Pricing ranges from
    $3,478 – 4,173/month

    St. Mary’s Assisted Living

    1618 S St Mary's St, San Antonio, TX, 78210
    3.7 · 10 reviews
    • Independent living
    • Assisted living
    AnonymousCurrent/former resident
    2.0

    Caring staff, unsafe and mismanaged

    I had a mixed, ultimately disappointing stay. The staff I met were caring and friendly and the home felt small and family-like-helpful in getting me back on my feet and in finding placement-but serious safety and management problems outweighed that: no supervision on the floor, strong odors, my room lacked AC/heat and was near building smoke, I experienced theft of residents' belongings and saw signs of drug activity with police involvement, and I was hit with missed-appointment/transportation charges; ownership (the Rios family) and specific staff (Christy and Dena) were unprofessional. Despite some great people, I cannot recommend this facility.

    Pricing

    $3,478+/moSemi-privateAssisted Living
    $4,173+/mo1 BedroomAssisted 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
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    3.70 · 10 reviews

    Overall rating

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

      2.3
    • Staff

      3.2
    • Meals

      3.7
    • Amenities

      1.0
    • Value

      1.0

    Pros

    • Caring staff (reported by some reviewers)
    • Safe and caring home atmosphere (reported by some reviewers)
    • Helpful resources and assistance finding placement
    • Family-like atmosphere
    • Small resident community where people know each other
    • Friendly staff
    • Good start to getting back on one’s feet

    Cons

    • Lack of air conditioning and heating in some rooms
    • Smoke odor in back-of-building location
    • Theft of residents' belongings reported
    • Drug activity on premises reported
    • Police involvement in incidents
    • Specific staff accused of poor behavior (Christy and Dena)
    • Ownership exploitation concerns (Rios family mentioned)
    • Missed appointments with residents and charged transportation fees
    • Not a nursing center / unsafe for higher care needs
    • Insufficient staff on the floor and lack of supervision
    • Strong odors and cleanliness issues
    • Multiple reviewers do not recommend the facility

    Summary review

    Overall sentiment is mixed and strongly polarized: several reviewers describe St. Mary’s Assisted Living as a small, friendly, family-like home with caring and helpful staff, while others raise multiple serious concerns about safety, staffing, management practices, and facility conditions. The positive comments emphasize personalized attention, a tight-knit resident community, and staff who helped residents access resources and placement — reviewers who had good experiences described feeling lucky to have found the facility and praised the atmosphere as supportive for recovery or transition.

    Care quality and staffing show a divergence in experiences. Positive reviews highlight attentive and friendly caregivers and a small population that allows staff and residents to know each other well. However, other reviewers point to significant staffing problems: reports of no staff on the floor, lack of supervision, and individual staff members (named as Christy and Dena) described as 'terrible.' These negative staffing reports are tied directly to concerns about resident safety and quality of care. Several reviewers explicitly state the facility is not suited for nursing-level needs and consider it unsafe for residents requiring more intensive medical supervision.

    Safety and security are major themes among negative reviews. Multiple accounts allege theft of residents’ belongings, drug activity occurring on the premises, and police involvement — all of which indicate serious security vulnerabilities for a care setting. These allegations substantially erode trust and are a recurring reason some reviewers advise against the facility. Such claims should be treated as red flags for prospective families, who will likely want direct documentation or clarification from facility management and regulatory authorities before considering placement.

    Facility maintenance and environment also generate mixed feedback. Positive reviewers do not emphasize physical shortcomings, but negative reports call out a lack of climate control (rooms without functioning AC or heat), strong odors, and a back-of-building smoke problem. These physical issues affect comfort and may also reflect broader maintenance or oversight problems. The combination of cleanliness/odor complaints with staffing and security concerns paints a picture for some reviewers of a facility struggling to maintain an appropriate standard of living for residents.

    Management and administrative practices are another area of concern. Reviewers accuse ownership (specifically the Rios family is named) of exploitative behavior, and cite missed medical appointments coupled with transportation charges. These administrative problems — missed appointments, being billed for transport, and perceived poor oversight by ownership — contribute to dissatisfaction and distrust. Positive reviewers who mention helpful placement services and resources suggest that administrative competence may vary by case or depend on specific staff members.

    Community and daily life aspects show why opinions diverge. Those with favorable impressions highlight the small size, personal attention, and community feeling that can be hard to find in larger facilities. For residents with minimal medical needs who value familiarity and a supportive social environment, St. Mary’s may offer advantages. Conversely, reviewers who experienced or observed security incidents, health-care lapses, or poor management judged the facility unacceptable, particularly for residents who need reliable medical care or higher supervision.

    In summary, the reviews present a split picture: St. Mary’s Assisted Living can provide a warm, small-home atmosphere with caring staff and useful placement help for some residents, but other reviewers report serious issues including theft, drug activity, police involvement, poor supervision, staffing shortages, maintenance problems (no AC/heat, odors), and concerning ownership/administrative practices. Prospective residents and families should perform careful due diligence: visit multiple times, ask for incident logs and staffing ratios, verify security measures and background checks, review transportation and billing policies, confirm HVAC/cleanliness standards, and check licensing/inspection records. The facility may be appropriate for certain low-acuity residents seeking a family-like setting, but the reported safety and management concerns make it unsuitable for those needing dependable nursing-level care or for families who cannot tolerate the risks described by multiple reviewers.

    Location

    Map showing location of St. Mary’s Assisted Living

    About St. Mary’s Assisted Living

    St. Mary's Assisted Living, located in San Antonio, Texas in Bexar County, offers a home-like atmosphere with plenty of windows, friendly staff who care for each other, and a reputation for helpful, joyful, and kind support. This medium-sized community has 40 units and provides housing choices with furnished studios, one-bedroom, two-bedroom, and semi-private apartments. Residents must be at least 55 years old and able to self-evacuate in emergencies since St. Mary's Assisted Living is set up for people who value independence but still want some daily help.

    The facility gives options for independent living, assisted living, memory care, and home care. Residents can get help with bathing, dressing, medication management, and stand-by assistance getting from a bed to a wheelchair. There's special care for people with Alzheimer's, Parkinson's, diabetes, or incontinence, with regular health checks, a fall prevention program, staff available 24/7, and a call system for safety.

    Meals come prepared by a chef with a focus on balanced, nutritious options, including menus for special diets like diabetes or allergies, and there's a spacious dining room where residents can eat restaurant-style or choose all-day dining. Snacks are available throughout the day, and the staff dietitian helps make sure meals are healthy. Housekeeping, laundry, dry cleaning, and all maintenance are included.

    For an active and connected lifestyle, St. Mary's Assisted Living has a library, theatre room, gardens, games room, private dining, a beauty and barber shop, onsite and offsite devotional activities, movie nights, concierge service, and a chapel. There are indoor common areas, walking paths, large TV rooms, and a pets-welcome policy. Residents can use the community kitchen, enjoy cultural events, and participate in physical activities either onsite or offsite to support social, physical, mental, and emotional well-being.

    Memory care spaces help reduce confusion for those with dementia by keeping areas secure and easy to navigate. Licensed by the state of Texas (License #150093), the facility offers additional services like hospice, monthly physician visits, pharmacy help, ongoing health screenings, pureed food, and transportation for both medical and personal trips. Regular resident-run events encourage people to meet neighbors and enjoy daily life together.

    St. Mary's Assisted Living is a for-profit company, recognized with the Best of Senior Living award, and aims to deliver personal support and a safe, comfortable environment for seniors who want some help with daily life but still wish to stay active and social.

    People often ask...

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