Nesbit Living & Recovery Center

    1215 Ashby St, Seguin, TX, 78155
    3.3 · 31 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Friendly staff, rude management, dirty

    I appreciated the caring, friendly nurses, rehab team, and activities - staff often greeted us warmly and kept residents engaged - but my overall experience was negative. Administration and ownership were rude, money-driven, and uncommunicative, blocking transfers and mishandling paperwork. Rooms/bathrooms were sometimes unready or dirty (bad odors, pests reported), meds and meals were delayed or not given, and I saw safety/neglect issues. I value the frontline staff, but I would not trust this facility until management and cleanliness problems are fixed.

    Pricing

    Schedule a Tour

    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

    3.32 · 31 reviews

    Overall rating

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

      3.5
    • Staff

      3.6
    • Meals

      1.3
    • Amenities

      2.0
    • Value

      1.0

    Pros

    • Friendly, welcoming staff
    • Caring and compassionate nursing staff
    • Attentive staff with frequent family communication
    • Strong memory care support
    • Effective rehabilitation and therapy services
    • Successful recovery outcomes (walking again, ventilator support)
    • Hospice support and compassionate social work
    • Clean building reported by multiple reviewers
    • Lively, family-like atmosphere
    • Regular activities and social programming
    • Beauty salon on-site
    • Pets present (dog and cats) enhancing homelike feel
    • Medications tracked with regular physician checkups (in some cases)
    • Helpfulness and transparency from office/administrative staff (in some cases)
    • Convenient location near a hospital for emergencies
    • Timely, attentive care for dementia residents
    • Staff who go above and beyond (attending funerals, extra privacy)
    • Accommodating staff during tours and admissions
    • Engaging therapy/rehab teams praised as A+
    • Faith-based motivation and supportive environment cited by some families

    Cons

    • Inconsistent and poor staff communication
    • Impersonal or uncaring staff in some shifts/units
    • Staff lacking policy/procedure knowledge
    • Negligence leading to injuries (e.g., fall in shower)
    • Serious infection reported resulting in leg removal
    • Premature or inappropriate early discharges from hospital
    • Medications not approved, delayed, or not administered
    • Unready or unclean rooms on admission
    • Bathrooms smelling foul and appearing unclean
    • Reports of roaches (including in food) and other pest issues
    • Strong urine or other bad odors reported
    • Management and administrative rudeness or unhelpfulness
    • Miscommunication leading to missed meals or delayed breakfast
    • Televisions and room amenities not set up on move-in
    • Staff turnover and alleged owner-related issues
    • Claims of prioritizing money over patient care
    • Blocked transfers and being prevented from leaving when requested
    • Automated phone/poor phone responsiveness
    • Safety and neglect concerns (not assisted to bathroom, not fed)
    • Small rooms, leaking windows, and water intrusion issues

    Summary review

    Overall sentiment across the reviews is highly mixed and polarized: many families report excellent care, compassionate staff, strong therapy outcomes, and a lively, home-like community, while an alarming number of other reports describe poor hygiene, serious safety incidents, negligent care, and unresponsive or rude administration. The facility appears to produce consistently positive experiences for some residents — especially in areas such as rehabilitation, memory care, and social programming — but also repeated, severe negative experiences for others. This divergence is a central theme in the reviews.

    Care quality and clinical concerns: Several reviews praise the clinical and rehabilitation teams, noting effective therapy that led to regained mobility, successful ventilator weaning experiences, and attentive dementia care. Families recount compassionate nursing, timely interventions, and good medical oversight in these positive accounts. In contrast, multiple reviews describe critical clinical failures: falls (including a fall in the shower), negligence that allegedly resulted in serious infection and eventual leg amputation, premature returns from hospital, and cases where residents were not showered, assisted to the bathroom, or fed. Medication management is another inconsistent area — some reviewers say medications are tracked and physician checkups are regular, while others report medications not being approved, long waits for drugs, or medications not being given.

    Staff and communication: Staff behavior and communication are major, highly variable themes. Many reviews describe warm, upbeat, family-like staff who introduce themselves, provide frequent updates to families, offer compassionate social work and hospice coordination, and even attend resident funerals — all indicators of a relational, resident-centered approach in parts of the facility. Conversely, other reviewers report impersonal or uncaring staff, employees lacking knowledge of policies, incompetence, rude or dismissive administrators, and poor phone responsiveness (automated hangups). Several reviewers specifically call out the administrative team, liaison, or owners as unhelpful, rude, or profit-driven, and some families say transfers were blocked or needs deprioritized due to money/administrative issues.

    Facilities, cleanliness, and environment: Positive commentary highlights a clean, pleasant building with on-site amenities like a beauty salon and resident pets that contribute to a homelike atmosphere. Many residents are described as content and engaged in activities. However, there are strong and repeated complaints about cleanliness and maintenance from other reviewers: rooms arriving unready, bathrooms smelling as if they haven't been cleaned, toilets not flushing, urine odors, roaches (including reports of roaches in food), leaking windows and water issues, and general malodors. These facility and housekeeping issues are significant because they relate directly to infection control and resident dignity.

    Activities, social life, and amenities: Multiple reviews emphasize an active schedule of activities, social opportunities leading to many friends, pet visits, and the convenience of on-site services such as a beauty salon. When activities and engagement are present, reviewers often describe the place as lively and family-like. Contrasting reviews, however, claim no activities and describe an otherwise unstimulating environment, suggesting inconsistent programming or differences between units/time periods.

    Management, policies, and systemic patterns: Management and administrative issues are a recurring negative thread. Complaints include poor coordination, unhelpful or rude administrative staff, misinformation about Medicaid/medication approvals, breakfast and scheduling delays, automated phone systems that do not connect, and in at least one report an AMA (against medical advice) discharge. Several reviewers link poor care to staff turnover and criticize ownership as greedy or negligent, implying systemic problems that affect frontline care. Positive reviews occasionally highlight helpful administrative support (e.g., an office manager explaining Medicaid processes), indicating again that administrative performance may vary by staff member or time.

    Notable patterns and takeaways: The reviews show real extremes — ranging from exemplary, compassionate, clinically effective care to reports of negligence with severe consequences. Recurring positive themes are strong rehabilitation services, compassionate memory care, active programming, and helpful bedside or clinical staff in many cases. Recurring negatives that should raise concern are inconsistent infection control and cleanliness, pest issues, medication and clinical management gaps, safety incidents (falls, inadequate assistance), and adversarial or obstructive administrative behavior. The variation suggests possible inconsistencies across shifts, units, or ownership/management changes, and several reviewers explicitly attribute differences to staff turnover or owner-driven priorities.

    Given the breadth of praise and serious criticism, families considering Nesbit Living & Recovery Center should exercise careful due diligence: tour the exact unit a prospective resident would occupy, observe cleanliness and odor, ask for documentation on staffing ratios, infection control practices, recent incident reports, medication administration protocols, and turnover statistics; speak with families of current residents in the same unit; and confirm how transfers and discharge decisions are handled. The reviews indicate that excellent care is attainable there for some residents, but there are also systemic and safety concerns documented by multiple reviewers that merit thorough investigation before placement.

    Location

    Map showing location of Nesbit Living & Recovery Center

    About Nesbit Living & Recovery Center

    Nesbit Living & Recovery Center is a large, for-profit nursing facility with 134 beds, providing both short-term rehabilitation and long-term care in the Seguin, Texas area. The center participates in both Medicare and Medicaid programs, offering an accessible option for individuals requiring skilled nursing care after a hospital stay or for those who need ongoing assistance due to chronic medical needs. Nesbit Living & Recovery Center is not part of a larger continuing care retirement community and serves a diverse population, emphasizing care for individuals who need daily medical or non-medical support.

    The facility’s short-term rehabilitation program is designed for patients recovering from surgeries, hospitalization for acute illnesses, or injuries such as stroke, heart attack, or fractures. Clinical data indicates that approximately 42.3% of these residents are able to return home after their discharge. During their stay, an average of 2 hours and 27 minutes of nurse staffing is provided per resident per day. The incidence of falls with major injury is low, and infection rates requiring hospitalization during short-term rehabilitation are monitored, with about 7.3% experiencing serious infections necessitating a hospital visit. Additionally, emergency services are on hand, as indicated by the 16.3% of short-term residents who required ER visits.

    For long-term residents at Nesbit Living & Recovery Center, the goal is to maintain independence while ensuring safety and health. Roughly 80.9% of long-term residents maintained self-care abilities, such as moving, eating, and using the bathroom without help. Vaccination rates at the center are high, with 99.7% of residents receiving annual flu shots, which reflects an emphasis on preventative health. Staffing for long-term care matches that of the short-term program, and the center is recognized for providing consistent staffing levels through weekends as well as weekdays.

    Nesbit Living & Recovery Center is subject to regular inspections covering health, fire, and safety standards, as well as the effectiveness of training programs and adequacy of facility staffing. In recent reviews, areas of focus included proper staff licensure, developing effective resident-centered care plans, managing personal funds security, providing proper training on dementia care, medication management, and maintaining comprehensive medical records. The center ensures that residents’ rights are respected, including their participation in care planning, their right to request or refuse treatment, and making informed decisions about care directives.

    The nursing facility places an emphasis on a safe and comfortable environment for residents, staff, and visitors, and strives to maintain cleanliness and accessibility throughout its premises. Behavioral health training and education on resident rights and facility responsibilities are incorporated into ongoing staff development to support the well-being of all individuals in their care. The commitment to quality improvement is further underscored by mandatory quality assurance and performance improvement training for all staff members. With a combination of skilled nursing care, supportive services, and a focus on resident autonomy, Nesbit Living & Recovery Center aims to provide a supportive living and recovery environment for seniors and individuals in need of rehabilitative or long-term care.

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