Do you think that physically tilting the antenna to point downhill will work? After all, we only operate on the east face of the mountain.
I installed a Telewave ANT-450D that way at one of the sites.
I inherited this system, and have to maintain it pretty much as is. I would have preferred VHF for the location (and for interoperability), but sometimes we get stuck with what we have.
Anyway, a couple of sites with 10 watt UHF analog repeaters. The site was having a lot of issues. I had to replace a lot of poor quality components along the way.
One issue was "ham radio" grade antennas that were used. For some reason they went with 6dB gain omni-directionals. That blew a lot of power over the heads of the users. At two of the three sites, I replaced the antennas with the ANT-450D single bay folded dipoles. Both sites are at about 2500 feet elevation. Users could be anywhere from 4000 feet up on adjacent ridges to right down at sea level (actually -on- the beach). All this was within a few miles range (one site was one mile from the 2500' high repeater to seal level).
The wider beamwidth of the antenna helped put signal where it was needed, rather than blasting most of it out at the horizon.
At onne site which had a really steep slope, I installed the antenna on a pole and then mounted the pole over at about 15º so the antenna was looking down the slope. That greatly improved coverage.
The right antennas can make a big difference. I would have suspected a big company like Bearcom to do a better study of the application.
Often installers, and especially hams/hobbyists, will see antenna gain as "free power". That's great in some applications, but it can impact coverage in others. Sometimes lower gain, wider beamwidth antennas are what is needed to bring the pattern down where it does more for the users.
That absolutely sounds like some of your issue.
The intermittent coverage issues sounds like something else.
Combine those two solutions and you may see your issues go away.