Pricing ranges from
    $2,500 – 3,000/month

    Gemstone Senior Living at Castle Hills

    1207 Jackson Keller Rd, San Antonio, TX, 78213
    4.3 · 80 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    3.0

    Caring staff but safety concerns

    I have a mixed but generally positive view of Gemstone Senior Living at Castle Hills. The staff are caring, professional and truly feel like family, the community is clean and bright, meals are excellent, and activity and memory-care engagement have improved under new leadership. That said, I witnessed troubling safety and care lapses - falls, missed nightly checks, staffing shortages, and even a theft - and communication/refund issues were slow to resolve. Management has been responsive at times, so I recommend touring in person and closely monitoring care and security before deciding.

    Pricing

    $2,500+/moSemi-privateAssisted Living
    $3,000+/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

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    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

    4.35 · 80 reviews

    Overall rating

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

      4.2
    • Staff

      4.4
    • Meals

      4.8
    • Amenities

      4.1
    • Value

      3.7

    Pros

    • Caring, friendly and approachable staff
    • Many reviewers describe staff as like family
    • Responsive management and staff who assist promptly
    • New ownership invested and accessible on-site
    • Proactive and organized safety/COVID protocols
    • Clean, bright, well-maintained facilities
    • Pleasant-smelling, fresh environment
    • Well-kept grounds and attractive outdoor areas
    • Spacious apartments and studio/one-bedroom options with balconies
    • Chef-prepared, restaurant-quality meals and desserts
    • Dining staff accommodating dietary restrictions
    • Varied dining offerings and special occasion meals
    • Robust activities program when staffed (bingo, wine night, movie nights, exercise classes)
    • Trips, outings and regular social events including cocktail hour
    • Dedicated activity directors and improvements noted after hires
    • Transportation service with a comfortable bus
    • In-house services available (visiting doctors, physical therapy, home health)
    • Memory care-specific programming and staffing improvements
    • Respite room with hotel-like amenities
    • Reasonable pricing for memory-care value cited by multiple reviewers
    • Quiet, safe atmosphere with generators/backup readiness noted
    • Staff go door-to-door with reminders (meals, exercise)
    • Individualized/1-on-1 care experiences reported
    • Family involvement accommodated at events and celebrations
    • Positive, patient communication from certain named staff (Ramona, Estella, Eduardo, etc.)

    Cons

    • Inconsistent quality of care across shifts/teams
    • Instances of neglectful care and medication administration failures
    • Theft and missing personal belongings reported (money, jewelry)
    • Staffing shortages or reduced medical staff leading to delayed assistance
    • Some reviewers report lack of dementia/Alzheimer's training for staff
    • Occasional lack of nightly checks and follow-up after falls
    • Reports of minimal or no activities in some periods (community described as ‘dead’)
    • Slow, confusing or contested refund/financial processes after move-outs
    • Confusion over level of care (assisted living vs memory care placement)
    • Maintenance issues in older parts of the building and occasional cleanliness lapses
    • At least one report of pest (roach) infestation
    • Billing and privacy/contact information errors reported
    • Mixed experiences with therapy/medical effectiveness
    • Some residents unhappy or depressed due to activity/engagement shortfalls
    • Price perceived as expensive by some despite value in other reviews
    • Inconsistent hospitality or responsiveness to theft/property concerns
    • Occasional PCA or nursing staff not as caring; variability in individual caregivers
    • Lack of hospital/contact information readily available noted
    • Some reviewers felt the community ambiance/environment was unappealing
    • Parking/distance issues for some families (location too far)

    Summary review

    Overall sentiment about Gemstone Senior Living at Castle Hills is mixed but leans positive with notable strengths in hospitality, dining, and improvements under new leadership. Across many reviews, staff are repeatedly praised for being caring, friendly, and going above and beyond; multiple reviewers describe the staff as family-like and name specific employees (Ramona, Estella, Eduardo, Amanda, Bernadette) as exemplars. The facility is frequently described as clean, bright, and well-maintained, with attractive grounds, spacious apartments (studios and one-bedrooms, some with balconies), and pleasant smells. The dining program is a consistent highlight: chef-prepared, restaurant-quality meals with variety, accommodating dietary restrictions, notable desserts, and special occasion menus. When fully staffed, the activities program is robust — bingo, wine nights, exercise classes, movie nights, trips and outings, cocktail hours and frequent social events — and reviewers note the addition of strong activities directors has led to improved engagement for many residents. Practical amenities such as transportation with a nice bus, in-house visiting doctors and therapy services, a respite room with hotel-like touches, and proactive safety/COVID protocols also receive favorable mentions. Several reviewers appreciate that new ownership is hands-on and has invested in improvements, creating a perception of positive momentum and responsiveness.

    Despite these strengths, there are recurring and significant concerns that temper the overall impression. The most serious issues are inconsistency in care quality and reports of neglectful incidents: medication administration failures, a lack of dementia/Alzheimer’s training for some staff, inadequate nightly checks leading to falls or delayed responses, and at least one hospitalization tied to alleged staff errors. Multiple reviewers reported thefts or missing personal items (cash and heirloom jewelry) and felt staff or management were dismissive or slow to investigate, which raises safety and trust issues for families. Staffing shortages and reductions in medical personnel were frequently cited as causes of delayed assistance, reduced activities, and variability in the resident experience. Several reviewers specifically described periods when the community felt inactive or “dead,” resulting in depressed or unhappy residents who subsequently moved out; in one case a family lost deposits while the resident left feeling disengaged. Maintenance or cleanliness lapses were relatively uncommon but impactful when reported, including an isolated roach infestation claim and reports that some older rooms required work before leasing.

    Management and administrative themes are mixed: many reviews praise responsive management who address concerns, arrange birthdays and events, and are visible on-site. Others cite slow or difficult financial interactions — delayed or partial refunds after move-outs, billing issues, and privacy problems such as mail sent to an old address. Ownership change is a double-edged theme: several families commend improvements and protective policies under new owners, while a few express frustration with transition-related issues such as staffing shifts, reduced medical staff, or delays in processing refunds. There is also some confusion reported by families about the appropriate level of care — whether a resident should be in assisted living or memory care — indicating opportunities to clarify placement, communication, and staff training for dementia-specific needs.

    Patterns suggest two distinct experiential clusters. One cluster describes a warm, well-run, safe community with excellent food, engaging activities, responsive staff and leadership, effective memory-care programming improvements, and strong value — especially for memory-care residents. The other cluster includes reports of insufficient engagement, care lapses, safety incidents (theft or medication errors), staffing shortages, and administrative friction that significantly harmed resident wellbeing and family trust. Many reviewers indicate that recent management changes and hiring of activity/memory-care staff have improved the situation, but several serious negative incidents remain in the record and should be carefully considered.

    For prospective families, key takeaways are: (1) Gemstone Castle Hills can offer an excellent experience centered on compassionate staff, great dining, and varied activities — particularly under the newer leadership and with active activity/memory-care staff; (2) because experiences vary by unit, shift, and time, it is important to ask specific questions about staffing ratios, medication administration protocols, dementia training, nightly checks, incident reporting practices, and how theft or missing belongings are handled and investigated; (3) tour the exact apartment and building wing you are considering, check the activity calendar for current offerings, speak with named staff and management about recent improvements, and request references from families in the same level of care; and (4) be vigilant about financial/contract terms (refunds, deposits, billing) and clarify placement criteria (assisted living versus memory care) before signing.

    In summary, Gemstone Senior Living at Castle Hills has many strong attributes that families appreciate — notably caring staff, high-quality dining, clean and attractive facilities, and a more engaged activities program under recent leadership — but there are documented, serious concerns around care consistency, safety of personal belongings, staffing shortages, and administrative processes. Prospective residents and families should weigh the positive aspects against the negative reports, do detailed, level-specific due diligence during tours, and obtain clear, written assurances about care policies and financial terms before committing.

    Location

    Map showing location of Gemstone Senior Living at Castle Hills

    About Gemstone Senior Living at Castle Hills

    Gemstone Senior Living at Castle Hills sits in a quiet neighborhood with over 150 trees and gardens, which gives the whole place a peaceful feeling, and there are walking paths, patio seating, and pets like cats and dogs living on site, so the atmosphere stays homelike and friendly. The building has a safe enclosed courtyard and several cozy sitting areas, with room choices including studio, one-bedroom, private, and semi-private suites, each with private bathrooms, overhead lighting, large windows, and plenty of storage. The care staff includes registered nurses, licensed vocational nurses, certified nursing assistants, and helpers who are around 24/7 and know how to help with memory care and assisted living, so residents with Alzheimer's or dementia have options for dignity, independence, and help with things like medication, bathing, getting dressed, or daily chores like laundry and cleaning, with regular door-to-door checks to make sure everyone has what they need. The community works with doctors, families, and residents to create detailed, personal care plans and offers care like hospice, in-home health, medication reminders, psychiatric help, and even VA aid support for veterans.

    Besides the care, people can stay busy and social with a full calendar of activities which covers things like outings, field trips, exercise, cooking clubs, art classes, games, music, movies, education programs, support groups, and even church or devotional services, and there's a full-time activity director to keep things organized. Residents can visit the beauty and barber shop, the coffee shop, computer room, game room, or billiards lounge whenever they want. The dining room serves healthy, Texas-style meals three times a day, cooked fresh with choices for special diets like diabetes or allergies, along with restaurant-style and all-day dining, and folks can eat in their rooms or invite guests for meals. Everything tries to be simple and comfortable, including housekeeping, laundry, emergency call systems in every unit, Wi-Fi access, cable TV in rooms and common areas, on-site pharmacy, transportation to shops or appointments, and outdoor areas for dogs and gardening. The whole place is wheelchair accessible, has a gated entrance, a 24-hour call system in case of emergencies, and staff help with transfers. The team at Castle Hills has stayed mostly the same for more than six years, which keeps things consistent, and the place holds state licenses 100251 and 100252.

    Gemstone Senior Living has received good feedback, showing a 9.8 review score and five years of "Best in Senior Living" awards, but what stands out most is how everything feels calm and purposeful, like a big home where people get to help choose their care, join in community life, and enjoy a safe, respectful, and welcoming space, whether they need a bit of extra help or more specialized memory care. There are other Gemstone communities too-in San Antonio, Bulverde, NorthStar, Oakwell, and Riverpark-but Castle Hills includes all the basics: regular outings, all-day dining, arts and crafts, safe and clean buildings, a caring staff, and programs meant to bring joy, comfort, and daily purpose for every resident.

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