Seasons Alzheimers Care and Assisted Living

    15170 Nacogdoches Rd, San Antonio, TX, 78247
    4.6 · 34 reviews
    • Memory care
    AnonymousLoved one of resident
    4.0

    Compassionate care with inconsistent staffing

    I placed my parent at Seasons Alzheimer's & Dementia Care and I'm grateful for the small, spotless, home-like setting, Mona onsite, excellent home-cooked meals, meaningful activities (art, music, animals) and a compassionate, well-trained staff who treated my loved one with dignity and helped them thrive. That said, care has been inconsistent at times - we experienced medication lapses, staffing shortages, delayed feedings and some safety/fall concerns - so I recommend confirming current staffing and medication protocols before committing. Overall it felt like family and gave us peace of mind when the team was fully staffed.

    Pricing

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    Amenities

    4.62 · 34 reviews

    Overall rating

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

      4.7
    • Staff

      4.8
    • Meals

      4.4
    • Amenities

      4.9
    • Value

      3.4

    Pros

    • friendly, compassionate and caring staff
    • high staff-to-resident ratio / attentive staffing
    • owner (Mona) onsite and hands-on
    • small, home-like environment (14–16 beds)
    • clean, spotless facility with no unpleasant odors
    • secure property and Alzheimer's-focused care
    • personalized, dignified care and strong resident knowledge
    • fresh, chef-prepared home-cooked meals
    • engaging activities (art, music, dancing, piano, crafts, animal visits)
    • good communication and regular updates/photos for families
    • strong hospice coordination and kindness from hospice team
    • private rooms available
    • consistent staff education and pride in care
    • stable pricing with clarity and no hidden costs
    • peace of mind for many families and testimonials of improved mood/function

    Cons

    • limited or no full housekeeping service reported
    • no nurse call buttons mentioned
    • shortages of bathroom supplies (toilet paper/paper towels)
    • laundry delays (not done during first week for at least one resident)
    • roommate-related issues (dementia behaviors affecting clothing/personal items)
    • meals sometimes served cold and menu repeats weekly
    • isolated reports of care decline: missed medications and missing walker
    • reports of short staffing, delayed feeding, and increased fall/dehydration risk
    • at least one report of residents kept in geriatric chairs most of the day
    • some communication issues between staff shifts and one report of management not addressing concerns
    • can be loud/not peaceful according to a few reviewers
    • higher cost noted by some families

    Summary review

    Overall sentiment across the reviews is strongly positive with many consistent themes praising Seasons Alzheimer’s Care and Assisted Living for its compassionate, hands-on approach to Alzheimer's and dementia care. The facility is repeatedly described as small and home-like (typically noted as a 14–16 bed community), which many families feel contributes to personalized attention, a strong staff-to-resident ratio, and a family atmosphere. Multiple reviewers specifically highlight the owner, Mona, being onsite and actively involved, which reinforces a feeling of leadership, accountability, and personal attention. Cleanliness and the physical environment are frequent strengths: reviewers call the facility spotless, well-laid-out, new or nicely maintained, and free of unpleasant odors.

    Staff and caregiving receive the most praise. Many reviews describe staff as compassionate, patient, well-educated about dementia care, and able to build relationships that bring residents back to themselves. Caregivers and managers are credited with dignity-centered care, time spent with residents, and attentiveness to emotional and spiritual needs. Families report that staff know residents' personalities and preferences, provide personalized routines, and deliver proactive communication, including regular updates and photos. Hospice services are also praised—both for quality and for families feeling supported during end-of-life care.

    Meals and activities are highlighted as important quality features. Numerous reviewers appreciate fresh, chef-prepared home-cooked meals (with some specifically saying food is not frozen or canned), second servings, and a welcoming dining environment. At the same time a few reviewers note issues with meals being served cold or having a repetitive weekly menu, so food quality appears high overall but with occasional operational inconsistencies. Activities are varied and well-received: art and music therapy, animal visits, dancing, weekly piano singers, crafts, and social events are repeatedly cited as boosting engagement, mood, and participation. These offerings support the facility’s emphasis on holistic care and quality of life.

    Facilities and operational observations are largely positive but include some recurring logistical concerns. The community’s small size and private-room options are strengths for families seeking focused dementia care; however, several practical issues arose across reviews: limited or no comprehensive housekeeping service reported by some families, missing nurse call buttons being called out, initial laundry delays (one report of laundry not done during the first week), and occasional shortages of bathroom supplies. These are operational items families should verify during a tour or admission discussion.

    Safety and clinical-care consistency are the most critical mixed area. While many reviewers state prompt medical care, medication adherence, and effective behavior management (with measurable improvements in eating and mood), a few reviews raise serious concerns. Isolated but significant reports claim decline in care at certain points: missed medications, a missing walker, short-staffed shifts, delayed feeding, increased fall risk, and even descriptions of dehydration and residents spending extended periods in geriatric chairs. One reviewer explicitly warned of problems and violations. Another noted management did not adequately address problems. These negative reports are less frequent than the positive ones but are important and indicate variability in performance or possible staffing/management lapses at times. Prospective families should probe these topics directly and request recent incident/inspection information.

    Communication and management impressions are mostly positive—many families commend open, proactive communication, a seamless admission process, and clear pricing—but there are a few mentions of communication gaps between staff shifts and one complaint that the owner did not address identified issues. Cost is described as higher by some reviewers, although several also note price stability and clarity with no hidden fees and several families felt the cost reflected the quality and gave them peace of mind. A couple of reviewers found the environment too loud or not a good fit, underscoring that a personal tour and observing peak-time activity levels is recommended.

    Bottom line: Seasons Alzheimer’s Care and Assisted Living receives many strong endorsements for its caring, highly involved staff, clean and small home-like setting, engaging activities, and chef-prepared meals. These strengths produce measurable benefits in resident mood and family peace of mind for many. However, there are operational and clinical concerns reported by a minority of reviewers—housekeeping limitations, supply issues, absence of nurse call buttons, and more serious allegations about missed medications, dehydration, and inadequate supervision in isolated cases. Families should consider visiting, asking specific questions about staffing ratios, nurse-call systems, laundry/housekeeping schedules, meal service temperatures and menus, medication administration protocols, incident reporting, and recent inspection or violation history to confirm consistency and fit before deciding.

    Location

    Map showing location of Seasons Alzheimers Care and Assisted Living

    About Seasons Alzheimers Care and Assisted Living

    Seasons Alzheimers Care and Assisted Living sits in San Antonio, Texas, and has space for up to 16 residents, all with Alzheimer's or related dementia. The place keeps things small and homelike, offering private and semi-private rooms, and the whole building's designed with seniors' comfort and safety in mind, especially for those who wander or have memory issues. They've got a high staff-to-resident ratio, with one staff member for every five residents, so there's help around day or night, and caregivers stay on the floor around the clock, along with a nurse and a doctor on call. Residents get help with daily tasks-bathing, dressing, eating, medication-and staff even help with transfers, including mechanical lifts if somebody needs extra support moving. There's memory care that's separate from other parts of the building, lots of security like bracelet alarms to stop wandering, and a system that alerts staff if somebody moves toward unsafe areas, all to keep everyone safe and accounted for.

    There are simple things to do-movie nights, walking on secure outdoor paths, gardening, and staff-led activities to keep bodies and minds active. The kitchen makes wholesome, home-cooked meals, including special diets if needed, and there are always snacks. Residents don't have to worry about cleaning or laundry because staff handle that. Transportation's set up for doctor visits or group outings, and anyone who needs help with medical checks, insulin, diabetes care, or hospice can get the support right where they live. The community also welcomes people with more serious behavior issues like physical outbursts or confusion. Rooms come furnished so nobody has to bring much, and spaces look comfortable and welcoming, not like a hospital or an institution. People living here get devotional services too, and there's always a focus on treating everyone with dignity and kindness. Families get regular updates, and staff are known for their communication and caring attitude. The aim is to make sure residents always feel safe, cared for, and respected while still having chances to enjoy life and connect with others.

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