Heritage Nursing & Rehabilitation

    5437 Eisenhauer Rd, San Antonio, TX 78218
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Highly satisfied with mother's care

    I'm pleased with my mother's stay at Heritage. The facility is extremely clean and well maintained, staff are friendly, attentive and knowledgeable, and care is organized and professional. Therapists, nurses and CNAs were responsive, meals and activities kept her engaged, and I felt confident in the safety and monitoring. I would recommend Heritage.

    Loved one of resident
    Jul 2026

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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

    Reviews

    4.41·(193)

    Overall rating

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

      4.1
    • Staff

      4.2
    • Meals

      2.4
    • Amenities

      3.4
    • Value

      1.0

    Pros

    • Compassionate, attentive CNAs
    • Skilled and effective physical/occupational therapy
    • Dedicated wound-care and nursing specialists
    • Friendly and welcoming reception staff
    • Clean, well-maintained common areas
    • Engaging activities and social programming
    • On-site salon and grooming services
    • Secure, home-like environment
    • Successful rehabilitation outcomes for some residents
    • Informative care planning and case management
    • Timely medication administration (reported by some families)
    • Volunteer engagement and family-inclusive events

    Cons

    • Inconsistent staffing levels and weekend coverage
    • Variable adherence to scheduled therapy and care routines
    • Weak medication-administration and reconciliation controls
    • Poor discharge coordination and transition planning
    • Inconsistent hygiene and incontinence-care practices
    • Cleanliness and odor concerns in select areas
    • Maintenance and equipment deficiencies (furniture, mattresses, fixtures)
    • Inconsistent food quality and portioning
    • Front-desk and nurse-station responsiveness gaps
    • Privacy and resident-dignity lapses
    • Billing and property-handling irregularities, including alleged theft
    • Management communication and accountability inconsistencies

    Summary of reviews

    The reviews of Heritage Nursing & Rehabilitation present a highly polarized picture: a substantial number of families and visitors describe warm, competent, and attentive care—especially from CNAs, certain nurses, and the rehabilitation staff—while a significant subset report operational problems that materially affected care and transitions. Positive accounts emphasize successful therapy outcomes, strong interpersonal attention from specific staff members, active social programming, and generally clean, welcoming common areas. These reviews indicate that the facility can deliver effective short-term rehabilitation and day-to-day personal care for many residents.

    Care quality shows marked variability. Many reviews praise rehabilitation therapists for measurable progress and for providing clear explanations about outpatient PT and Medicare, and wound-care nurses and some RNs received specific commendations for detailed, patient-centered attention. Conversely, other reviewers described inconsistent basic-care delivery: missed or delayed assistance with activities of daily living, gaps in bathing/linen support, and periods when residents waited extended times for help. Medication management and discharge coordination emerge as recurring operational weaknesses—examples include delayed or withheld medications, misallocated medications or equipment, and insufficient nursing communication at discharge—leading in some cases to hospital readmission or abrupt family-initiated transitions.

    Staffing and team dynamics appear uneven across shifts. Several reviewers named individual staff members and managers as highly dedicated and empathetic, and many families reported prompt call-light responses and attentive CNAs. At the same time, multiple comments cite staff shortages (notably on weekends), poor shift-to-shift communication, and supervisors who did not always follow up on concerns. This variability creates a split experience where the same facility can seem well-run at times and poorly coordinated at others.

    Dining and activities are likewise mixed. Positive feedback highlights fresh ingredients, homemade soups, enjoyable events, and opportunities for socializing and friendship-building; an on-site salon and volunteer involvement were noted as valuable quality-of-life features. Counterbalancing this are reports of inconsistent meal quality, small portions, and occasional reductions in food standards after staff or cook changes.

    Facility condition and operations present both strengths and weaknesses. Many reviewers find the building clean, recently remodeled in places, and secure, with comfortable common areas and a home-like ambiance. Other comments describe localized maintenance shortfalls: worn or stained furniture, malfunctioning closet/wardrobe doors, mattress comfort issues, and sanitation or odor concerns in some dining and common areas. Equipment mix-ups (incorrect wheelchairs, missing belongings) and clogged facilities were also raised as operational problems by some families.

    Management, communication, and administrative practices are a notable area of concern. Several reviewers cited slow or ineffective responses from front-desk and administrative staff, inconsistent follow-through from management, billing disputes, and property-handling issues; there are even allegations of theft and medication misallocation in isolated accounts. These problems exacerbate clinical concerns when families must intervene to secure timely care or arrange safe discharges. At the same time, other families praised specific administrators and unit managers for clear care plans and strong oversight.

    Overall pattern: the facility demonstrates capacity to provide high-quality, rehabilitative, and person-centered care under the right staffing and leadership circumstances, but there is meaningful inconsistency in how that care is delivered. Prospective residents and families may want to verify current staffing levels (especially on weekends), review medication-reconciliation and discharge protocols, inspect the assigned room and equipment, and ask about housekeeping and maintenance practices during a tour. The polarized nature of the reviews suggests that experiences depend heavily on shift staffing, individual staff assignments, and the immediacy of management follow-up.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Heritage Nursing & Rehabilitation

    Heritage Nursing & Rehabilitation is located at 5437 Eisenhauer Rd, San Antonio, TX, 78218.

    About Heritage Nursing & Rehabilitation

    Heritage Nursing & Rehabilitation (In-House Dialysis) in San Antonio, Texas, provides a range of care, including assisted living, memory care, and skilled nursing. The staff focuses on a person-centered environment, valuing each person's dignity and well-being while supporting medical, emotional, social, and spiritual needs with a holistic approach. Residents get comprehensive medical attention, with experienced staff offering memory support for dementia, help with daily tasks, and post-surgical recovery care, and there's continuous supervision for those needing dialysis-all provided right inside the community through a partnership with Carmen HEALTH, so people don't have to leave for treatment, which can be helpful for those with limited mobility or frequent appointments. The facility supports discharge planning, has transport services for medical appointments and outings, and even has a community-operated shuttle. Rooms are large, with options for private or semi-private, and the building includes private dining and living areas, outdoor courtyards, covered patios, and safety features like handrails and sprinklers. Amenities include an on-site salon, Wi-Fi throughout, cable TV, kitchens and kitchenettes, a dining room, fitness center, activity rooms, guest parking, and washer and dryer access. A full-time activity director plans art classes, music, gardening, and entertainment, and residents can take part in rehabilitation therapies, occupational therapy, wound care, podiatry, and medication support. Memory support programs help those with cognitive challenges, and the facility offers respite care and short-term recovery stays too. Heritage Nursing & Rehabilitation holds several accreditations and awards for excellent care and high standards. The team works closely with residents and their families to create personalized care plans, always putting the needs of the individual first.

    People often ask...

    Heritage Nursing & Rehabilitation offers assisted living, memory care, and skilled nursing.

    There are 4 photos of Heritage Nursing & Rehabilitation on Mirador.

    The full address for this community is 5437 Eisenhauer Rd, San Antonio, TX 78218.

    No, Heritage Nursing & Rehabilitation 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.

    Disclaimer

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

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