Nursing home
Stone Oak Care Center
505 Madison Oak Dr, San Antonio, TX 78258 · Map
For profit - Limited Liability company · Part of Touchstone Communities (28 facilities) · 152 certified beds
Stone Oak Care Center is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.00 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jul 25, 2025 cited 17 deficiencies.
- 1 fine totaling $13,980In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Stone Oak Care Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.00 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.31 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.97 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 57.3% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $13,980, 1 total penalty.
What inspectors found at Stone Oak Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Dec 3, 2025 · Full report (PDF) - Potential for harm
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 · Dec 3, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
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 · Dec 3, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Nov 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
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 · Nov 20, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 25, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 505 Madison Oak Dr
San Antonio, TX 78258 - CMS certification #
- 675968
- Ownership
- For profit - Limited Liability company
- Certified beds
- 152
- Avg residents/day
- 112.5
- Provider type
- Medicare and Medicaid
- First certified
- 2003-05-13
- Chain
- Touchstone Communities (28 facilities)
- Setting
- Urban
Part of Touchstone Communities
Touchstone Communities operates 28 nursing facilities across the United States. View all Touchstone Communities facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Stone Oak Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- South Texas Spine And Surgical Hospital, San Antonio. 1.1 miles away, straight line.
- Nearest Medicare nursing home
- Sonterra Health Center, San Antonio. 0.5 miles away, straight line.
- Nearest home health agency office
- Enhabit Home Health, San Antonio. 3.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.4 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
- Davita Stone Oak Dialysis, San Antonio, 0.7 miles away, straight line (CMS rating 4 of 5 stars)
North Central Kidney Disease Center, San Antonio, 0.9 miles away, straight line (CMS rating 3 of 5 stars)
Innovative Dialysis Solutions At Home Of Devine, San Antonio, 6.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 94 Medicare hospices tell CMS they serve ZIP code 78258.
Devoted Care Hospice Inc, office in San Antonio, 2.0 miles away, straight line
Compassion Hospice Of Texas, office in San Antonio, 2.1 miles away, straight line
Abundant Hospice, LLC, office in San Antonio, 2.4 miles away, straight line - Nearest geriatric medicine practice
- Rise Up Rehab, LLC, San Antonio. 2.5 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 risk
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 moderate, wildfire relatively low, tornado very high, heat wave relatively moderate, 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.
What we checked
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 |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| 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 |
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Frequently asked questions
Is Stone Oak Care Center a good nursing home?
CMS gives Stone Oak Care Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Stone Oak Care Center staffed?
Stone Oak Care Center reports 3.00 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Stone Oak Care Center had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does Stone Oak Care Center have?
Stone Oak Care Center is certified for 152 beds.