Overall sentiment across the reviews for The Heights of Alamo is mixed but leans strongly toward positive experiences with several recurring strengths. The dominant themes among positive reviews are staff compassion and professionalism, a high-quality therapy and rehabilitation program, and an immaculate, modern facility. Many reviewers explicitly praise nurses, CNAs, therapists, receptionists, and administrators by name; therapy staff and physical/occupational/speech therapy are frequently singled out as a major strength. Families repeatedly note good rehab outcomes, hands-on therapists, state-of-the-art equipment, and an atmosphere that helped residents progress toward discharge. Housekeeping and maintenance receive consistent praise: the building, landscaping, decor, and interior smell are repeatedly described as clean, welcoming, and calming. The dining experience and kitchen staff also receive multiple positive mentions — reviewers describe the food as very good and the dining area as family-like.
Staffing, staff demeanor, and the community atmosphere are commonly cited as sources of comfort for families. Many reviews emphasize a home-like environment, engaging activities (singing, Bible discussion, organized programs), and staff who make residents and visitors feel like family. Administrators and front-desk staff are frequently commended for friendliness and helpfulness, and several reviewers explicitly say they would recommend the facility and would return for therapy themselves. Practical features such as private rooms, easy entry/exit, patio access, and accommodating visiting hours further reinforce the positive picture for many families. Some reviewers describe the facility as upscale or deluxe, noting modern finishes and seasonal decor that contribute to a pleasant environment.
Despite the many positive accounts, there are a number of serious and noteworthy negative reports that must be highlighted. A small but significant subset of reviews alleges severe clinical neglect — the most extreme account describes a patient left with a soiled diaper overnight, calls ignored by night-shift staff, family having to call an ambulance, and the patient subsequently dying; the family reported not being listened to and would not recommend the facility. Other grievances include reports of staff ignoring call bells or delayed responses (particularly at night), inconsistent communication and poor follow-up regarding patient needs and belongings, and instances of lost or misplaced personal items — including dentures — sometimes attributed to coordination problems during quarantine. There are also allegations of theft of clothing and belongings and at least one reviewer reporting intent to file a complaint. Infection control issues were raised in connection with a reported scabies outbreak, producing concerns about accountability and outbreak management.
A clear pattern is the variability in reported experiences: many families report excellent, attentive care with prompt nursing response, while others report neglectful or dismissive behavior, especially during certain shifts or circumstances. This suggests possible inconsistency in staffing levels, training, supervision, or communication protocols across shifts or between different units. Several reviewers mention very small unit size and limited staff interactions, which may explain both highly personalized attention in some cases and gaps in others. A few reviewers also express concern about cost, describing the facility as pricey compared with alternatives.
Taken together, the reviews indicate The Heights of Alamo is widely perceived as a clean, modern, and therapy-focused facility with many compassionate staff and strong rehab outcomes; it provides a calming, family-like atmosphere with good food and active programming. However, the presence of multiple severe complaints — including alleged neglect, loss/theft of belongings, infection control issues, and communication failures — are nontrivial and recur enough to warrant attention. Prospective families should weigh the broadly positive reports of rehabilitation quality, staff kindness, and facility condition against the serious negative reports. When considering admission or placement, families may want to ask specific questions about night-shift staffing and supervision, protocols for personal property and denture handling, infection-control/outbreak procedures, incident reporting and follow-up, and recent quality audits or corrective actions to ensure that the facility’s praised strengths are consistent across all shifts and residents.