Stone Oak Care Center

Nursing home in San Antonio, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (210) 481-9000 Send a message Map ↗

Public-record details

Address: 505 Madison Oak Drive, San Antonio, TX 78258
Phone: (210) 481-9000
Listed under: For-profit
Medicare CCN: 675968
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 3 of 5
Staffing rating: 1 of 5
Quality measures rating: 4 of 5
Certified beds: 152
Average residents per day: 125
Ownership: For-profit, limited Liability company
Legal business name: Bexar County Hospital District
Chain: Touchstone Communities (25 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: May 13, 2003
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 675968. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 25, 2025. CMS lists 40 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 28, 2023 to Jun 4, 2026): 15 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Jun 4, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Dec 3, 2025	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services · complaint inspection	D Potential for more than minimal harm, isolated
Dec 3, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Dec 3, 2025	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Dec 3, 2025	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration · complaint inspection	D Potential for more than minimal harm, isolated
Nov 25, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
Jul 25, 2025	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights	D Potential for more than minimal harm, isolated
Jul 25, 2025	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 40. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $9,087 in the last three years.

Jun 27, 2025

Fine: $9,087

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 2.88 hours
Registered nurse (RN) time per resident per day: 0.23 hours
Nurse aide time per resident per day: 1.84 hours
Total nurse staffing on weekends: 2.48 hours
Nursing staff turnover (yearly): 60%
RN turnover (yearly): 69%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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