Mesa Vista Health Center

    5756 N Knoll, San Antonio, TX 78240
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Warm, clean, compassionate dementia care

    I'm very pleased with Mesa Vista. The facility is beautiful, impeccably maintained and easy to find; their Memory Care and Rehab-to-Home programs are strong. Staff-especially Kristina, Liz (admissions), Adelina (business office) and CNA Jessica-were compassionate, responsive and went above and beyond, keeping us informed. Clean, warm, activity-filled and family-oriented; I highly recommend Mesa Vista for quality dementia and long-term care.

    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

    3.96·(110)

    Overall rating

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

      3.2
    • Staff

      3.5
    • Meals

      2.8
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Elegant, well-maintained interior
    • Clean, fresh-smelling environment
    • Private rooms with en-suite half-baths
    • Spacious, well-equipped rehabilitation gym
    • Effective short-term Rehab-to-Home outcomes
    • Compassionate and attentive nursing and CNA staff
    • Responsive admissions and business office teams
    • 24/7 staff availability in many instances
    • Engaged activities program and beauty/barber services
    • Pleasant, elegant dining area
    • Accommodations for special diets
    • Daily laundry service
    • Comfortable common areas with garden views
    • Resident-focused memory care programming
    • Accepts Medicare and Medicaid
    • Helpful social-work and case-management support
    • Clean grounds and exterior maintenance
    • Family-oriented, welcoming atmosphere

    Cons

    • Inconsistent staffing levels and high turnover
    • Delayed response to call bells and care requests
    • Medication-administration and documentation gaps
    • Inconsistent personal-care and bathing schedules
    • Gaps in supervision for residents with cognitive impairment
    • Inconsistent meal quality and meal-temperature control
    • Inadequate incident communication with families
    • Allegations of theft and missing personal property
    • Administrative communication and accountability problems
    • Inconsistent delivery of therapy services and scheduling
    • Surface-level cleanliness with occasional sanitation concerns
    • Perceived emphasis on cash-pay admissions over clinical priorities

    Summary of reviews

    Mesa Vista Health Center elicits strongly mixed impressions across reviewers. Many families and residents praise the facility’s physical environment: an elegant, well-kept interior, pleasant common areas with garden views, private rooms with half-baths, and a sizable rehabilitation gym. The campus supports a range of services (short-term Rehab-to-Home, memory-care programming) and accepts Medicare and Medicaid. Admissions and business-office staff receive repeated positive mention for being helpful and responsive, and several accounts describe compassionate, attentive CNAs and nurses who contribute to a welcoming, family-oriented atmosphere.

    Clinical care quality appears variable. Positive experiences highlight effective short-term rehabilitation outcomes and attentive hands-on caregiving that supported stabilization and recovery. At the same time, reviewers describe operational weaknesses that affect clinical reliability: inconsistent staffing levels and turnover, delayed responses to call bells and care requests, and gaps in medication administration and documentation. These issues have translated, in some accounts, into missed or inconsistent personal-care tasks (for example, missed bathing or incontinence-care delays) and concerns about transfer-safety practices and fall prevention.

    Dining and activities are similarly mixed. The facility is credited for an elegant dining room, ability to accommodate special diets, daily laundry service, and a variety of engagement options including beauty/barber services and group programs. Families who experienced the activities staff noted meaningful efforts to involve residents. Conversely, several families described inconsistent meal quality, repetition of menu items, cold food at night, and cancellations or limited variety in the activities schedule, indicating uneven execution of these programs.

    Facility condition and safety carry both strengths and concerns. Many reviewers appreciate clean grounds, well-maintained public spaces, and a generally pleasant odor and appearance. However, others note sanitation concerns in specific areas and surface-level cleaning that may not address deeper hygiene or monitoring needs. There are also serious allegations raised about missing personal items and theft, and some reports of camera/monitoring issues and obstructed views—matters that affect resident security and transparency.

    Management and communication emerge as a prominent pattern of concern. While some families commend individual leaders and the admissions/business office for clear, compassionate interactions, others describe inconsistent administrative responsiveness, paperwork and Medicaid-processing errors, confrontational staff interactions, and frustration with how clinical incidents are communicated to families. A small number of reviews reference punitive responses to family advocacy and concerns about prioritization of cash-pay admissions over clinical decision-making, which can undermine trust.

    What stands out overall is a divide between areas of clear strength (facility upkeep, certain therapy and admissions teams, and many dedicated caregivers) and recurring operational gaps that affect reliability (staffing consistency, responsiveness, medication controls, and administrative communication). Prospective residents and families should weigh the facility’s physical environment and specific program strengths against the patterns of inconsistency noted above. If considering placement, recommended steps include: confirm staffing ratios and turnover rates for the unit in question; clarify therapy schedules and documentation practices; verify procedures for personal-item security and incident reporting; and document admission and Medicaid paperwork interactions in writing so follow-up is straightforward.

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    Medicare Ratings

    2·/ 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 Mesa Vista Health Center

    Mesa Vista Health Center is located at 5756 N Knoll, San Antonio, TX, 78240.

    About Mesa Vista Health Center

    Mesa Vista Health Center sits in San Antonio, TX and offers skilled nursing care, assisted living, and memory care for seniors, and the building can hold up to 144 residents, although, on average, about half the rooms are filled, so it's not crowded most days, and it's known for having a wide range of care including in-house dialysis, vent care, podiatry, optometry, dentistry, diagnostics, wound care, diabetes management, help for cardiac and stroke conditions, and even surgery recovery, and there's always nurses on duty around the clock, with a nurse turnover rate a bit lower than other places in Texas, even though the nurse hours per resident falls below the state average, but while they do their best, reports show infection control is still a problem, with past reports showing 4 infection-related deficiencies and the most recent state inspection recording 4 deficiencies in abuse prevention and 1 in infection control, and in total, the facility has had 34 documented deficiencies, so families who care about compliance may want to review these records and ask questions during a tour. The health center is part of Creative Solutions In Healthcare and TRISUN Healthcare, and staff try to make it feel home-like, offering personal care like bathing, dressing, and medication management, and there's help with everyday things like laundry and meal prep, plus lots of activities, religious services, arts and crafts, and social events. Rooms come with safety features, kitchenettes, washers, dryers, cable TV, and there's guest parking and WiFi, and people can take part in rehab programs, both short-term and restorative, with physical, speech, and occupational therapies, so if someone's looking for anything from long-term nursing to memory care or rehab, there's a good chance the staff here can work out a tailored plan and even offer guidance on insurance, Medicare or Medicaid, or discharge planning, and families can connect or raise concerns through the Customer Care Line, Care Portal, or Facebook page. The center's not perfect, and the government does expect improvements on infection control, but for those looking for a full range of senior health services under one roof, with extras like beauty and barber, transportation, and nutritious meals made daily, Mesa Vista might offer what some families need.

    People often ask...

    Mesa Vista Health Center offers assisted living, memory care, and skilled nursing.

    There are 19 photos of Mesa Vista Health Center on Mirador.

    The full address for this community is 5756 N Knoll, San Antonio, TX 78240.

    No, Mesa Vista Health Center 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 Mesa Vista Health Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Mesa Vista Health Center directly. There is no cost for this service. We are compensated by the community you select.

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