Pricing ranges from
    $3,582 – 4,298/month

    Camino Real (Brookdale)

    4415 Rio D'Oro, San Antonio, TX, 78233
    3.7 · 72 reviews
    • Assisted living
    AnonymousLoved one of resident
    3.0

    Caring staff, mixed cleanliness concerns

    I toured this place and left with mixed feelings. The staff were the standout - friendly, attentive, professional, and genuinely caring; residents seemed engaged with lots of activities, good meals, large rooms, onsite dining and conveniences, and reasonable pricing. However, maintenance and sanitation are inconsistent across reports: some areas are clean and recently updated while others show stains, smells, pests (roaches/bed bugs), housekeeping lapses, and even serious safety/management issues-so check recent inspection and complaint history. Overall I liked the people and programs, but I would verify cleanliness, safety compliance, and medication management before committing.

    Pricing

    $3,582+/moSemi-privateAssisted Living
    $4,298+/mo1 BedroomAssisted Living

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • 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

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    3.68 · 72 reviews

    Overall rating

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

      3.9
    • Staff

      3.8
    • Meals

      4.1
    • Amenities

      3.5
    • Value

      3.1

    Pros

    • Caring and responsive executive director/management (in many reports)
    • Friendly, personable and attentive staff who ‘go the extra mile’
    • Clean and well-maintained areas reported by many reviewers
    • Spacious rooms and varied suite options (large rooms, walk-in showers)
    • In-room conveniences (mini-fridges, microwaves, kitchenettes)
    • On-site dining and alternatives on the menu
    • Good transportation access and scheduled rides to stores
    • Abundant activities and programming (garden, art, games, outings)
    • Engaging dining-room atmosphere and staff attention to meals
    • On-site laundry and convenient common areas
    • Homey, family-like atmosphere reported by multiple residents
    • Reasonable pricing and perceived good value by some families
    • Helpful and informative tour guides/admissions staff
    • Weekend staff service available though limited
    • Amenity upgrades and remodeling noted in parts of the building
    • Positive experiences with processing/admissions and orientation
    • Safe and secure environment according to several reviews
    • Many long-term satisfied residents and high praise from families
    • Staff quick to respond to questions and resident needs
    • Regular activities calendar and spaces for movie-watching and socializing

    Cons

    • Inconsistent or poor nursing/clinical care and technical skills
    • Medication mismanagement and poor nurse responsiveness
    • Attitude issues and unresponsiveness among some staff
    • Reports of management dishonesty and false promises
    • Serious sanitation and pest problems (bed bugs, roaches)
    • Facility shutdowns and regulatory noncompliance (elevator, alarms)
    • Rundown areas and inconsistent cleanliness (stained hallways, urine smell)
    • Food quality complaints (watery or powdered eggs, frozen-meal feel)
    • Residents skipping meals or forced to buy food off-site
    • Low staffing levels and poor staff retention / shortages
    • Single/shared bathrooms for some rooms and limited supervision
    • Limited or no dementia care; independence required for admission
    • Inconsistent communication and lack of initiative resolving concerns
    • Reports of rooms smelling, carpets stained, and infrequent bathroom cleaning
    • Some areas unfinished or delayed remodeling work
    • Safety concerns for residents during mismanagement or shutdowns
    • Mixed leadership performance — hands-on administrators vs problematic owners
    • Poor first impressions for some visitors (smell, unprofessional appearance)
    • Occasional limited weekend staffing impacting services
    • Reports of poor medical recordkeeping (no recorded doctor visits)

    Summary review

    Overall impression: Reviews for Camino Real (Brookdale) are highly mixed, with strong, repeated praise for frontline staff, social programming and certain physical amenities, but also serious, recurring and sometimes severe concerns about clinical care, sanitation, management transparency, and regulatory compliance. Many residents and families report a warm, home-like environment with attentive caregivers, varied activities, and spacious rooms; yet a significant number of reviewers report the opposite experience: rundown spaces, pest infestations, medication errors, mismanaged closures, and dishonest communications from leadership. The aggregate sentiment therefore ranges from “best facility” and “would recommend” to “avoid” and “moved out,” indicating inconsistent quality and variability over time or by unit/staffing shift.

    Staff and caregiving: One of the most frequently cited positive themes is the caring, kind, and personable nature of many staff members—nurses, aides, dining staff, and administrators receive multiple accolades for being attentive, friendly, and willing to go the extra mile. Several reviewers specifically highlight a responsive executive director or hands-on administrator who engages with residents and families. However, these positive accounts are counterbalanced by numerous reports of nursing management lacking technical skills, poor nurse responsiveness, attitude problems among some nursing staff, and examples of unhelpful or unprofessional behavior. Specific clinical concerns include alleged medication mismanagement, a “medicine-only” staff floor with limited oversight, and reports of no recorded doctor visits for some residents. This split suggests that clinical quality is inconsistent: families may receive excellent person-centered support from some employees but simultaneously worry about staff competence and medical oversight.

    Facility condition, safety and sanitation: Physical conditions described in reviews are sharply polarized. Multiple reviewers praise a clean, well-maintained facility with large rooms, updated front-of-building remodeling, in-room conveniences (mini-fridges, microwaves), and pleasant common areas. Conversely, several accounts describe serious sanitation and infrastructure problems: roach infestations, widespread bed bugs (including alleged cover-ups), hallways stained, rooms smelling of urine, carpets stained or smelling, and bathrooms cleaned only weekly in some cases. There are also alarming reports of regulatory noncompliance and safety failures—an out-of-compliance elevator, emergency exit alarm disarming, and a building shutdown by authorities—with claims that management lied about reopening and that some residents were left stranded. These issues raise critical safety and infection-control concerns and point to inconsistent facility oversight and maintenance.

    Dining and meals: Dining experiences are another clear point of divergence in the reviews. Numerous residents and families praise the food—described as great tasting, well-prepared, and a highlight of the community—while others report poor quality meals that seem frozen, with specific complaints about watery or powdered eggs and little variation between lunch and dinner. Some families report that residents eat very little at the facility and must buy food outside, while others praise attentive dining staff who adapt meals and engage residents. This split suggests inconsistent culinary quality or variability between dining staff and meal preparation across shifts or time periods.

    Activities, social life and suitability: A consistent positive theme is robust programming: creative activity directors, art and garden programs, games, outings, and a lively dining-room social environment. Many residents report feeling at home, making friends, and enjoying abundant activities. At the same time, the community’s eligibility criteria and level of care are clear limitations for some prospective residents: the facility appears designed primarily for more independent seniors (self-feeding, ambulatory, and independence in personal care) and explicitly cannot accommodate dementia care, which excludes a significant segment of the senior population seeking assisted living.

    Management, communication and operations: Multiple reviewers commend responsive management and staff who handle admissions and follow-up well. Yet there are repeated and serious allegations about owners/administrators mistreating residents, mismanaging medications, attempting to cover up pest issues, and making false promises about reopening after closures. Staffing problems emerge as a recurring operational issue—low weekend staffing, delays in cleaning and laundry, staff quitting, and poor staff retention. These operational weaknesses appear to correlate with negative reports about care, cleanliness and resident safety. Families repeatedly mention inconsistent communication and lack of initiative when concerns are raised, causing some to consider or enact moves to other facilities.

    Patterns and recommendations: The reviews reveal a pattern of high variability: when staff and management teams are engaged and adequately resourced, residents report excellent care, strong social engagement, good food, and comfortable rooms. When there are lapses in management, staffing, or maintenance, the problems are severe—pest infestations, safety violations, medication issues and regulatory closures. Key red flags for prospective families include the pest reports (bed bugs and roaches), documented regulatory problems (elevator noncompliance, disabled alarms), documented shutdowns and allegations of dishonesty from management, and inconsistent clinical oversight. Positive signals to weigh are numerous testimonials about loving, dedicated caregivers, active programming, large rooms and reasonable pricing.

    Bottom line: Camino Real (Brookdale) appears to be a community with genuine strengths—committed caring staff, strong social programming, convenient amenities and comfortable suites—but also with substantial, documented weaknesses that have directly impacted resident safety and well-being for some families. Prospective residents and families should: (1) ask specific, recent questions about pest-control practices and inspection records; (2) verify regulatory and compliance status and any history of closures; (3) inquire about nursing coverage, medication management protocols, and how clinical concerns are escalated; (4) request to see multiple rooms and common areas during different times of day to check for cleanliness and odors; and (5) speak directly to current residents and families about consistency of food quality and staffing. Given the highly mixed reviews, a careful, up-to-date on-site assessment and direct verification of clinical and regulatory information are strongly advised before making a placement decision.

    Location

    Map showing location of Camino Real (Brookdale)

    About Camino Real (Brookdale)

    Camino Real (Brookdale) is a senior living community that offers many kinds of care for older adults, including Independent Living, Assisted Living, Memory Care, Skilled Nursing, Continuing Care Retirement Community services, Home Health Care, Hospice Care, and Adult Day Services. Residents can choose from studios, one-bedroom, and two-bedroom apartments, with room sizes from 400 to 800 square feet, all with private baths, large windows, walk-in closets, and options for balconies or patios, and there are accessible units for wheelchairs too. The facility has both kitchenette and full kitchen options, cable TV, Wi-Fi, and individual climate controls, and the rooms feel home-like with cheerful staff that help each day without taking away anybody's independence.

    The community serves three restaurant-style meals daily, with chef's choice options and dietary care for diabetes, low salt, or other special diets, and residents have meal plans, snacks, and guest meals available plus guest parking for visitors. Camino Real lets people keep small pets and has no smoking in any of the indoor areas. Onsite, there are spaces for meditation, worship, clubs, activities, arts and crafts, a library, billiards, a game room, and a fitness center, along with beauty and barber services, so there's always something to do or somewhere to sit and talk to friends. Outdoor spaces include a courtyard, gardens, common patios, and walking paths which are easy to reach, even with mobility challenges since the entire building is wheelchair accessible, has elevators, and sliding glass doors to outdoor areas.

    Staff at Camino Real help with daily needs like bathing, dressing, medication reminders and management, grooming, hygiene, toileting, and urinary incontinence care, and they are trained in many areas like aging, behavior management, heart health, chronic illnesses, and disability care, with consistent medication checks and emergency systems in every room for safety and peace of mind. The community offers extra help for people with memory loss, including Alzheimer's and dementia, and has specialized programs and spaces to keep residents safe and engaged. Nurses and aides are on hand for health support, immunizations, therapy, rehabilitation, hospice services, and regular health checks, and there's wheelchair transportation for appointments and shopping trips as well.

    Housekeeping, laundry, mail delivery, maintenance, pest control, and trash removal are all included, so residents don't have to worry about chores, and there are guest suites for visiting family. There's a busy calendar of events and social opportunities, but there have been some challenges with keeping up with activities for everyone, though efforts continue to offer outings, happy hours, group fitness classes, music, gardening, social clubs, and educational talks. The community supports people in both English and Spanish, with large dining rooms, lounge spaces, and meeting rooms open for group gatherings, plus devotional services available onsite. Camino Real has a community score of 9.8 and provides options to pay for care with check, credit card, long-term care insurance, private funds, and through Veterans Aid benefits. The goal is to offer private, respectful living with just the right care for each person, letting people stay active, social, and safe in a comfortable place with helpful staff who care about every resident.

    About Brookdale

    Camino Real (Brookdale) is managed by Brookdale.

    Brookdale Senior Living Inc. (NYSE: BKD) is the largest senior living operator in the United States, managing over 640 communities with capacity for approximately 59,000 residents across 41 states and employing around 36,000 associates. Founded in 1978 and publicly traded since 2005, Brookdale solidified its market leadership through major acquisitions including American Retirement Corporation (2006) and Emeritus Senior Living (2014), making it the only national full-spectrum senior living company. Headquartered in Nashville, Tennessee, Brookdale has topped the American Seniors Housing Association's ASHA 50 list and Argentum's largest providers list for multiple consecutive years.

    The company's comprehensive care continuum includes independent living, assisted living, memory care, skilled nursing, and continuing care retirement communities (CCRCs). Brookdale's signature Clare Bridge program, developed over 30 years ago by dementia-care experts, provides specialized Alzheimer's and dementia care through two distinct levels: Clare Bridge communities for comprehensive memory support and the Clare Bridge Solace program for advanced-stage dementia residents. The program is recognized by the Alzheimer's Association® for incorporating evidence-based Dementia Care Practice Recommendations and features secure environments, enclosed courtyards, Daily Path programming with six structured activities daily, and the InTouch technology platform offering personalized brain-stimulating games and therapeutic content.

    Brookdale's holistic Optimum Life® wellness approach balances six dimensions—Purposeful, Physical, Emotional, Social, Spiritual, and Intellectual—implemented through signature programs including B-Fit (eight exercise class options), Brain Fit (mental fitness workouts), My Life Story (resident storytelling), EngagementPlus (interest-based connections), Growing Together (collaborative learning), and The Ageless Spirit (kindness and gratitude practices). The Embrace Family Partnership provides caregiver education and support for families of memory care residents.

    The company's Brookdale HealthPlus® care coordination model, winner of the 2024 Argentum Best of the Best Award placing it among the top 1% of operators, is a technology-enabled healthcare service featuring dedicated RN Care Managers who proactively manage residents' health, coordinate care transitions, and help prevent avoidable hospitalizations. Communities using HealthPlus report 78% fewer urgent care visits, 36% fewer hospitalizations, and 63% more completed annual wellness visits. The Personal Solutions program delivers hygiene products, medications, and daily necessities directly to residents' doors with discreet packaging and monthly billing convenience.

    Following a strategic divestiture of its home health and hospice operations to HCA Healthcare (completed December 2023), Brookdale now focuses exclusively on senior living operations while maintaining its position as the industry's largest operator, committed to its mission of enriching lives with compassion, respect, excellence, and integrity.

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