Mission Oaks Manor is an aging facility in an older neighborhood southeast of downtown San Antonio (near the old Mission drive in theater). It has the standard multiple-wings-around a nursing station layout, with a couple of dining areas that double as lounge areas during the day. There is a covered outdoor space with some pool tables and rocking chairs, and this is also the smoking area for residents who smoke. The rooms are mostly doubles, with a bathroom shared between two rooms, and showers down the hall. Furnishings are sparse, and the smells tend to be nursing home smells. So why, you ask, do I give it 4 stars? For the caring staff and the fact that Mission Oaks takes some of the poorest and most struggling patients that other nursing homes do not accept. Bless them for that. My brother was in Mission Oaks with extra care from a Hospice organization. The Mission Oaks staff made him welcome and comfortable. After a few weeks, he even started joking around with the nurses, which is a real sign that he felt cared about. Many of the patients there have nowhere else to turn, and Mission Oaks not only takes them in but truly cares about each and every one of them as an individual.