My dad was a resident of Retama Manor Nursing Center/San Antonio West. The layout was fine, and it was secure for the patients. But the director of nursing was just not a very nice person. I don't think that the people that work there know how to talk to people. There was never a meeting with them, and I just felt like it was kind of like, "oh, it is what it is." I had concerns, but I just don't think that they took care of them. I had to reach out to people higher up and that's how I would get a response. But only if I went to other people. They had an outside patio, but someone had to be out there. A family member would have to come in, sit with them, and take them outside. There were supposed to be group activities, but I didn't see that ever happen. They would talk to them, though, but I didn't really see any type of activities being done. There were cockroaches. And the sewage would back up into the bathrooms and the rooms. I voiced my concerns about that, and they just said, "Oh, the plumber's coming over" or "the plumber's coming soon," but I had to reach out to the Texas Health and Human Services, and that was the only way that something happened. They had to do a survey and people from the state had to go in. So, it just really needs to be cleaner.