Pricing ranges from
    $4,355 – 5,661/month

    Isle at Watercrest Dominion

    6906 Heuermann Rd, San Antonio, TX, 78256
    4.0 · 15 reviews
    • Assisted living
    AnonymousLoved one of resident
    1.0

    Clean appearance, but neglectful care

    I liked the clean facility, pretty grounds, good meals, and a few polite, compassionate staff, but my overall experience was poor. The place was understaffed (often no nurse at the station), phone calls went unanswered, care plans were ignored, and communication with family was terrible. Neglect led to a leg wound infection, lost personal items (sheets, hampers), and a rehab after a fall - I regretted moving her here. Corporate was difficult to work with closing the account and there was almost no follow-up after her death. We transferred her to another facility with excellent care; I strongly caution anyone researching memory care to look beyond the presentation and high monthly cost.

    Pricing

    $4,355+/moSemi-privateAssisted Living
    $5,226+/mo1 BedroomAssisted Living
    $5,661+/moStudioAssisted Living

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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

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement

    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

    4.00 · 15 reviews

    Overall rating

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

      2.5
    • Staff

      2.7
    • Meals

      4.0
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Attractive/pretty exterior
    • Clean facility
    • Good meals/dining
    • Friendly and courteous staff (reported by some reviewers)
    • Compassionate and excellent care from some staff members
    • Some residents experienced superior levels of care
    • Impressive community/assisted living environment

    Cons

    • Understaffed facility
    • Only one nurse on staff / nurse station frequently unmanned
    • Inconsistent and substandard care
    • Unresponsive during medical emergencies
    • Care plans not followed
    • Infections / wound care problems reported (leg wound infection)
    • Lost personal items and laundry problems
    • Poor communication with families
    • Misrepresentation during tours / marketing vs reality
    • High monthly cost not matched by consistent care
    • Difficulties closing accounts / billing issues with corporate
    • Lack of follow-up after a resident's death
    • Poor management and administrative responsiveness
    • Insufficient assistance for residents needing more help
    • Recommendations to research memory care cautiously

    Summary review

    Overall sentiment in these reviews is mixed and highly polarized, with a consistent pattern of strong positives about the facility’s physical environment and some staff members but repeated and serious negatives focused on staffing, care consistency, management, and communication. Multiple reviewers praised the appearance and cleanliness of the building, the quality of meals, and described particular caregivers as polite, courteous, compassionate, and capable of providing excellent or superior care. Those positive accounts emphasize that when the right staff are on duty the community can deliver a good resident experience and an impressive assisted living environment.

    However, a larger and recurring cluster of concerns centers on staffing levels and clinical oversight. Several reviewers report the facility is understaffed, with specific mentions of there being only one nurse on staff and the nurse station often unmanned. These staffing problems are tied directly to care failures: missed or marginal care, care plans not followed, insufficient assistance for residents who need more help, and reports of poor response during medical emergencies. Specific negative clinical outcomes cited include a leg wound infection attributed to inadequate care and a resident needing rehab after a fall. These accounts convey safety and quality-of-care risks that some families found severe enough to relocate their loved ones.

    Communication and administrative issues are another consistent theme. Reviewers described poor communication with families, difficulty getting the phone answered, and trouble closing accounts or resolving billing with the corporate office. There are also reports of misrepresentation during tours—suggesting that what prospective families were told did not match the reality after move-in—and a lack of follow-up after a resident’s death. Lost items (sheets, laundry hampers, disposal hampers) and laundry problems were mentioned as lower-level but persistent operational problems that compound family frustration.

    The contrast between glowing accounts ("amazing staff," "very impressed," "excellent care for my parents") and deeply negative reports (unresponsive in emergencies, substandard care, infections, and administrative obstacles) suggests inconsistency: care quality appears to vary substantially by shift or by which caregivers are assigned. Several reviews explicitly note that there are "some good staff," indicating pockets of high-quality caregiving within a system that reviewers otherwise criticize for poor management and staffing. Cost is another pain point—reviewers noted a high monthly price and felt that cost was not consistently justified by the level of care received.

    Taken together, these reviews point to a facility that can look and feel welcoming and can deliver very good care at times, but that suffers from systemic issues—primarily understaffing and administrative/management shortcomings—that lead to unreliable outcomes. Prospective residents and families should weigh the positive indicators (clean environment, good dining, compassionate staff members) against the reported risks (staff shortages, clinical lapses, poor communication, lost items, billing/closure difficulties). Reviewers specifically cautioned doing thorough research on the memory care offering and verifying staffing levels, emergency response protocols, care-plan adherence, and administrative responsiveness before making decisions. The overall pattern is one of variability: excellent experiences occur but are not consistently reproducible according to the reported reviews.

    Location

    Map showing location of Isle at Watercrest Dominion

    About Isle at Watercrest Dominion

    Isle at Watercrest Dominion sits at 6906 Heuermann Rd in San Antonio, pretty close to the highway for easy coming and going, and when you get there, things do feel safe and calm right from the start with well-kept grounds and really nice landscaping, folks living there mention how the scenic views can be a real treat, even calling them spectacular sometimes, and you'll find two pools on the property that the staff keeps clean, so when the weather's right, people can swim or relax in the hot tub if they want, plus there are both indoor and outdoor spots to sit, socialize, and enjoy a bit of fresh air. The whole place was built with seniors in mind, and even though it's tied to the Enclave at the Dominion apartments, the Isle itself has its own set of dedicated services and spaces, offering everything from independent living to memory care and assisted living, all in one large two-story building that's designed to look and feel like a boutique hotel, so a bit fancier than many expect, with bright sunlit rooms, hardwood floors, tall ceilings, wood-paneled doors, and classy window treatments-and the apartments include studios along with one- and two-bedroom options, plus there are balconies, granite countertops, stainless appliances, and even flat-screen TVs with basic cable, so things do stay comfortable and tidy.

    The staff gets good words for being helpful and friendly, always around to answer questions or give a hand, and there's 24/7 nursing on-site for peace of mind, plus the care teams adjust plans as people's needs change, which makes it easier to age in place without moving later. Folks can pick different levels of care-independent living for those who still want to handle most things but would rather skip chores, assisted living for help with bathing, dressing, medication, and other daily tasks, and specialized memory care for people who are dealing with Alzheimer's or dementia, with programs and safety measures set up to slow confusion and cut down on wandering. The building's got lots of space for gathering too, with a big living room, library and business center, dining area, activity rooms, and a proper media room for movies or special events, plus Wi-Fi and common areas for both indoors and outside so there's usually someone around to chat with or join for group activities.

    Chef-prepared meals are included every day, with an eye on nutrition and taste, and for those who like a little variety, residents can enjoy a coffee bistro and wine bar or have meals in the dining hall, and there's even a private dining space for small family gatherings. Residents don't need to worry about the traditional chores much since housekeeping, laundry, errands, and grocery runs are handled; transportation is also provided for medical appointments or shopping trips when needed. Social and entertainment activities are organized regularly, and onsite services include a beautician and barber for haircuts or grooming. For those who want spiritual support, devotional services are held offsite but arranged for residents, making it easier for those with faith needs. The community puts a big focus on keeping seniors active and socially connected, with group events, exercise programs, and spaces to read, watch TV, or simply relax and look out over the pretty views.

    While some apartments are offered for blind rentals-meaning you can lease without a tour first-many appreciate how the place doesn't feel cookie-cutter, with each part of the community designed to suit different lifestyles. People looking for a less traditional senior living place but who still want strong support often mention Isle at Watercrest Dominion for its tailored approach, helpful caregivers, and the way it feels more like a welcoming home than an institution.

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