Pricing ranges from
    $4,546 – 5,909/month

    Brookdale Nacogdoches

    14595 Nacogdoches Rd, San Antonio, TX, 78247
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    5.0

    Caring, clean memory care; recommended

    I placed my mom at Brookdale Nacogdoches and I'm very pleased. It's a small, home-like memory-care community - clean, well-kept, with caring, professional staff, good meals, and lots of activities that keep residents engaged; communication has been responsive and the team eased our burden. The building is older and there have been occasional staffing/housekeeping hiccups and price can be high, but overall I feel confident she's safe, comfortable, and well cared for - I would recommend it.

    Pricing

    $4,546+/moSemi-privateAssisted Living
    $5,909+/moStudioAssisted Living
    $5,455+/moSuiteAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • 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
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Internet
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Pet friendly
    • 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

    4.48 · 107 reviews

    Overall rating

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

      4.7
    • Staff

      4.6
    • Meals

      4.2
    • Amenities

      4.5
    • Value

      3.2

    Pros

    • Compassionate, attentive and family-like staff
    • Strong dementia/memory-care focus and programs
    • Clean, well-maintained and odor-free common areas and rooms (frequently reported)
    • Smaller, right-sized community that fosters personal attention
    • Engaging, frequent and varied activities (games, exercise, arts, music)
    • Balanced meals with snacks and generally positive dining service
    • Accessible and responsive leadership/executive director (many reports)
    • Dedicated, well-led nursing and Health & Wellness staff
    • Good communication with families and regular progress updates
    • Personalized touches and family inclusion (Veterans Wall, shadow boxes)
    • Safe environment with fall-prevention measures (padded carpeting)
    • Landscaped courtyard, gazebo and pleasant outdoor spaces
    • Convenient location near restaurants and services
    • On-site medical supports (behavioral doctor, dental truck, hospice coordination)
    • Cleanliness and housekeeping generally praised (daily laundry noted)
    • Residents report contentment and improved wellbeing
    • Flexible and supportive transition/settling-in processes
    • Positive veteran recognition and veteran benefit assistance
    • Prompt responses to care requests and issue resolution
    • Home-like atmosphere and warm welcoming staff
    • Well-appointed, updated common areas and some renovated rooms
    • Reasonable-cost perception by several reviewers
    • Memory-care specialization with staff trained in dementia needs
    • Frequent family support opportunities (monthly groups, Skype facilitation)
    • High recommendation rate from many families

    Cons

    • Inconsistent care quality reports (some describe subpar care)
    • Instances of poor hygiene and cleanliness (urine smell, very dirty areas)
    • Reports of medication and medical-equipment concerns (oxygen not maintained, medication issues)
    • Allegations of staff dishonesty about care tasks (e.g., brushing/changing teeth)
    • Security inconsistencies: some report locked doors, others report exterior doors easily exited
    • No unlocked outdoor access reported by some families
    • Weekend and late-shift understaffing concerns
    • Staff turnover and variable staff behavior (some aggressive/argumentative staff)
    • Charges for services not actually performed / pricing transparency issues
    • Mixed impressions of management responsiveness and sales practices (pushy/paperwork confusion)
    • Not suitable for residents needing extensive exercise or with vascular dementia (per some reviewers)
    • Facility is older in places and some areas described as dark or outdated
    • Occasional maintenance issues in rooms (shower drainage, heater problems)
    • Crowded dining area mentioned by some families
    • Price increases and cost concerns for fixed-income families

    Summary review

    Overall sentiment: The reviews for Brookdale Nacogdoches are predominantly positive, with a strong recurring theme of compassionate, attentive staff and a well-run, memory-care–focused environment. Most reviewers emphasize that the community feels home-like and small enough to provide individualized attention. Across numerous comments, staff members are praised by name for going above and beyond (e.g., enabling family connections via Skype, close collaboration with relatives, and sensitive end-of-life care). The facility's memory-care specialization, training, and programming are repeatedly cited as strengths; many reviewers explicitly state they would recommend Brookdale Nacogdoches for dementia or Alzheimer’s care.

    Care quality and staff: The most consistent praise centers on caregivers, nurses, and leadership who are described as knowledgeable, compassionate, respectful, and responsive. Families note frequent check-ins, meaningful one-on-one interactions, close collaboration with family members, and staff who remember residents’ names and histories. Several reviews highlight a well-led Health & Wellness team, a highly qualified nurse, and an accessible executive director who promptly addresses concerns. That said, there are notable exceptions: a minority of reviewers reported subpar care incidents—examples include staff dishonesty about completed care tasks, aggressive or argumentative staff members, and reports of understaffing (particularly on weekends and late shifts). Staff turnover is mentioned, which aligns with occasional variability in caregiver behavior and performance.

    Facilities and safety: Many reviewers describe the building as beautiful, clean, and recently updated in parts (new furnishings, renovated courtyard with gazebo, wood floors, padded carpeting to reduce falls). Outdoor spaces and interior common areas receive frequent praise for their attractiveness and comfort. However, the facility’s age and some outdated decor are also noted by some families. Safety and security feedback is mixed: multiple reviews praise secure memory-care doors and visible safety measures, while others report exterior door security risks or that outdoor access is not available/unlocked—this inconsistency suggests families should verify current security protocols during a tour. Several reviewers applaud fall-prevention upgrades and the overall safe, dignified environment.

    Dining and activities: Dining receives generally favorable marks: reviewers describe balanced meals, adequate portions, and extra snacks between meals; many call the food excellent or home-like and report residents enjoy the dining experience. A minority find meal choices not always to taste. Activities are a clear strength—staff provide frequent, varied, and engaging programming (morning games, exercise, arts & crafts, music, bowling, trivia), sometimes scheduled hourly, which many families identify as positively affecting residents’ mood and engagement.

    Hygiene, medical equipment, and clinical concerns: While cleanliness is often highlighted as a strong point (daily laundry, clean rooms and halls, fresh smell on entry), multiple serious hygiene and medical concerns appear in the reviews. Some families reported urine odors in hallways, incontinent residents not properly managed, missed linen changes, and areas described as "incredibly dirty." There are also concerning accounts of medical equipment and medication issues—examples include oxygen equipment not maintained and suspected medication mismanagement. Additionally, allegations that residents were charged for personal services that were not provided were raised. These are significant red flags for prospective families and warrant direct verification and documentation with facility leadership.

    Management, transparency and cost: Many reviewers praise accessible directors and prompt management responses; others felt management was unhelpful, sales-focused, or confusing about pricing and charges. Several comments point to unclear or changing costs (including a specific price point mentioned and reports of price increases), which can be difficult for families on fixed incomes. Some families also reported receiving apologies and promises of staff retraining after incidents—indicating responsiveness in some cases but also revealing recurring issues that required corrective action.

    Special populations and limitations: Brookdale Nacogdoches is frequently recommended for memory-care needs and is described as ideally serving residents with Alzheimer’s and related dementia. A few reviewers cautioned that the community may be less suitable for residents with vascular dementia or those who require a large amount of physical exercise or unlocked outdoor access. Families with highly mobile residents who need extensive outdoor activity or with very specific clinical needs should assess fit carefully.

    Notable services and positives: The community offers several on-site or visiting clinical supports (behavioral doctor visits, dental truck, hospice coordination, frequent medical organization visits) and provides veteran recognition and assistance with veterans’ benefits. Families commonly report warm welcome experiences, effective transition support, and helpful family support groups. Many reviewers explicitly credit the staff with improving residents’ mobility, speech, mood, and overall quality of life.

    Conclusion and recommendations: The dominant narrative is that Brookdale Nacogdoches provides strong, compassionate memory-care in a clean, comfortable, and activity-rich environment with many personalized touches and responsive staff. However, the presence of multiple, specific reports of hygiene lapses, medical-equipment concerns, inconsistent security practices, billing/charge confusion, and occasional understaffing suggests variability in operational consistency. Prospective families should prioritize an in-person visit to verify current staffing levels (especially on weekends/nights), review cleaning and clinical maintenance protocols, ask about incident reporting and corrective actions, confirm security procedures for exterior doors and outdoor access, and obtain clear, written pricing details. When these due-diligence steps are taken, Brookdale Nacogdoches appears to be a strong option for many families seeking memory care, but it is important to confirm that the facility’s current practices align with each resident’s specific medical, safety, and activity needs.

    Location

    Map showing location of Brookdale Nacogdoches

    About Brookdale Nacogdoches

    Brookdale Nacogdoches offers independent living, assisted living, memory care, and skilled nursing, all on one campus in San Antonio, and you'll find folks here at different stages of life, some needing help with daily tasks and others living on their own but wanting a vibrant and social place. The community gives people access to meals, housekeeping, transportation for outings or appointments, and a mix of activities-there's something as simple as morning brain games or walking groups, and there are rooms for cards, games, and even a library. Some apartments have kitchenettes and private bathrooms, and there are common rooms, lounges, a sun porch, patios, and garden areas for folks who like fresh air. The staff stays on-site at all hours to respond to emergencies. They've got a secure memory care area set up specially for people with Alzheimer's or dementia, using routines and gentle reminders to create a safe space, and they run programs to help with memory and skills every day. Residents get meals made for them, can use on-site salon and beautician services, and there's an option for pet therapy-it's a pet-friendly place if someone wants to bring an animal companion along. The building is handicap accessible, there's Wi-Fi available, and each unit has an emergency call system for quick help if needed. Housekeeping and laundry services are included to keep things comfortable. There's a focus here on experience-based routines and making sure everyone finds a sense of belonging, offering devotional services both on and off site. People often make friends and stay active through scheduled events and person-centered group programs, with skilled care available right on site if someone needs a higher level of medical help than assisted living provides. There's a big emphasis on residents' safety, comfort, and the chance to stay independent for as long as possible, no matter what their situation happens to be.

    About Brookdale

    Brookdale Nacogdoches is managed by Brookdale.

    Brookdale Senior Living Inc. (NYSE: BKD) is the largest senior living operator in the United States, managing over 640 communities with capacity for approximately 59,000 residents across 41 states and employing around 36,000 associates. Founded in 1978 and publicly traded since 2005, Brookdale solidified its market leadership through major acquisitions including American Retirement Corporation (2006) and Emeritus Senior Living (2014), making it the only national full-spectrum senior living company. Headquartered in Nashville, Tennessee, Brookdale has topped the American Seniors Housing Association's ASHA 50 list and Argentum's largest providers list for multiple consecutive years.

    The company's comprehensive care continuum includes independent living, assisted living, memory care, skilled nursing, and continuing care retirement communities (CCRCs). Brookdale's signature Clare Bridge program, developed over 30 years ago by dementia-care experts, provides specialized Alzheimer's and dementia care through two distinct levels: Clare Bridge communities for comprehensive memory support and the Clare Bridge Solace program for advanced-stage dementia residents. The program is recognized by the Alzheimer's Association® for incorporating evidence-based Dementia Care Practice Recommendations and features secure environments, enclosed courtyards, Daily Path programming with six structured activities daily, and the InTouch technology platform offering personalized brain-stimulating games and therapeutic content.

    Brookdale's holistic Optimum Life® wellness approach balances six dimensions—Purposeful, Physical, Emotional, Social, Spiritual, and Intellectual—implemented through signature programs including B-Fit (eight exercise class options), Brain Fit (mental fitness workouts), My Life Story (resident storytelling), EngagementPlus (interest-based connections), Growing Together (collaborative learning), and The Ageless Spirit (kindness and gratitude practices). The Embrace Family Partnership provides caregiver education and support for families of memory care residents.

    The company's Brookdale HealthPlus® care coordination model, winner of the 2024 Argentum Best of the Best Award placing it among the top 1% of operators, is a technology-enabled healthcare service featuring dedicated RN Care Managers who proactively manage residents' health, coordinate care transitions, and help prevent avoidable hospitalizations. Communities using HealthPlus report 78% fewer urgent care visits, 36% fewer hospitalizations, and 63% more completed annual wellness visits. The Personal Solutions program delivers hygiene products, medications, and daily necessities directly to residents' doors with discreet packaging and monthly billing convenience.

    Following a strategic divestiture of its home health and hospice operations to HCA Healthcare (completed December 2023), Brookdale now focuses exclusively on senior living operations while maintaining its position as the industry's largest operator, committed to its mission of enriching lives with compassion, respect, excellence, and integrity.

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