Asbury Care Center of Alamo
8223 Broadway, San Antonio, TX 78209
Owned by: Vertical Health Services, LLC
“We had to bring to staff’s attention there was feces on the floor of my father’s room.“
– N.R. Yelp –

“No phone in the room, no TV, no AC. No one came to check on her…”
Dee Ramirez
“It is run down and nasty. DO NOT LET YOUR LOVED ONE END UP HERE.”
Laura Sabatino
“Bad place to put a parent, or other loved one.”
Rudy Gonzales
About Advanced Care of St. Joseph
Behind Asbury Care Center of Alamo’s welcoming façade lies a heart-stopping catalogue of neglect. Branded with a humiliating one-star rating on every major review site and by Medicare itself, the facility employs an unvaccinated workforce—0 % staff COVID vaccination rate—that leaves frail residents defenseless against deadly infection. Federal inspectors have already imposed $56,000 in fines and cited nine health-code violations, yet basic human needs still go unmet: call bells ignored, meds skipped, and rooms left sweltering without air-conditioning, televisions, or even a working phone for desperate families to reach their loved ones.
Multiple lawsuits paint an even darker picture—patients languishing without care, isolated in silence and heat, their dignity eroded day by agonizing day. These are not isolated oversights but a systemic abandonment that endangers every soul trapped inside. If Asbury’s negligence has wounded someone you cherish, your story can help expose this cruelty and force overdue justice. Speak out now—because silence is the shield that lets elder abuse endure.
Recent Health Inspection Violations
January 24, 2025: Residents treated with utter disrespect
Residents at nursing home owned by Vertical Health Services were denied their basic right to dignity, as staff referred to them as “feeders,” reducing their identities to mere needs. This failure jeopardizes their self-esteem and quality of life.
January 24, 2025: Despicable consent violations for medication
Horrific lapses allowed residents at nursing home owned by Vertical Health Services to receive psychotropic medication without proper informed consent, leaving their health in jeopardy without understanding the risks involved.
January 24, 2025: End-of-life wishes ignored with NO DNR in place
A shocking oversight at nursing home owned by Vertical Health Services involved a resident’s desire for a Do Not Resuscitate order not being honored. This could lead to catastrophic treatment against their will at a critical moment.
January 24, 2025: Medications stored in unsafe conditions, risking lives
Controlled drugs at nursing home owned by Vertical Health Services were kept in a makeshift location, making them easy targets for theft and misappropriation. This blatant disregard for safety places residents in dire danger.
January 24, 2025: Filthy food storage, breeding ground for illness
Unsafe food handling at nursing home owned by Vertical Health Services included boxes of food on filthy floors and improperly stored items risking serious health issues for vulnerable residents.
January 24, 2025: Lack of proper infection control measures
Critical infection control failures at nursing home owned by Vertical Health Services included staff neglecting to wear gloves while interacting with vulnerable patients, dramatically increasing the risk of spreading infections.
January 24, 2025: Residents forced into unsanitary condition
The nursing home owned by Vertical Health Services neglected to provide a clean and comfortable environment, with disgusting odors permeating common areas, creating an unbearable atmosphere for both residents and staff.
January 24, 2025: Neglected dietary standards putting residents at risk
Violations of dietary safety standards at nursing home owned by Vertical Health Services included improperly stored food and open containers left out, threatening the health of the elderly who rely on safe meal preparations.
January 24, 2025: Residents denied their right to choose treatments
Residents at nursing home owned by Vertical Health Services were not informed of their right to refuse or choose treatments, leaving them vulnerable to unwanted medical interventions during critical health decisions.
October 1, 2024: Residents denied dignity and respect
Careless staff at the nursing home owned by Vertical Health Services referred to residents simply as “feeders,” stripping away their humanity and leading to psychological harm.
October 1, 2024: Grievous failure to obtain informed consent
In a shocking display of negligence, the nursing home owned by Vertical Health Services neglected to secure informed consent for vital psychotropic medications for residents, raising serious concerns about their safety and rights.
October 1, 2024: Unbelievable medication storage violations
Critically controlled medications at the nursing home owned by Vertical Health Services were not securely stored in locked compartments, dangerously exposing residents to the risk of theft and misuse.
October 1, 2024: Filthy food storage practices risking health
The kitchen at the nursing home owned by Vertical Health Services was found in disarray, with food stored improperly and exposed to contamination, threatening residents with foodborne illnesses.
October 1, 2024: Critical infection control failure
Staff at the nursing home owned by Vertical Health Services blatantly ignored infection control protocols, failing to wear gloves or gowns while providing care to vulnerable residents, endangering their health.
October 1, 2024: Inadequate care planning leading to risk
The nursing home owned by Vertical Health Services neglected to create adequate care plans for residents requiring complex medical management, putting their health and well-being at serious risk.
October 1, 2024: Residents left to suffer in unclean environments
Disturbingly unsanitary conditions in certain areas of the nursing home owned by Vertical Health Services present a significant risk to the health of residents who deserve safe and clean living spaces.
October 1, 2024: Disrespectful treatment of residents by staff
Residents at the nursing home owned by Vertical Health Services were subjected to disrespectful treatment by staff, affecting their mental health and dignity in their daily lives.
October 1, 2024: Abysmal record-keeping endangers care
The failure to properly document residents’ medical information at the nursing home owned by Vertical Health Services threatens to compromise patient care and safety.