Assisted Living
Onestone Oak Senior Living
20718 Stone Oak Parkway, San Antonio, TX 78258 · Map
Licensed for 16 residents · ONESTONE OAK LIVING
Onestone Oak Senior Living is a state-licensed assisted living community in San Antonio, Texas. It is licensed for 16 residents. It is operated by ONESTONE OAK LIVING. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Care and services
From the community’s website
What Onestone Oak Senior Living says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
The staff has been totally supportive in meeting all of her needs and requirements, as well as, coordinating closely with her Hospice Company.
(page, checked Oct 12, 2026)
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Most recent comprehensive inspection: Nov 4, 2025. See the record
License
Active, 16 residents
Assisted Living Facility TYPE B 311593, current license dated Aug 29, 2023. Licensee VL DEVELOPMENT, LLC.
Nearest emergency room
2.6 miles
Methodist Hospital Stone Oak, rated 4 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Onestone Oak Senior Living this community | 16 | Not published | Active | 2 violations, 0 penalties | |
| Discovery Village Stone Oak | 0.8 mi | 125 | Not published | Active | 18 violations, 0 penalties |
| Mentis Neuro Health | 2.4 mi | 24 | Not published | Active | 4 violations, 0 penalties |
| Independence Hill Assisted Living | 2.5 mi | 115 | Not published | Active | 9 violations, 0 penalties |
| Sodalis Elder Living Stone Oak Assisted Living | 2.6 mi | 66 | Not published | Active | 9 violations, 1 penalties |
State inspection record2 violations, 0 penalties
- Most recent comprehensive inspection
- November 4, 2025
- Health violations cited
- 0
- Life Safety Code violations cited
- 2
- Administrative penalties
- 0
Violations cited, most recent first
- November 4, 2025, Life Safety Code: The facility failed to provide portable fire extinguishers that met the referenced codes and standards.
- November 4, 2025, Life Safety Code: The facility failed to ensure portable fire extinguishers were mounted on hangers or brackets supplied with the fire extinguisher or mounted in a fire extinguisher cabinet, were protected from impact or dislodgement, and were mounted at the appropriate height based on the weight of the extinguisher.
Read the full record on the state’s site →
HHSC lists each state violation cited at the provider's inspections and investigations, with the date the visit ended and the date HHSC recorded it as corrected. HHSC notes the list “may include findings from previous inspections.” Health visits check care and services; Life Safety Code visits check fire safety and the building. Enforcement actions are administrative penalties HHSC imposed under Texas Health and Safety Code Chapter 247, with the rule cited and HHSC's description of the violation. HHSC: “Data is subject to change through normal business processes such as the state IDR process.” This community is licensed for 16 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Texas Health and Human Services Commission, Long-term Care Regulation, Long Term Care Provider Search, data as of October 15, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license, licensee VL DEVELOPMENT, LLC
- License type
- Assisted Living Facility TYPE B
- License number
- 311593
- License status
- Active
- Current license dated
- 2023-08-29
- Licensed capacity
- 16
- Licensee
- VL DEVELOPMENT, LLC
- Operator
- ONESTONE OAK LIVING
- County
- Bexar County
- Administrator
- Florin Panesiu
Source: Texas state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Texas licensing record, as of Sep 8, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Texas, and other programs
How Medicaid pays for care in Texas
- STAR+PLUS Home and Community Based Services (STAR+PLUS HCBS) Waiver Program. Texas Medicaid can help pay for assisted living for people enrolled in the STAR+PLUS HCBS waiver, which helps people who would otherwise need to be in a nursing home. HHSC checks whether you need this program when you apply for Medicaid. (state page)
- Waitlist. STAR+PLUS HCBS uses an interest list. People already on Medicaid with a STAR+PLUS plan may bypass it, and nursing facility residents can use Money Follows the Person. (source)
Ask the community whether it accepts Medicaid.
Staff pay and workplace safety1 OSHA inspection, no violations cited
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 2, 2022: complaint inspection, partial (health). Case closed Mar 23, 2022. No violations cited. OSHA record. OSHA recorded the employer as RCM Senior Living. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby careNearest hospital 2.6 mi, nursing home 2.5 mi, pharmacy 0.6 mi
- Nearest hospital with an emergency room
- Methodist Hospital Stone Oak, San Antonio. 2.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Coronado at Stone Oak, San Antonio. 2.5 miles away, straight line.
- Nearest home health agency office
- Amour Home Health, LLC, San Antonio. 3.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78258 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- North Central Kidney Disease Center, San Antonio, 2.1 miles away, straight line (CMS rating 3 of 5 stars)
Davita Stone Oak Dialysis, San Antonio, 2.7 miles away, straight line (CMS rating 4 of 5 stars)
Davita Judson Dialysis, San Antonio, 7.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 94 Medicare hospices tell CMS they serve ZIP code 78258.
Compassion Hospice Of Texas, office in San Antonio, 3.7 miles away, straight line
Devoted Care Hospice Inc, office in San Antonio, 3.8 miles away, straight line
Abundant Hospice, LLC, office in San Antonio, 4.2 miles away, straight line - Nearest geriatric medicine practice
- Rise Up Rehab, LLC, San Antonio. 5.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in November 2025. What was it, and how was it fixed?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Texas Health and Human Services Commission, Long-term Care Regulation inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Common questionsAnswers to 5 questions families ask
What type of care does Onestone Oak Senior Living provide?
Onestone Oak Senior Living is licensed by the state of Texas for assisted living in San Antonio, Texas. Its licensed capacity is 16 residents.
Who operates Onestone Oak Senior Living?
Onestone Oak Senior Living is operated by ONESTONE OAK LIVING.
Does Lilisity rate Onestone Oak Senior Living?
No. We publish state licensing details for Onestone Oak Senior Living but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Onestone Oak Senior Living cost?
Assisted Living in Texas typically starts at $3,400 to $4,850 a month. Based on 260 communities that publish prices. These are area figures, not this community's price. Onestone Oak Senior Living does not publish its prices.
How do I contact Onestone Oak Senior Living?
Use Onestone Oak Senior Living's website, onestoneoakseniorliving.com, or visit at 20718 Stone Oak Parkway, San Antonio, TX 78258.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid