Heart to Heart Residential Care Home II in San Antonio, TX

Pros

• The staff and owner are amazing.
• They are extremely caring and kind.
• The care shown to the family member was outstanding.

Cons

• They were treated worse than dogs.
• A nurse told the elderly man to shut up.
• It is cruel and inhuman how innocents who can't speak for themselves are treated.
• Someone must do something about it.
• The reviewer does not recommend this place.

Review

Heart to Heart Residential Care Home II in San Antonio is best suited for families seeking a small, home-like setting where staff relationships with residents feel personal and where the owner maintains an active, hands-on role in daily care. The model works best when care hinges on individual caregivers who know the residents and when leadership is accessible and engaged. For families willing to trade scale for warmth and personal attention, this option can deliver meaningful daily support. Those who require high levels of clinical oversight, predictable routines, or robust safety protocols may want to consider alternatives.

Among the positives, the strongest thread is care delivered with apparent warmth. Several reviews highlight an amazing staff and an owner who is extremely caring toward both the resident and the family. That level of responsiveness and person-centered attention can translate into prompt assistance, better communication, and a sense of being valued that is rare in larger facilities. In practice, such relationships often make daily living feel less institutional and more like a supported, at-home experience.

However, the negatives shadow this picture. A troubling account describes residents being treated worse than dogs, with a nurse allegedly telling an elderly man to shut up after requesting a napkin. Such episodes, whether isolated or symptomatic of broader patterns, raise serious questions about respect, dignity, supervision, and accountability. They point to potential gaps in staff training, supervision, and the grievance process. When a facility garners multiple one- and two-star warnings from residents or family members, that is not a risk that can be dismissed lightly.

Do the nice moments and caring conversations offset the potential harms? In a cautious assessment, they do not fully offset the risk. Personal warmth can mitigate some daily frustrations, but it cannot replace consistent safety, reliable response to distress, and enforceable standards of care. Prospective residents should demand concrete assurances: evidence of adequate staff-to-resident ratios, routine oversight by a licensed administrator, transparent incident reporting, and timely remedial action when concerns arise. Without those guardrails, the comfort of a few caregivers cannot compensate for systemic vulnerabilities.

Those who should actively explore alternatives are families prioritizing consistent safety, predictable care, and formal accountability. If a loved one needs dependable monitoring, clear escalation paths, or memory-care expertise, a larger, more regulated setting may be preferable. For a decision here, interview the administrator, request a recent inspection or licensing report, and speak with current residents and their families about day-to-day experiences. In any case, plan to visit multiple times, observe interactions, and review the care plan for individualized support rather than generic routines.

Bottom line: Heart to Heart Residential Care Home II presents a clear trade-off - warm, person-centered attention in a small setting, tempered by credible concerns about mistreatment and oversight. It may work for families who can tolerate risk in exchange for intimate relationships and flexible, responsive care, provided due diligence is uncompromised. For those prioritizing safety, consistency, and formal safeguards, alternatives warrant serious consideration, with tours, questions, and documented assurances guiding the final choice.

Located in the northeastern part of San Antonio, Texas, this area offers a variety of amenities suitable for senior living. With multiple parks nearby such as Converse Park Playground and Lou Karden Memorial Park, residents can enjoy outdoor activities and leisurely strolls. There are several pharmacies within a short distance, including Walgreens and CVS Pharmacy, ensuring convenient access to medications and healthcare necessities. A range of dining options like McDonald's, Whataburger, and BJ's Restaurant & Brewhouse provide diverse culinary choices. Medical facilities like Northeast Prohealth and Conviva Care Center Live Oak offer accessible healthcare services. Additionally, there are cafes like Starbucks and Kung Fu Tea for seniors to socialize and enjoy a hot beverage. With proximity to major hospitals such as Baptist Health Systems and San Antonio Military Medical Center-SAMMC, residents can feel at ease knowing quality medical care is easily accessible. Places of worship like Good Shepherd Catholic Church cater to spiritual needs, while transportation options such as Skyplace Center and San Antonio International Airport ensure convenience for traveling or visiting loved ones. Overall, this part of San Antonio provides a well-rounded environment for seniors seeking a comfortable and convenient lifestyle.

Parks

• Converse Park Playground (1.3 miles)
• Converse City Park (2.6 miles)
• Lou Karden Memorial Park (2.9 miles)
• Comanche Lookout Park (4.1 miles)
• Nimetz Park (7.2 miles)

Pharmacies

• Walgreens (1.4 miles)
• Walgreens (1.7 miles)
• CVS Pharmacy (2.1 miles)
• Walgreens (2.6 miles)
• CVS Pharmacy (2.8 miles)
• Walmart Photo Center (3 miles)
• Walgreens (3.1 miles)

Restaurants

• McDonald's (1.7 miles)
• Raising Cane's Chicken Fingers (1.8 miles)
• Whataburger (2.5 miles)
• Taco Bell (2.7 miles)
• McDonald's (2.7 miles)
• Wendy's (2.7 miles)
• BJ's Restaurant & Brewhouse (2.7 miles)

Physicians

• Northeast Prohealth (1.8 miles)
• Medical Center Ophthalmology Associates (1.8 miles)
• Conviva Care Center Live Oak (1.9 miles)
• Northeast Internal Medical Associates (2 miles)
• Garcia, Alexandra Magenta Health Rittiman Practice (3.8 miles)
• Carrera Optical (4 miles)
• Northeast Pediatric Associates (4.6 miles)

Cafes

• Starbucks (2.8 miles)
• Kung Fu Tea (2.8 miles)
• Starbucks (2.9 miles)
• La Media Luna Cafe (5.1 miles)
• Theory Coffee Company (6.2 miles)
• Starbucks (6.2 miles)
• Starbucks (6.5 miles)

Hospitals

• Baptist Health Systems (6 miles)
• San Antonio Military Medical Center-SAMMC (6 miles)
• US Army (6.2 miles)
• Barr & Gossett (6.8 miles)
• Schertz Dialysis Centers (6.9 miles)

Places of Worship

• Good Shepherd Catholic Church (6.1 miles)
• Church of Jesus Christ of Latter Day Saints (7 miles)

Transportation

• Skyplace Center (7.1 miles)
• Terminal A (7.3 miles)
• San Antonio International Airport (SAT) (7.3 miles)