The Heights of Alamo

    1214 S Alamo Rd, Alamo, TX, 78516
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    5.0

    Excellent rehab care; welcoming staff

    I stayed at The Heights for rehab after a stroke and was very pleased - the therapists (PT/OT/speech), nurses and CNAs were kind, patient and made me feel important. The facility is beautiful, spotless, modern and homey, the food and activities kept me engaged, and staff treated family like part of the team. My health improved, I felt safe and welcomed, and I'd highly recommend it.

    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

    4.70 · 145 reviews

    Overall rating

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

      4.7
    • Staff

      4.7
    • Meals

      4.1
    • Amenities

      4.9
    • Value

      3.0

    Pros

    • Attentive, caring nursing staff and CNAs
    • High-quality physical, occupational, and speech therapy/rehab
    • Clean, modern, and well-maintained facility interior and exterior
    • Friendly, helpful reception and administrative staff
    • Engaging activities program and multipurpose activity spaces
    • Home-like atmosphere and family-style dining area
    • Good food and accommodating kitchen staff
    • Quick nursing responsiveness reported by many families
    • Private rooms and spacious hallways
    • Welcoming decor and pleasant seasonal touches/pleasant smell
    • Outdoor patio, landscaped grounds, and pleasant views
    • Accommodating visiting hours
    • State-of-the-art rehabilitation equipment
    • Supportive and involved management/administration
    • Organized visitor identification and entry controls (in some reviews)
    • Personalized, patient-focused care with gentle staff demeanor
    • Calming environment that provides peace of mind for families
    • Consistent housekeeping and odor-free environment
    • Specific staff and therapists named positively (e.g., Sam, David, Silvia H., Robert G., Zuvelda)
    • Good transition/rehab outcomes; many would return for therapy

    Cons

    • Alleged neglect and at least one serious clinical incident (patient left unattended overnight)
    • Reports of staff ignoring calls and poor night-shift responsiveness
    • Theft, loss, or misplacement of personal items and dentures
    • Infection control concerns (reports of scabies/outbreak)
    • Inconsistent communication and lack of follow-up from staff
    • Allegations of resident falls, injuries, bruising, and possible abuse
    • Some reports of understaffing or minimal vital checks
    • Pricey / higher cost compared with alternatives
    • Variability in staff interaction in very small units (limited contact reported)
    • Inconsistent quality across shifts or cases (some praise, some severe complaints)

    Summary review

    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.

    Location

    Map showing location of The Heights of Alamo

    About The Heights of Alamo

    The Heights of Alamo sits at 1214 S Alamo Rd in Alamo, TX, and belongs to a group with other senior communities like The Gardens at Brook Ridge Assisted Living and Memory Care and Avalon Memory Care, which gives folks some peace of mind knowing there are other nearby places connected to the same network, and when people come to look around, the staff shows them the facility and lets them meet other residents so they can get a real sense of what daily life looks like there, which some people appreciate since they want to make sure they choose the right place, and if someone wants more details or to look around, they can always ask for a tour or request more information online. The Heights of Alamo offers a wide range of care, such as assisted living, memory care, independent living, skilled nursing, long-term care, rehab therapies, home care, respite care, and also includes a registered dietician to help with meal planning that suits different health needs and preferences. Residents can take part in activities like art, music, gardening, outings, and entertainment, and the building's set up with outdoor mobility paths, a nice garden, a covered patio, private and semi-private rooms, private bathrooms, and private showers. The facility features an advanced rehab gym with personalized treatments, an on-site beauty salon and barber, Wi-Fi service, a private dining room for family meals, and handles transportation to doctor appointments as well as discharge planning. The Heights of Alamo focuses on providing care plans that match each person's health and mobility needs, but nobody mentions pet policies, specific utilities, flooring, or detailed outdoor features, which means those facts aren't clear. Parking and garage details aren't spelled out either. The community does emphasize helping people see what life is like there before making any decisions, which sometimes helps families feel more comfortable, and staff remain focused on supporting people who need skilled care, memory support, or extra help for a short or long stay.

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