Mesa Vista Health Center

    5756 N Knoll, San Antonio, TX, 78240
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Beautiful building, caring staff; unsafe

    I have mixed feelings. The building is beautiful, clean, and welcoming, and many caregivers are kind, affectionate, and go above and beyond - activities, rehab and some nurses helped my loved one and staff communicated well at times. However I also experienced and heard frequent serious problems: understaffing, inconsistent care, hygiene neglect (residents left soiled), missed meds, falls/injuries, theft/monitoring concerns, poor communication and unprofessional administration. Meals, activities and management were hit-or-miss - great frontline staff but troubling safety/consistency issues; document everything and proceed with caution.

    Pricing

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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

    4.11 · 100 reviews

    Overall rating

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

      3.3
    • Staff

      3.6
    • Meals

      2.8
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Clean, elegant interior and well-maintained grounds
    • Fresh-smelling facility without typical nursing-home odor
    • Compassionate, attentive CNAs and nurses (many staff praised)
    • Dedicated and responsive admissions and business office teams
    • Strong short-term Rehab-to-Home program and good PT/OT when provided
    • Accepts Medicare and Medicaid
    • Private rooms with half-baths and well-lit showers
    • Spacious, well-equipped rehab/therapy area
    • Elegant dining area and generally decent food variety
    • Daily laundry service reported by many families
    • On-site amenities (beauty shop, garden views, patios)
    • Warm, welcoming atmosphere and resident-focused memory care
    • Engaged activities director and regular activities (bingo, barbecues)
    • Well-groomed, professional-looking staff
    • Some families report 24/7 responsiveness and strong communication
    • Impeccably maintained common areas and comfortable living spaces
    • Staff willing to go above and beyond in many individual cases
    • Notable staff and leaders frequently singled out for praise
    • Many reports of excellent long-term care and positive resident outcomes
    • Quiet, private-room setup that families appreciated

    Cons

    • Inconsistent quality of care across shifts and between units
    • Understaffing and high patient-to-CNA ratios
    • Medication errors and charting/medication management problems
    • Neglect of basic hygiene (residents left in soiled diapers, not bathed)
    • Slow or unresponsive nursing stations and delayed call responses
    • Serious safety incidents: falls, transfer injuries, patients dropped
    • Allegations of incident cover-ups and failure to report injuries
    • Theft and missing personal items (phones, dentures, blankets)
    • Management problems: rude administrators, bullying, intimidation
    • Camera tampering, blocked camera views, and surveillance concerns
    • Poor or repetitive meals; food sometimes cold or inedible
    • Laundry issues and missing or shared resident belongings
    • 'Not my job' staff attitudes and lack of accountability
    • Billing/payment pressure and inappropriate requests (e.g., payment on day of death)
    • Failure to provide scheduled therapy sessions in some cases
    • Mixed cleanliness reports — some hallways and areas reported dirty
    • High staff turnover and lack of continuity of care
    • Poor case management and dropped administrative tasks
    • Families reporting punitive responses to advocacy or complaints
    • Inconsistent dementia supervision and wandering/fight risks

    Summary review

    Overall sentiment in these reviews is sharply divided: a large number of families report compassionate, effective care, attractive facilities, and positive therapy and rehabilitation outcomes, while a significant cohort describes serious lapses in care, safety, management, and accountability. The dominant theme is variability — the same facility is repeatedly characterized by full, laudatory accounts of attentive staff, strong admissions/business office support, and successful short-term rehab, alongside alarming reports of neglect, medication errors, theft, and managerial misconduct. This creates a polarized picture in which individual experiences depend heavily on timing, staff on duty, and individual team members.

    Care quality and staffing emerge as the clearest area of contrast. Many reviewers describe CNAs and nurses who are compassionate, go above and beyond, and help residents recover or stabilize. Multiple families praise specific caregivers and administrators by name and credit the facility with excellent short-term rehab and good dementia/memory care in certain units. Conversely, numerous reports document understaffing (examples of one CNA caring for dozens of patients), slow or absent responses to call lights, medication mistakes, charting errors, and neglect of basic hygiene — residents left in soiled diapers or without bathing for long periods. Several reviews recount severe safety incidents, including falls, a dislocated elbow, a transfer injury where a patient was dropped, and at least one allegation that injuries were not properly reported. These kinds of safety lapses and staffing shortages create real risk for residents and are a repeated complaint.

    Facilities and amenities are frequently singled out as strengths. Reviewers commonly praise an elegant, clean interior, private rooms with half-baths, a spacious and well-equipped therapy area, tasteful common spaces, garden views, and on-site services such as a beauty shop. Dining spaces are described as attractive; many reviewers report decent meal variety. At the same time there are repeated notes of inconsistent cleanliness in some hallways, occasional unpleasant odors, and laundry problems including missing items or items being shared among residents. Theft of personal effects (cellphones, clocks, blankets), and even incorrect dentures being given, were reported by multiple families — undermining otherwise positive impressions of the physical environment.

    Management, communication, and accountability are another major fault line. Several reviewers praise the admissions team and business office for clear, effective interactions and name helpful administrators. Yet an equally large set of reviews accuse management of rude or bullying behavior, intimidation, mishandling of complaints, and even alleged cover-ups of incidents. There are specific allegations of camera tampering or cameras being blocked, and at least one report of staff asking for payment on the day a resident died. Some families say advocacy or complaints led to punitive responses. Communication quality is inconsistent: some families report 24/7 responsiveness and regular chart reviews, while others describe unresponsive nursing stations, dropped case management responsibilities, and confrontational staff.

    Dining and activities produce mixed feedback. Many reviews describe engaging group activities, bingo, holiday barbecues, and a caring activities director; other reviewers report canceled programs, limited activities (coloring only), and staff turnover in the activities role. Meal quality is similarly inconsistent: some praise the food and accommodations for special diets, others find meals repetitive, inedible, or cold — particularly during night shifts.

    Several operational and safety-related red flags recur: missed or delayed therapy sessions (families reporting no PT/OT for days), medication changes without doctor evaluation, removal of safety devices (alert bed pads), and inadequate monitoring of residents with dementia. Theft and missing items, laundry problems, and poor documentation are frequent family concerns. Given these reports, multiple reviewers advised documenting everything at admission, labeling personal items, maintaining close communication with staff, and in extreme cases considering legal action. Conversely, other reviewers encourage placement at Mesa Vista, citing excellent recovery, attentive nursing, and a family-like atmosphere.

    In summary, Mesa Vista Health Center receives both high praise and harsh criticism. Strengths include an attractive, well-maintained physical plant, strong short-term rehab potential when therapy is delivered, many compassionate front-line caregivers, and capable admissions/business office staff that facilitate placements and billing for some families. Major concerns are inconsistent staffing levels and supervision, safety incidents and alleged non-reporting, medication and hygiene lapses, theft of personal belongings, and alleged problematic management behaviors. Prospective families should be aware of this variability: perform in-person visits across shifts if possible, ask specific questions about staffing ratios and incident reporting, document admissions and personal belongings, verify therapy schedules, and maintain active communication with the care team. These steps may help reproduce the positive experiences described by many reviewers while mitigating the risks described by others.

    Location

    Map showing location of Mesa Vista Health Center

    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.

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