← Back to results

Stone Oak Care Center

Nursing Home Facility

505 Madison Oak Dr, San Antonio, TX 78258

Nursing Home Care Senior Living

Stone Oak Care Center is a senior care community located in San Antonio, TX. It provides nursing home care and senior living for older adults in the San Antonio area. To learn more or schedule a tour, call (210) 481-9000.

Operated by Touchstone Communities, which runs 12 communities in our directory.

Stone Oak Care Center is licensed for 152 beds, about typical for the area, where senior care communities in San Antonio average about 169 beds.

Federal reporting puts occupancy at about 82% of its licensed beds. That is above the San Antonio average of roughly 65%.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in July 2025 and recorded 18 deficiencies.

Residents receive about 2.9 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Communities in San Antonio average about 3.4 hours. Nursing staff turnover over the past year was about 60%.

The community is located in Bexar County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 40 problems at Stone Oak Care Center. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 15 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $9,087.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected June 2026, after a complaint. Corrected by June 23, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    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.

    Inspected December 2025, after a complaint. Corrected by December 4, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected December 2025, after a complaint. Corrected by December 4, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected December 2025, after a complaint. Corrected by December 4, 2025.

  • Could cause more than minimal harm, one or a few residents Administration

    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.

    Inspected December 2025, after a complaint. Corrected by December 4, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected November 2025, after a complaint. Corrected by November 26, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected November 2025, after a complaint. Corrected by November 21, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected November 2025, after a complaint. Corrected by November 21, 2025.

Show 10 more
  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected November 2025, after a complaint. Corrected by November 21, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected November 2025, after a complaint. Corrected by November 21, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected July 2025. Corrected by July 26, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected July 2025. Corrected by July 26, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected July 2025. Corrected by July 26, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected July 2025. Corrected by July 26, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Inspected July 2025. Corrected by July 26, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected July 2025. Corrected by July 26, 2025.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    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.

    Inspected July 2025. Corrected by July 26, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected July 2025. Corrected by July 26, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Stone Oak Care Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 152
  • Occupancy 82%
  • Nursing hours per resident/day 2.9
  • Annual staff turnover 60%
  • Last health inspection July 2025

Get directions

Resident & family reviews

No one has shared a review of Stone Oak Care Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.

Write a review