Pricing ranges from
    $3,115 – 3,738/month

    Heart to Heart Assisted Living

    12119 San Miguel, San Antonio, TX 78233
    • Assisted Living
    • Memory Care

    Caring dependable staff, homelike meals

    I placed my dad in this small, family-run Level B home and I'm very pleased. The caring, dependable staff and LVN director provide attentive one-on-one care and frequent updates, meals are home-cooked and delicious, and weekly activities, outings and hairdressing are included. It's clean, comfortable, reasonably priced (semi-private $2,500; private $3,000) and gave us real peace of mind - I would recommend it to families.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    3.34·(32)

    Overall rating

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

      2.6
    • Staff

      3.0
    • Meals

      2.5
    • Amenities

      3.3
    • Value

      2.8

    Pros

    • Caring and compassionate staff
    • Attentive night-shift caregivers
    • Owner and small-team involvement
    • Home-like, small-community atmosphere
    • Home-cooked meal options available
    • Open family visitation policy
    • Regular family updates and communication
    • Onsite services (hairdressing, outings, music)
    • Reasonable and transparent pricing tiers
    • Clean, well-maintained interior areas

    Cons

    • Inconsistent staffing levels and coverage
    • Misrepresentation of staff qualifications and clinical oversight
    • Variable care quality across different shifts
    • Staff conduct and responsiveness
    • Unreliable meal quality and diet management
    • Inconsistent delivery of activities and engagement
    • Sanitation and housekeeping inconsistencies
    • Billing, deposit, and refund handling problems
    • Limited safe enclosed outdoor space
    • Gaps in end-of-life communication and follow-up

    Summary of reviews

    Heart to Heart Assisted Living presents as a small, home-style residential facility with clear strengths and notable operational variability. Families consistently reference a warm, family-oriented atmosphere, frequent communication from staff, and direct owner involvement. Several accounts emphasize attentive night-shift caregivers, individualized one-on-one time, and the availability of onsite services such as hairdressing, music, and occasional outings. For some residents the dining experience is described positively, with home-cooked meals and pleasant presentation, and the facility is praised for reasonable pricing and a clean interior environment.

    Care quality appears mixed. While many families report compassionate and attentive caregivers and satisfactory management by an LVN director, other accounts raise concerns about inconsistent staffing levels, particularly at night, and variability in caregiver skill and conduct. Reviews indicate that clinical oversight and the level of trained personnel on duty do not always match expectations; examples include use of non-CNA staff in care roles and differences in how shifts deliver personal care. These inconsistencies translate into uneven experiences: some residents adjust well and receive attentive support, while others and their families report delays in assistance, rough handling perceptions, or communication-tone concerns from specific staff members.

    Dining and clinical-diet management are areas of divergence. Several families describe enjoyable, home-cooked meals, while others report reliance on prepackaged items and issues with meal appropriateness for clinical needs (for example, diabetic dietary management). The facility’s meal-service continuity and responsiveness to special diets appear inconsistent across stays. Prospective residents should ask about menu planning, special-diet accommodations, and observe mealtimes when possible.

    Social programming and engagement also vary. The home’s small size allows for intimate, familiar activities such as music sessions and outings for some residents, but other families describe limited structured activities and long periods of passive television viewing. Activity frequency and resident participation seem dependent on staffing levels and staff initiative; this leads to uneven social engagement for residents with differing needs.

    Facility and management matters warrant careful review. The site is described as small and homelike, but lacks an enclosed outdoor area in some spaces, which may limit safe outdoor activity. Cleanliness assessments are mixed; while many note a tidy, pleasant interior, a subset of reports raise sanitation and housekeeping inconsistencies. Administrative issues include concerns around upfront deposits, refund delays, and clarity of billing; families recommend reviewing contracts and refund policies closely. There are also recurring concerns about how the home communicates and follows up after critical events, including end-of-life situations.

    Overall, Heart to Heart may suit families seeking a small, community-focused setting with visible owner involvement and the potential for very attentive care. However, the facility shows variability in staffing, clinical oversight, meal consistency, and activity delivery that can materially affect a resident’s experience. Prospective families should conduct in-person visits across multiple shifts, confirm staff qualifications and nurse oversight, review sample menus and activity schedules, and clarify financial and refund policies before admission.

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    Location

    Map showing location of Heart to Heart Assisted Living

    Heart to Heart Assisted Living is located at 12119 San Miguel, San Antonio, TX, 78233.

    About Heart to Heart Assisted Living

    Heart to Heart Assisted Living sits at 12119 San Miguel St in San Antonio, Texas, and the place has a cozy, family feel where seniors can get the help they need in a calm setting. Heart to Heart provides care for up to 12 or 16 residents, depending on license, so you'll notice it's not as large as other facilities, which makes it quieter and often easier to get to know people, and the staff can help more quickly when someone needs something. You'll find a dining room with a fireplace, private apartments with baths, a book room, community spaces, walking paths, a lovely front porch, and a garden that's nice to use when the weather's good-lots of spots indoors and out where people can sit together or alone.

    Residents get three home-cooked meals every day and the staff can handle meal plans for diabetes, high blood pressure, allergies, or other health needs if you let them know. There's help with bathing, dressing, getting around, using the bathroom, grooming, and eating, plus staff will give reminders about medicine and make sure medicine is taken as the doctor says. Heart to Heart assists with getting to doctor's appointments, errands, or religious activities, and there's transportation for shopping and local outings too. The staff, which includes nurses, is on hand 24 hours, and can also help coordinate with doctors, podiatrists, and offer physical, occupational, and speech therapy.

    For folks needing memory care, like people with Alzheimer's or dementia, the team offers special programs and activities that work to keep minds active, and there's a safe environment with wheelchair accessible showers and emergency alert systems. The staff provides hospice care, respite care, independent living, and even adult day services, so there's a spot for seniors who want to stay for just a little while or for the long term, and they welcome both men and women.

    The activity schedule offers plenty-movie nights, music programs, board games, game areas, social events, and exercise classes, along with music therapy and pet therapy. People can join group activities or spend quiet time in the spa, wellness room, or reading in the book room, and the facility makes sure there's something to do both onsite and offsite. Residents can bring their pets, use private parking, and have furnished rooms if needed, with phones in the rooms for staying in touch with friends or family.

    Laundry, housekeeping, and move-in help are available, and staff speak English. The facility is wheelchair friendly and keeps a high staff-to-resident ratio, so there's always someone to help. Heart to Heart Assisted Living holds a Texas license and provides elderly care, placement, private care, and nursing support in a home with updated décor and an open, airy feel, so folks can feel safe and comfortable while keeping their independence as much as possible. More information is online at www.heart2heartassistedliving.com.

    People often ask...

    Heart to Heart Assisted Living offers competitive pricing, with rates starting at a cost of $3,115 per month.

    Heart to Heart Assisted Living offers assisted living, memory care, and board and care.

    There are 1 photos of Heart to Heart Assisted Living on Mirador.

    The full address for this community is 12119 San Miguel, San Antonio, TX 78233.

    No, Heart to Heart Assisted Living does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RqhprAAB
    StatusActive
    Facility typeAssisted Living Facility (type B)
    License classLicensed
    Capacity12 residents
    LicenseeHEART TO HEART RESIDENTIAL CARE HOME LLC
    Care servedType B
    View the official license record

    Inspection Reports

    1

    Reports

    8

    Citations

    0

    Complaints

    7

    Years

    14 Jun 2019Life Safety
    Identified multiple life safety deficiencies related to building compliance, sprinkler systems, hazards, and maintenance. Findings described failures to meet several safety and fire protection requirements.
    • Life Safty Code
    • Life Safty Code
    • Life Safty Code
    • Life Safty Code
    • Life Safty Code
    • Life Safty Code
    • Life Safty Code
    • Life Safty Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Heart to Heart Assisted Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact Heart to Heart Assisted Living directly. There is no cost for this service. We are compensated by the community you select.

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