The Acres Assisted Living

    3723 FM 521 Rd, Fresno, TX, 77545
    3.4 · 5 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    1.0

    Neglectful unsanitary overpriced poor care

    I placed my mother here and pulled her out in under two months. The place was neglectful - bed sores went unreported, residents often unbathed or kept sedated, and I found urine puddles and a persistent smell. Communication was awful: admin brushed off family complaints with jokes and odd excuses. Meals were kindergarten-style (hot dogs and fries), not suitable for diabetes/high blood pressure, and activities were basically just TV. A few caregivers were genuinely kind and engaging and parts of the home looked immaculate, but for the high price the overall experience was unacceptable - I do not recommend it.

    Pricing

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    Amenities

    3.40 · 5 reviews

    Overall rating

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

      2.8
    • Staff

      2.8
    • Meals

      2.7
    • Amenities

      3.4
    • Value

      1.0

    Pros

    • kind, engaging caregivers
    • immaculate facility reported by some families
    • good food and food variety according to some reviewers
    • small, home-like setting
    • helpful and genuinely concerned staff in positive reviews
    • peace of mind for some families
    • some families found an excellent match for their needs

    Cons

    • urine odor and urine puddles on the floor
    • general cleanliness issues reported
    • reports of neglect and poor personal care (residents not bathed, kept asleep)
    • bedsores not reported or inadequately addressed
    • staff described as OK but not proactive or engaged in negative reviews
    • poor or defensive communication from management/owner
    • administrative unprofessionalism (jokes by staff, confusing name changes)
    • hot water outages
    • nutritionally inadequate meals for residents with diabetes/high blood pressure (e.g., hot dogs and french fries)
    • lack of meaningful activities beyond TV watching
    • high cost relative to negative experiences
    • inconsistent care quality and short stays due to dissatisfaction

    Summary review

    Overall impression: The reviews for The Acres Assisted Living are sharply mixed, with a strong polarity between accounts that describe the home as immaculate, nourishing, and staffed by compassionate caregivers, and accounts that describe serious neglect, hygiene problems, and poor management. This divide appears across multiple dimensions of care and operations — cleanliness, personal care, dining, activities, and administration — producing an overall pattern of highly inconsistent resident experiences. Several reviewers reported an unacceptable standard of care during relatively short stays, while others expressed gratitude and peace of mind for longer-term placements.

    Care quality and personal care: A major theme in the negative reviews is neglect and lapses in basic personal care. Multiple summaries mention residents not being bathed, being kept asleep, and pressure injuries (bedsores) that were not reported or handled appropriately. These are serious allegations that indicate potential failures in daily hands-on caregiving, monitoring, and documentation. In contrast, positive reviews emphasize engaging, kind caregivers who make family members feel supported. The juxtaposition suggests uneven performance among staff or by shift, and that outcomes vary significantly depending on which caregivers are assigned or how particular cases are managed.

    Staff and communication: Reviews portray staff behavior as inconsistent. Several accounts call staff "OK but not proactive," point to a defensive or illogical response from ownership, and describe administrative staff joking inappropriately — all indicating professionalism and communication problems. Many negative reviewers also reported poor communication with families about resident status or incidents. Conversely, other families describe staff as "unbelievably kind," "helpful," and "genuinely concerned," which created peace of mind. The pattern is one of bifurcated experiences: some relatives find communication and empathy excellent, while others experience dismissiveness and opaque explanations from management.

    Facilities and cleanliness: Cleanliness is another polarized area. Some reviews praise the facility as immaculate and emphasize the benefits of a small, home-like size. At the same time, several negative reviews report urine smell and puddles on floors, and more general cleanliness issues. One report also noted a hot water outage. These conflicting impressions again point to variability — either across different units/rooms, different times, or between reviewers’ expectations — and suggest that environmental hygiene is an inconsistent strength.

    Dining and nutrition: Dining receives both praise and criticism. Positive accounts highlight good food and food variety. Negative accounts characterize meals as "kindergarten-style" (hot dogs and french fries) and express serious concern that offerings are not nutritionally appropriate for residents with conditions like diabetes and high blood pressure. This is a concrete operational issue: when meals are not tailored to common geriatric dietary needs, clinical risk increases. The conflicting reports indicate that menu quality or meal planning may be inconsistent, or that some families experienced poor meal choices while others received meals they found acceptable.

    Activities and engagement: A commonly noted shortcoming in negative reviews is a lack of meaningful activities, with residents being limited to TV watching. Some reviewers, however, appreciated engaging caregivers and suggested improvements in activities and food variety, implying there are opportunities or intermittent efforts to be more active. Overall, the reviews suggest activities programming is thin or inconsistently implemented, and several families would like to see more purposeful, varied engagement for residents.

    Management, cost, and patterns of inconsistency: Management and administration are focal points of complaint in several reviews: owners providing implausible explanations, administrative staff behaving inappropriately, confusing "name changes," and poor communication with families. Several reviewers also complain that the cost is high relative to the quality of care they experienced, and some residents had very short stays (less than two months) before families withdrew them. The net pattern is clear: experiences at The Acres range from highly positive to severely negative. That variability could stem from staffing fluctuations, inconsistent training or oversight, variability in which caregivers are assigned, or uneven managerial response to incidents.

    Summary assessment: The reviews collectively portray The Acres as a facility with the potential to provide compassionate, home-like care — as evidenced by multiple thankful families who experienced cleanliness, good food, and attentive staff — but also as a place where serious failures have reportedly occurred, including hygiene lapses, inadequate personal care, poor nutrition for medically vulnerable residents, and troubling communication and management behavior. The most frequently mentioned and consequential concerns are hygiene and incontinence management, neglect of personal care (bathing, wound reporting), nutritional appropriateness for chronic conditions, and inconsistent staff professionalism. Prospective families should note the pronounced inconsistency in experiences and, if evaluating this facility, should specifically probe hygiene protocols, wound care and reporting procedures, dietary accommodations for chronic illnesses, staff training/turnover, and how management communicates and resolves family concerns.

    Location

    Map showing location of The Acres Assisted Living

    About The Acres Assisted Living

    The Acres Assisted Living sits on a stretch of land in Fresno, Texas, and offers a place that feels more like a country home than an institution for up to 16 residents, with both private and shared rooms that come fully furnished with a full-size bed, dresser, nightstand, and a sitting area, and you'll see pets now and again since they accept them sometimes, which helps the place feel more warm and lived-in. Some folks at The Acres need more help, and there's staff awake around the clock, with a registered nurse on call 24 hours, so residents always have someone to help them, whether they're getting up at night or need a hand with bathing, dressing, eating, using the toilet, or moving around safely, not to mention medication administration, incontinence care, and support for folks living with Alzheimer's or other memory issues, which you don't always see. You'll see aides help people with daily tasks, and therapists come by on a schedule to help keep everyone moving, from exercise sessions to physical and occupational therapy, and for folks who need more, there's hospice, in-home care, and some mental health support too, so you don't have to move somewhere else when your needs change.

    Meals are included three times a day with snacks, and they take care with what gets served, from options for folks with diabetes or those on low-fat, vegetarian, or low-salt diets, so there's something safe and healthy for everyone, and you'll find both a dining room and room service for when folks want a meal in private. Housekeeping and laundry services get handled for everyone, so there's less to worry about, and if you need a haircut or a shave, there are on-site barber and hair salon services. The place has features you'd expect like cable and Wi-Fi included, emergency alert systems, and secure doors and gates, so people can walk outside or in the gardens without worry, and there's both a recreation room and spaces for arts and crafts, game nights, computer use, and movie nights, so you don't have to stay in your room all day unless you want to. The residents have their own music group, and story time or games are pretty regular, and they try to get everyone involved with outings, community activities, and even religious services.

    The community is licensed by the state of Texas (License #308493, ASLB certification, Type B license) and falls in the Assisted Living category, with a focus on both assisted living and memory care, including for non-ambulatory residents, and you'll see staff trained with reference and driving record checks, so there's some peace of mind around that, which matters for people thinking about staying. The property is set up so people can move around inside and out, take in the garden or sit on patios, and walking paths make it easy to keep active or just enjoy the view-when the weather's nice, that's a real plus. There's an on-site pharmacy and general transportation available for appointments or shopping, and they handle blood work and other medical services on-site, so you don't always have to travel.

    The cost starts at about $3,210 per month, and all payments get accepted by insurance, credit card, check, or even some help if selling a home, and the price covers 24-hour awake staff, meals, snacks, house cleaning, laundry, cable, and Wi-Fi, so you don't get nickel-and-dimed for basics, but they don't publish exact pricing for everything, so asking directly is best. Room options include both private and shared bedrooms, and the community has facilities for up to 16 people living with Alzheimer's. The Acres has a steady 3.5-star rating from reviews and a Seniorly rating of 3.8, which puts it at "very good" but not perfect, so some people like it and some have had issues, just like you'd expect. The place suits seniors looking for assisted living or memory care who want a quieter place with more space, friendly staff, and a choice about how they spend their days, but like any place, it's important to visit and see if it feels right for your needs.

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