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

    Heart to Heart Assisted Living

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

    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

    3.44·(34)

    Overall rating

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

      2.9
    • Staff

      3.2
    • Meals

      2.5
    • Amenities

      3.6
    • Value

      2.8

    Pros

    • Caring, family-oriented staff and owners
    • Small, homelike atmosphere
    • Home-cooked meals available
    • Attentive and reliable night-shift staff
    • Frequent family communication and updates
    • Included personal services (hairdressing)
    • Affordable and transparent baseline pricing
    • Clean, well-maintained interior areas
    • Small resident community enabling continuity
    • Open-door policy and 24-hour family access

    Cons

    • Inconsistent staffing levels and night coverage
    • Misrepresentation of staff qualifications and roles
    • Inconsistent food quality and meal-service practices
    • Limited or inconsistently delivered activities and engagement
    • Staff conduct and communication tone
    • Inadequate individualized care and nutritional management
    • Gaps in transfer- and handling-safety practices
    • Inconsistent cleanliness and sanitation standards
    • Billing and refund-process delays and disputes
    • Limited secure/enclosed outdoor space
    • Inconsistent family communication and bereavement follow-up

    Summary of reviews

    Reviews for Heart to Heart Assisted Living present a mixed picture with clear patterns of both strengths and operational weaknesses. Many families emphasize a small, homelike environment and direct owner involvement; several describe staff who are caring and family-oriented, frequent communication from the facility, included services such as hairdressing, and an attentive night shift. For some residents the facility provided comfortable, stable long-term placement and home-cooked meals that were enjoyed.

    Care quality appears variable. Positive comments highlight attentive caregivers and continuity of staff that supported comfortable end-of-life months for some residents. Conversely, other accounts indicate inconsistent individualized care—examples include problems with nutritional management for residents with special needs and delays in attending to toileting needs. Several comments raise concerns about clinical skill gaps (transfer/handling techniques) and the use of nonclinical staff to perform caregiving tasks. These patterns suggest families should confirm care plans, staff training, and handling procedures before placement.

    Staffing and management show both advantages and weaknesses. Owner involvement and a family-style approach are cited as strengths, along with regular updates to relatives. However, reviewers also described discrepancies between advertised staffing/credentials and the actual roles on site, with night coverage and qualification mismatches noted. There are also multiple comments about staff communication tone and conduct that indicate variability in interpersonal responsiveness. Financial practices were another recurrent theme: the facility charges upfront deposits and fees, and some families experienced delays or disputes around refunds and billing after discharge.

    Dining and activities are inconsistent across accounts. Several families praised home-cooked meals and enjoyable dining, but others described mostly prepackaged or low-quality prepared food. Activity programming is similarly mixed: some reviewers described weekly activities, music, outings and engaged staff interaction; others said residents were largely inactive and spent much of the day watching television. Prospective families should verify current activity schedules and sample menus when evaluating fit.

    Facilities are generally described as small and warmly decorated, which supports the homelike character many families appreciate. At the same time, there are notes about sanitation inconsistencies and limited secure outdoor or enclosed yard space, which may matter for residents who need outdoor access or increased supervision. The community size is a strength for individualized attention but may limit the scope of programming and clinical resources on site.

    Notable patterns to consider when assessing this provider: confirm actual staff credentials and night coverage, review written individualized care and nutrition plans (especially for diabetes or swallowing concerns), inspect cleaning and outdoor-safety arrangements, and examine the contract terms for deposits and refund timelines. Visiting at different times of day, asking for references from current families, and clarifying how the facility handles end-of-life communication and bereavement follow-up will help families determine whether this setting is an appropriate match for their loved one.

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    Location

    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 2 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

    2

    Reports

    18

    Citations

    0

    Complaints

    7

    Years

    30 Dec 2025Life Safety
    Identified multiple life-safety deficiencies related to fire protection systems, emergency preparedness, and building condition. Violations were cited.
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    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.
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    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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