Stone Oak Care Center
505 Madison Oak Drive, San Antonio, TX 78258 · Bexar County
For-profit · 152 certified beds · 82% occupancy · (210) 481-9000
Stone Oak Care Center reviews: what the government record shows
The U.S. government (CMS) rates Stone Oak Care Center 2 out of 5 stars overall, below average. Its nurse staffing is 12% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 2.88 hrs/resident/day (-12% vs TX median)
- Antipsychotic drug use
- 5.9% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 5.4% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $9,087
- Inspection findings
- 40 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Nurse staffing of 2.88 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Stone Oak Care Center
Is Stone Oak Care Center a good nursing home?
Stone Oak Care Center in San Antonio, Texas holds a 2 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Stone Oak Care Center staffed?
Stone Oak Care Center reports 2.88 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Stone Oak Care Center been fined or flagged for abuse?
Stone Oak Care Center has paid approximately $9,087 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.88 nurse hours per resident per day. 12% below the Texas median of 3.27.
Nursing staff turnover: 59.8% · RN turnover: 69.2%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0641 · Jul 25, 2025Corrected Jul 26, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0755 · Jul 25, 2025Corrected Jul 26, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · Jul 25, 2025Corrected Jul 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0842 · Jun 4, 2026ComplaintCorrected Jun 23, 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 Deficiencies
- Potential for harmTag F0726 · Dec 3, 2025ComplaintCorrected Dec 4, 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 Deficiencies
- Potential for harmTag F0755 · Dec 3, 2025ComplaintCorrected Dec 4, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0842 · Dec 3, 2025ComplaintCorrected Dec 4, 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 Deficiencies
- Potential for harmTag F0849 · Dec 3, 2025ComplaintCorrected Dec 4, 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 Deficiencies
- Potential for harmTag F0641 · Nov 25, 2025ComplaintCorrected Nov 26, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0610 · Nov 20, 2025ComplaintCorrected Nov 21, 2025
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 40 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Touchstone Communities chain, which operates 25 facilities, with a chain-average CMS rating of 2.9 stars.