Nursing Homes · Medicare certified
Stone Oak Care Center
505 Madison Oak Drive · San Antonio, TX 78258 · 152 certified beds
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About Stone Oak Care Center
Stone Oak Care Center is a nursing home in San Antonio, Texas. Its capacity is 152 beds, above the Bexar County median of 120 for nursing homes. It is run by a nonprofit operator and is part of Touchstone Communities. It is Medicare certified. Its public inspection record shows 41 citations, the most recent on December 3, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 2.92 hours per resident per day. It is one of 59 nursing homes listed in San Antonio. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
1.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (41)
Records from April 2023 to December 2025.
June 27, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2025.
June 21, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 21, 2024
Tag F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 21, 2024
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 21, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 21, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 21, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
June 21, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2024.
September 22, 2023
Tag F0790Provide routine and 24-hour emergency dental care for each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2023.
June 7, 2023
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 8, 2023.
June 7, 2023
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 8, 2023.
April 28, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 29, 2023.
April 28, 2023
Tag F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 29, 2023.
April 28, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 29, 2023.
April 28, 2023
Tag F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 29, 2023.
April 28, 2023
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 29, 2023.
April 28, 2023
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 29, 2023.
April 28, 2023
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 29, 2023.
April 28, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 29, 2023.
April 28, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 29, 2023.
Penalties (1)
Total fines: $9,087
June 27, 2025 · Fine
CMS recorded a civil money penalty of $9,087 against this nursing home on June 27, 2025.
Staffing
2.92 nurse hours per resident per day in Q2 2026, up from 2.86 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Touchstone Communities, a chain of 25 nursing homes.
Average CMS star ratings across the chain: 2.8 overall, 2.9 for health inspections, 1.5 for staffing, 4.2 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
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