Bel Air At Teravista

    4105 Teravista Club Drive, Round Rock, TX, 78665
    2.5 · 32 reviews
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Beautiful facility, but dangerous neglect

    I was attracted to the beautiful, upscale building with private rooms, courtyard access, activities and very good rehab - but the day-to-day care was wildly inconsistent. Call lights often went unanswered, aides were slow or absent, meals and meds were delayed or missed, and residents were sometimes left in soiled conditions; my family saw dehydration, infections/bedsores and dangerous lapses in care. Some staff (therapy, intake/finance, and a few nurses/CNAs) were kind, competent and communicative, but management was often absent and promises went unkept. Housekeeping and food service were hit-or-miss, and the facility felt expensive for the risk. Overall: gorgeous place with pockets of excellent care, but unacceptable neglect and staffing/management failures - I would not trust it for long-term care.

    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

    2.50 · 32 reviews

    Overall rating

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

      2.3
    • Staff

      2.3
    • Meals

      2.1
    • Amenities

      3.8
    • Value

      2.3

    Pros

    • Well-maintained, attractive/upscale facility and grounds
    • Private rooms with private baths and kitchenettes/fridge/microwave
    • Clean rooms and housekeeping praised in many reviews
    • Comfortable, home-like rooms personalized with family photos
    • On-site chapel and library
    • On-site beauty salon
    • On-site bus for outings and scheduled trips
    • Robust activities and social calendar (ice cream socials, bingo, dominoes, movie nights, sing-along, bible study)
    • Family involvement and inclusion in activities
    • Helpful, friendly intake/finance/front desk staff in many reports
    • Several nurses, CNAs and aides described as caring, attentive and professional
    • Specific nursing leadership praised (head nurse Audry referenced positively)
    • Top-notch rehabilitation services, effective PT/OT and good equipment
    • On-site doctor and nurse practitioner visits available
    • Rehab/short-term care described as organized and effective by multiple reviewers
    • Spacious rooms with walk-in showers and ample storage
    • Pleasant courtyard and Texas atmosphere
    • Some reviewers reported quick recovery and functional improvement
    • Good value for money cited in some cases
    • Activities staff described as attentive and inclusive

    Cons

    • Widespread reports of staffing shortages and understaffing
    • Long and inconsistent call-button response times
    • Significant variability in quality of care between shifts/units/staff
    • Medication errors, mismedication and delayed medication administration
    • Poor communication from staff and administration; ad-hoc information handling
    • Allegations of neglect: patients left in soiled conditions, left in shower, or unattended
    • Reports of bedsores, infections, dehydration and other adverse outcomes
    • Serious incidents reported (failure to diagnose oxygen deficiency, gangrene, death after transfer)
    • Housekeeping and cleanliness problems reported by some reviewers (dirty floors, unsanitary rooms)
    • Food quality inconsistent — from appetizing to inedible; cold or forgotten meals
    • Meals sometimes do not follow dietary instructions or are miscommunicated
    • Management issues: poor leadership, promises not followed through, director rarely present
    • Hospice and power-of-attorney mismanagement and pressure to sign hospice documents
    • Premature or poorly executed discharges and lack of post-discharge follow-up
    • Privacy breaches and improper release of medical records reported
    • Theft of personal items reported
    • Worn equipment/furnishings cited (mattress crater/in need of replacement)
    • Unprofessional or hostile staff behavior and poor bedside manner among some aides
    • Language barriers affecting care and communication
    • Inconsistent or slow housekeeping (wastebaskets overflowing, slow room turnarounds)
    • Expensive relative to perceived value for some families
    • No orientation or follow-up training for families/patients reported in some cases
    • Failure to follow physicians' orders in some reviews
    • Inadequate infection control or aseptic practice in isolated reviews (missing sterile caps, IV concerns)
    • Confusing or incorrect billing/insurance handling and threatened loss of Medicaid eligibility
    • Poor or inconsistent leadership responsiveness to family complaints
    • Therapy assignment confusion and unclear rehab/long-term placement
    • Some reviewers strongly advise avoiding facility due to repeated neglect allegations

    Summary review

    Overall sentiment in the collected reviews for Bel Air at Teravista is highly mixed, with a strong and recurring contrast between the facility’s physical environment and amenities versus inconsistent and sometimes severely deficient care delivery. Many reviewers emphasize that the building itself is attractive, new-looking or upscale, with pleasant indoor and outdoor spaces, private rooms with bathrooms and kitchenettes, walk-in showers, an on-site chapel, library, beauty salon and an activity program with outings on a facility bus. For a notable subset of families the facility delivered positive outcomes — especially for short-term rehabilitation — with reviewers praising the organized rehab team, effective physical therapy, good equipment, on-site doctor visits, and nursing staff who helped patients regain strength. Several reviewers explicitly recommended the facility based on good rehab results, compassionate nurses, and responsive front-desk and intake staff.

    However, an equally large and vocal portion of reviews describe serious and systemic problems that materially affect resident safety and dignity. The most frequent operational concern is understaffing: reports of long waits for assistance, ignored or delayed call-button responses, and aides who are too busy to help with bathing or toileting recur throughout the reviews. That understaffing appears linked to medication delays and medication errors in multiple reports, missed or late morning meds (including pain medications), and at least a few instances described as mismedication of critical drugs. Several reviews describe lapses in infection control, poor wound management, and the development of bedsores or other infections; some reviewers allege these problems progressed to severe outcomes such as gangrene or contributed to a decline resulting in transfer and death. There are also specific, alarming allegations — for example, patients left in the shower or unattended in soiled conditions, call-buttons moved out of reach at night, and a lack of follow-up after discharge from rehab — that suggest inconsistent adherence to basic standards of care for some residents.

    Dining and nutrition are another area of mixed feedback. Some families praised appetizing, freshly made food and said meals were better than other places, while many others reported poor-quality meals (bitter coffee, watered-down juices, powdered eggs, inedible or soaked bread), cold or microwaved meals, and meals served that did not match dietary restrictions. Several complaints tie poor meal service to staffing and timing issues — meals arriving late, forgotten trays, or diet orders being miscommunicated. Housekeeping and room cleanliness also show a split: many reviews praise attentive housekeeping and clean rooms, yet a substantial number point to unsanitary conditions in some rooms or hallways, overflowing wastebaskets, and general lapses in cleanliness.

    Staff behavior and management practices are a recurrent theme. While multiple reviews single out compassionate, professional nurses and aides (and a named head nurse who is “on top of care”), an equally large set of reviews describe unprofessional, hostile or indifferent staff, language barriers, and poor bedside manner. Administrative and leadership problems are frequently cited: families report poor communication, ad-hoc information handling, unresponsiveness from management, promises from directors not being honored, and confusion or mishandling of legal/financial matters such as power of attorney. Several reviewers allege mishandling or pressure around hospice enrollment and troubling contact with the wrong family members about hospice, and some report billing or insurance disputes that resulted in forced private-pay situations or threatened loss of Medicaid coverage. These management and policy issues amplify families’ perception of risk and inconsistency.

    A consistent pattern emerges across reviews: the facility’s physical attributes, social programming, and rehabilitation services receive regular praise, but long-term care quality and consistency vary greatly and, in many cases, fall short. Positive experiences often cite specific staff members or teams, good therapy outcomes, and welcoming communal spaces; negative experiences often cite systems-level issues — understaffing, medication and documentation errors, poor infection/wound care, and inadequate leadership follow-through — leading to neglect, harm, or very poor quality of life for residents. Given the frequency and seriousness of the negative reports, prospective families should treat the mixed record as a signal to dig deeper: ask about staffing ratios and turnover, observe mealtimes and med passes, check how the facility handles wound care and infection control, inquire about hospice policies and POA procedures, and request references from recent families, particularly for long-term placements.

    In short, Bel Air at Teravista offers many of the amenities and rehabilitation strengths families look for, and some residents have very positive experiences — especially with rehab and specific caring staff. At the same time, a substantial number of reviews report critical failures in everyday care, communication and leadership that have led to neglect, medical errors and serious adverse outcomes for residents. The prevailing theme is inconsistency: excellent care can coexist alongside severe lapses. Families considering this facility should evaluate current staffing and management practices carefully and seek recent, specific evidence of consistent, safe care before committing to long-term placement.

    Location

    Map showing location of Bel Air At Teravista

    About Bel Air At Teravista

    Bel Air At Teravista has 112 beds and offers senior living services with a focus on recovery, dignity, and well-being. The place is fully wheelchair accessible and has air conditioning throughout for everyone's comfort, plus WiFi is available for both residents and visitors. There's parking for visitors, and staff handles reservations and onsite services. The team of experienced professionals provides personalized care using state-of-the-art equipment, and they work with people recovering from injuries or managing disabilities. Rehabilitation and support for mobility are here, along with physical, occupational, and speech therapies, and there's outpatient therapy as well. Skilled nursing care goes on around the clock. Traniecia Ballard is the contact person onsite.

    Bel Air At Teravista is a short-term care and rehabilitation facility, but it also offers hospice services and care management tailored for each person. Residents get medication monitoring, care plans made just for them, safety checks, and support with daily needs like laundry and hygiene. Services like laboratory work, X-rays, intravenous therapy, respiratory therapy, physician visits, medication administration, and wound management take place here, plus post-surgical care, stroke recovery, cardiac and pulmonary support, and even tracheotomy care. The staff takes care of discharge planning, transition help, therapeutic nutrition, and personal care, offering everything from restorative nursing to telemedicine visits. There's always at least one staff member available at all hours of the day and night.

    People here can join activities like the Red Hat Society, Men's Club, bingo, and pet therapy, which help everyone stay active and social. Residents and their families can use the facility's website for features like advanced search, coupons, discounts, and browsing all care categories. Bel Air At Teravista's patient-centered approach fosters a sense of community and helps everyone try to reach their rehabilitation goals, with management personnel making sure things run smoothly, and with social, clinical, and ancillary support services covering just about any need.

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