a minority of reviews allege severe neglect: untreated bedsores, weight loss due to poor feeding, residents left unattended or unbathed for days, being left on stretchers, inappropriate use of urinals, and even reports implying infection risk and patient death. These allegations include family complaints to regulatory authorities (health department/Medicare) and suggestions that an investigation might be warranted. While many reviewers defend the staff and point to caring behavior even under strain, the existence of these serious negative reports indicates variability in care and potential safety lapses.
Patterns across reviews show two concurrent themes: high-quality interpersonal care and rehabilitation delivered by dedicated staff, and recurring operational problems largely tied to staffing and management transitions. Positive reviewers emphasize responsive management, social worker involvement, smooth transitions (especially from other memory care facilities), and strong communication with families. They recount small but meaningful gestures — treats, belly/back rubs, friendly joking with residents — that contribute to a familial feel. Conversely, negative reviews cluster around periods of turnover, reduced staffing, and specific instances of neglect or poor hygiene and incontinence management. Dining receives mixed feedback: several reviewers praise the food (some call out specific favorite meals), while a few report that meals made their relative sick.
For prospective families or those monitoring an existing placement, the reviews suggest practical follow-up actions. Visit at different times and shifts to observe staffing levels and care consistency; ask management about staffing ratios, turnover rates, and how the facility handled the recent sale/layoffs; review the facility’s most recent state inspection and any complaint investigations; inquire specifically about wound care, incontinence protocols, and feeding plans; and request references for therapy outcomes if rehab is a primary need. In sum, Alamo Cove appears to offer excellent interpersonal care and a strong rehab focus when staffed adequately, but reviewers also document troubling instances of neglect and instability tied to staffing changes. Families should weigh the frequent, heartfelt praise for individual caregivers against the serious nature of the negative reports and verify current conditions before making a placement decision.
