La Hacienda de Paz Rehabilitation and Care Center

    3333 Bob Rogers Dr, Eagle Pass, TX, 78852
    3.6 · 42 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Severe neglect despite good facility

    I placed my mother here and was shocked by repeated neglect - she went unbathed for days, diapers and clothes weren't changed, nobody checked on her during visits, care wasn't documented, and CNAs and nurses didn't communicate. Phones go unanswered, promises to call back never happen, staff can be rude and unprofessional, and response to call lights and post-op needs is slow; my trust in management is shaken. The building, therapy, some nurses and support staff were excellent and the facility is clean and attractive, but until leadership fixes staffing, communication, and basic care practices I cannot recommend it.

    Pricing

    Schedule a Tour

    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

    3.64 · 42 reviews

    Overall rating

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

      2.9
    • Staff

      3.4
    • Meals

      3.3
    • Amenities

      4.8
    • Value

      1.0

    Pros

    • Effective physical/occupational therapy with measurable mobility improvements
    • Skilled nurses praised for bedside manner and competence
    • Clean, attractive and state-of-the-art facility/building
    • Spacious semi-private rooms
    • Attentive support staff who assist with daily needs and conversation
    • Polite and helpful kitchen staff; well-prepared meals
    • Active activity program and praised activities director
    • Homey, family-oriented atmosphere reported by some families
    • Helpful, on-time transportation services
    • Clear explanations of Medicare/Medicaid policy
    • Positive rehabilitation outcomes and willingness to return for rehab
    • Administrator or office staff responsive and knowledgeable in some cases
    • Doctor and professional medical attention noted as reassuring by families
    • Facility described as a great place to work by some reviewers
    • Friendly, welcoming tour experiences and smiling residents

    Cons

    • Allegations of neglect, including not feeding residents
    • Diapers and clothing not changed; residents left in soiled/unchanged clothes
    • Missing clothing and poor laundry management
    • Bed sheets not changed and patients found soiled
    • Delayed or ignored call lights and slow nursing responses
    • Poor communication and coordination between CNAs and nurses
    • Lack of documentation or unclear records of care
    • Staff speaking badly about patients; unprofessional behavior reported
    • Phone lines not answered and calls repeatedly transferred
    • Promises to call back not kept; corporate only responsive after escalation
    • Reports of residents being screamed at or spoken to harshly
    • Infection control failures, including reports of scabies exposure
    • Privacy and HIPAA concerns reported by families
    • Allegations of money taken or billing/financial concerns
    • Night staff and some CNAs reported as inadequate or careless
    • Serious health deterioration and at least one death reported by reviewers
    • Inconsistent quality of care between shifts and staff
    • Management absence or lack of transparency cited
    • Ethical concerns and calls for retraining or new management
    • Some reviewers state therapies at home were better than facility care
    • Advertisements that some called misleading
    • Spanish-language reports of very poor treatment (peor lugar/pésimo lugar)
    • Mixed or negative comments about office/admin staff while nursing praised
    • Pandemic-related impacts mentioned as affecting safety/service
    • Overall inconsistent experiences leading to lack of trust among families

    Summary review

    Overall assessment The reviews for La Hacienda de Paz Rehabilitation and Care Center are strongly polarized and reveal two dominant and contradictory narratives. A substantial portion of reviewers describe the facility as beautiful, modern, and effective—especially for short-term rehabilitation stays—praising its therapy services, improvements in mobility, attentive nursing, good food, and a robust activities program. Conversely, an equally substantial set of reviews describe severe lapses in basic personal care, communication failures, safety and infection-control problems, and unprofessional or neglectful behavior by some staff. This split suggests highly inconsistent service quality that varies by shift, unit, or individual caregiver.

    Care quality and outcomes Positive comments consistently highlight effective physical and occupational therapy with measurable improvements in mobility and readiness for discharge. Several families reported that the nursing care during rehab stays was professional and that physicians and nurses provided clear medical attention and reassurance. However, multiple reviews raise urgent concerns about neglect: residents allegedly not being fed, not being bathed for days, left in soiled clothes or bedding, and having diapers unchanged. There are also reports of serious adverse outcomes, including rapid health deterioration and at least one death described by reviewers. In addition, some reviewers reported that home-based therapies were more effective than the care received here. The co-existence of solid rehab results with reports of neglect suggests uneven attention to patients’ day-to-day personal care needs despite competent clinical therapy services.

    Staff behavior, communication, and documentation Staff behavior and communication are major fault lines in the reviews. Positive reviews call out compassionate, friendly, and attentive staff, while negative reviews describe unprofessional behavior (including staff speaking badly about patients), harsh treatment, residents being screamed at, and ethical/privacy concerns. Several reviewers named staff as unprofessional; others reported the administrator being absent or unresponsive. Communication problems are repeatedly cited: calls not being answered, repeated transfers with unanswered lines, promised callbacks that never happen unless corporate is contacted, and poor handoff/coordination between CNAs and nurses. Multiple reviews also indicate documentation problems—instances where care was reportedly not logged or staff appeared unaware of when a resident had last been bathed or changed. These patterns point to systemic communication and supervisory breakdowns that can directly affect resident safety and family trust.

    Infection control, safety, and management transparency A number of reviews raise serious safety concerns: reported infection control breakdowns (including exposure to scabies), privacy and HIPAA violations, and alleged instances where financial or ethical boundaries were crossed. Families described a lack of transparency from administration, an apparent need for retraining or leadership changes, and administrative responsiveness only after escalation to corporate. Some reviewers explicitly called for new management or enhanced training. Pandemic-related impacts were also mentioned as exacerbating problems in care delivery for some residents.

    Facility, amenities, dining, and activities The physical plant, dining, and activity offerings receive consistent praise. Reviewers frequently mention a gorgeous, modern facility with spacious rooms, pleasant common areas, well-prepared meals, and an active calendar of social and therapeutic activities with an engaged activities director. For many residents and families, these environment and lifestyle features contribute strongly to positive impressions of short-term stays or tours.

    Patterns and variability A conspicuous pattern in the reviews is variability: many families report excellent short-term rehab experiences, while others (often reporting longer-term residential care or incidents at night/in specific shifts) describe neglect and unsafe conditions. This suggests uneven staffing competency, inconsistent supervision, or problems that are localized to particular teams or times of day (night shifts are mentioned specifically). Recurrent themes (missed personal care tasks, communication failures, documentation gaps, and phone/administrative inaccessibility) indicate organizational issues rather than isolated incidents.

    Recommendations for prospective families and oversight actions Given the mixed but serious nature of some complaints, families considering this facility should: conduct in-person tours at different times (including evenings/nights), ask specific questions about CNA-to-resident ratios and shift staffing, request written infection-control policies and inspection history, inquire how personal-care tasks (bathing, toileting, linen changes) are documented and audited, confirm phone/contact and escalation procedures, and ask about turnover, staff training, and incident reporting processes. For those who observe neglect or safety breaches, escalating concerns to the facility administration and corporate offices is recommended; several reviewers stated corporate was responsive when contacted. If issues are severe (abuse, neglect, infection control failures), contacting the state long-term care ombudsman or licensing authority is appropriate.

    Conclusion In summary, La Hacienda de Paz appears to offer strong rehab services, a high-quality environment, and many compassionate staff members—attributes that have led to positive outcomes for numerous residents. However, persistent and serious negative reports about basic personal care, communication, documentation, infection control, and management responsiveness create red flags that cannot be ignored. The pattern is one of considerable inconsistency: exceptional experiences for some residents coexist with unacceptable neglect and safety concerns for others. Prospective residents and families should weigh the facility’s positive structural and therapeutic strengths against the reported variability in day-to-day resident care, and perform targeted due diligence before committing to long-term placement.

    Location

    Map showing location of La Hacienda de Paz Rehabilitation and Care Center

    About La Hacienda de Paz Rehabilitation and Care Center

    La Hacienda de Paz Rehabilitation and Care Center sits at 3333 Bob Rogers Dr. and runs as a licensed nursing home with 104 certified beds, and it averages about 84 residents every day, so you might notice it's a busy place but there's always someone around who helps keep an eye on everyone, and the staff really tries to focus on what each person needs instead of treating everyone the same. The care team provides skilled nursing, long-term care, memory care for people living with Alzheimer's or other dementias, and there are physical, occupational, and speech therapy services for folks who need extra help moving or communicating after illness or injury, and they even offer wound care, medication management, in-house dialysis, and vent care, showing they cover a broad range of health situations, and if someone needs rehab before going home, they have "rehab-to-home" programs to support that transition. With a nurse staffing ratio that averages 3.25 nurse hours per resident a day and a nurse turnover rate of 37.5%, there's both stability and some staff changes as is common in caregiving, and the most recent inspection from August 2024 noted 11 deficiencies, including assessments and infection control, but management keeps working at improvement and there's an ombudsman to help families with issues that come up. La Hacienda de Paz belongs to the Creative Solutions in Healthcare family and operates as a government hospital district facility owned by West Wharton County Hospital District, which means there are different oversight and support groups working behind the scenes, and management changed to Eagle Pass 2 Enterprises, LLC in September 2022 which sometimes brings in some new processes. The Life Lived for Others philosophy guides the staff, who make an effort to treat people with dignity and create a comfortable, home-like setting, and there's a big focus on involving family members, offering a connect platform for updates, plus a dedicated Customer Care Line so concerns or suggestions can be addressed. Residents can use short-term or long-term care, take part in memory care, or try out respite stays, and there are activity programs, religious services, and meals provided, along with laundry, housekeeping, beauty, barber, and nutritional guidance, so daily living feels a bit easier. They have VA services for veterans, and families can use an online contact form to reach staff when needed. La Hacienda de Paz upholds industry standards with accreditations and recognitions, and while the facility has documented some deficiencies on inspection reports and works through them, it remains committed to improving health and well-being for everyone there, designing care plans to fit each person. The staff stays involved in the community and really tries to listen to feedback from residents and their families. The facility averages a rating of 3.7 from 37 reviews, which suggests strengths along with areas that might need some attention, and all the while, residents can expect a skilled team and plenty of resources for different kinds of needs, whether it's for help with daily tasks, specialized medical care, or staying connected with loved ones.

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