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Health Care Facility reviews in San Marcos

  • F
    Healthsouth Hospital

    Riosa Healthsouth is a horrible place to rehabilitate.   Their faults far outnumber their virtues.  My mother was in Riosa from April 25 through May 5, 2014.

    To start with, the majority of their patients come there straight from the hospital where they haven't had a real bath in days or even weeks.  My mother had only sponge baths for the 8 days she was hospitalized.  Wouldn't it be logical for all incoming patients at Riosa to receive a real bath?  When we asked, the charge nurse said it wasn't on the schedule.

    My 2 sisters and I discussed our mother's condition--dementia and the stroke--with the charge nurse.  We were concerned that Mother wouldn't remember to call for help to go to the bathroom.  The charge nurse told us not to worry, that they get the patients up and to the restroom every 2 hours.  That was total balderdash.

    Since my mother was weak and had been lying in bed for 8 days, she was considered a fall risk, and Riosa loaned her a wheelchair.  Patients considered at risk for falls are given beds with alarms that alert staff whenever the patient attempts to leave the bed.  One of the positive aspects of Riosa is that family members are allowed, even encouraged, to spend the night.  I spent the first night with my mother in her semi-private room.  She was exhausted and went to sleep immediately.  We were awakened at 11 p.m. for her evening meds.  That first night, I helped my mother to the restroom the 3 times she went because no one answered the alarm.  I have zero experience with wheelchairs or patients with mobility issues.  Finally I turned the alarm off.  At 5:00 the next morning, an aide came in to draw blood.  Five minutes later, someone else came in to draw blood.  I said that it had just been done, and she said, "Oh," and walked out.  About a half hour later an aide came in to do vitals.  About a half hour later an aide came in to check my mother's blood sugar, which turned out to be too high.  A while later, an aide came in to administer insulin.  She asked Mother if she wanted it in the arm.  No!  In the stomach? No!  I interrupted their little verbal tussle to tell the girl to give it in my mother's thigh.

    When one of my sisters spent the night, an aide was summoned to help Mother to the bathroom.  It was a long wait.  She took Mother to the bathroom and then just disappeared.  Is that how a decent staff treats a patient who's a fall risk?

    I have to say that Riosa was consistent in giving the meds my mother's doctor ordered.  They checked her blood sugar 4 times a day, which was another problem.  When the girl would come in to p**** my mother's finger, she callously poked the same finger that she poked earlier.  She poked it in the sensitive pad and she rammed the little pin in so that Mother's fingers were horribly bruised.  I understand that they want to p**** it hard enough so that they only have to do it once, but this particular aide used no common sense or empathy whatsoever.

    One of the main problems at Riosa was nutrition.  My mother is a vegetarian and their idea of a vegetarian diet is to serve the usual menu with the meat removed.  The first few days, my mother got almost no protein at all.  One day I noticed they had left the rice off the plate.  Why?  Because it's not green?

    One of the most upsetting features of Mother's stay at Riosa was their bumbling approach to the physical and occupational therapy she was there for.  My mother was supposed to get 3 hours per day.  A good portion of that time was wasted in waiting for the next activity, and the therapy aides didn't bother to supervise assigned exercises.  My mother has short term memory loss and the aide would tell her to lift a 2-pound bar 3 sets of 20.  Mother managed to do the right number of reps for 2 exercises, but on the 3rd one, she only did a total of 6 repetitions.  The aide didn't bother to see that the patients were performing the exercises properly.   I couldn't see that any of the patients received exercises based on individual needs.  Or, maybe based on an evaluation?   A patient moves station to station and does the same thing all the other patients do.  I'm sure that's appropriate at some times, but surely not every time. 

    The speech/language therapists were excellent.  Unfortunately, my mother's swallow study from the hospital followed her to Riosa.  The study indicated that my mother might choke on any liquid thinner than nectar.  Riosa provided thickened ice tea (my mom doesn't even drink tea) and milk.  BUT, there was always a jug of water next to my mother's bed.  When given meds, they handed her water.  To no avail, we tried the whole 10 days she was there to get Mother off thickened liquids.

    During Mother's entire stay at Riosa, the staff managed to keep her irritated with their unceasing condescension.   We warned as many staff members as soon as we could that our mother doesn't like to be spoken to like a child.  But their voices went an octave higher and the endearments like sweetie and honey never quit coming.  Every employee in this type of situation has surely been instructed to speak to the patients as adults, not like they're talking to cute puppies.

    From her admission to Riosa, the administrators knew that Humana always sets the release date as early as possible.  Riosa knew our mother's stay was limited, not the 2 or 3 weeks we were originally told at the hospital and at Riosa when we visited before we brought our mother.  Mother went in on Friday evening, and the following Friday at 3:00 p.m. we were informed that our mother would be released on Monday.  We had to scramble to make arrangements for her long-term care, visiting and evaluating facilities over the weekend.  Riosa knew all along that she would be released in less than 2 weeks, but they didn't bother to tell us.

    - Kelly K.
  • A
    United Health Care
    The Episcopal Church Medical Trust, administered by UnitedHealthCare, provides the equivalent of a medicare supplemental policy for Episcopal clergy who have medicare coverage.  The coverage is excellent, and the cost is reasonable.  It includes drug coverage that doesn't require drug coverage through medicare.  There are three levels of coverage; the basic one is provided without charge for clergy that have 20 years or more of active service.  The Plus and Premium plans provide higher levels of coverage at higher cost. 
    As an example, my open heart surgery a couple of years ago (two valve repairs and a bypass) cost me virtually nothing.  Cataract surgery cost a $150 copay.
    - Gary G.
  • B
    Central Texas Medical Center
    I went to the emergency room in the middle of the night.  They moved quickly to get me in however, they had a code blue and I had to wait for awhile to actually see the doctor.  They tested my urine and found I had a UTI and gave me a prescription for it.  I went to Walgreens Pharmacy afterwards and got it filled right away. 
    - Hilary k.
  • F
    Alpar, Dr. Andrew
    He is awful. I had asked him if I could do the dialysis at home and he said no. I found out later that this was an option available but he did not stand to make any money if we did it that way. After my husband died, we needed to have him sign the death certificate so that we could proceed with cremation. He said he was too busy to meet up with us. The funeral director even offered to meet up with him at any of his offices or at home but he would not work with him. I would never use his services again.
    - MARION S J.
  • A
    Central Texas Medical Center
    Generally I was not pleased with this center the first few times my mother was here; the last time she was placed in their care, everything was good. They were upfront with us about the situation. There were times that we would have liked to get information about my mother and no one was accessible. I do understand that sometimes people are busy.
    - alice e.
  • A
    Central Texas Medical Center
    They kept me under observation. I lost 16 pounds in 48 hours. I was very happy with their services. Their nurses were attentive, compassionate and not rushed. I would recommend this hospital to others.
    - PAUL X.
  • B
    B&J Pharmacy
    - Diane W.
  • A
    Sam's Club Pharmacy
    - Melissa L.
  • A
    Central Texas Medical Center
    - Carol G.
  • A
    Walgreens Pharmacy
    They are close to home and I find it convenient to use them. We use the drive through facility more than we go in.
    - Mike B.
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Health Care Facilities in San Marcos

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