About Stone Oak Care CenterStone Oak Care Center is located at 505 Madison Oak Dr, San Antonio, TX, reachable at (210) 481-9000. This For profit – Limited Liability company facility operates 152.0 certified beds and serves an average of 112 residents per day. It is part of the Touchstone Communities network (28 facilities nationwide). Medicare and Medicaid services have been provided since 2003-05-13. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Stone Oak Care Center may be considered for families with limited options in San Antonio, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★2 / 5
Health Inspection
★★★★★3 / 5
Staffing Rating
★★★★★1 / 5
Quality Measures (QM)
★★★★★4 / 5
Long-Stay QM Rating
★★★★★5 / 5
Short-Stay QM Rating
★★★★★2 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightStone Oak Care Center currently provides 3 hours of total nurse staffing per resident per day, including 19 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 57.3%, which can affect care continuity.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours
Nurse Aide Hours1 hour 58 minutes
Licensed Practical Nurse (LPN) Hours43 minutes
Registered Nurse (RN) Hours19 minutes
Physical Therapist Hours1 minute
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours2 hours 33 minutes
Weekend Registered Nurse (RN) Hours10 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $13,980. 41 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, Stone Oak Care Center ranks 9743rd out of 14,703 facilities (composite score: 66.6/100), placing it in the below average nationwide. Within TX, it ranks 747th out of 1,177 nursing homes. In San Antonio, it ranks 38th out of 58 facilities. Among facilities sharing its ZIP code, it ranks 4th of 4. For 2026 staffing: total nurse hours rank #13,165 nationally and RN hours rank #12,507 nationally (#749 in TX).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TX State Rank
Note
2022
2.96
#11,996 / 14,703
#833 / 1,177
⚠️ Bottom 25%
2023
3.12
#11,146 / 14,703
#699 / 1,177
⚠️ Bottom 25%
2024
2.73
#13,531 / 14,703
#981 / 1,177
⚠️ Bottom 10%
2025
2.69
#13,839 / 14,703
#1,079 / 1,177
⚠️ Bottom 10%
2026
3.00
#13,165 / 14,703
#902 / 1,177
⚠️ Bottom 25%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TX State Rank
Note
2022
0.45
#9,826 / 14,703
#340 / 1,177
Below average
2023
0.32
#11,845 / 14,703
#568 / 1,177
⚠️ Bottom 25%
2024
0.28
#12,702 / 14,703
#730 / 1,177
⚠️ Bottom 25%
2025
0.14
#14,129 / 14,703
#1,107 / 1,177
⚠️ Bottom 5%
2026
0.31
#12,507 / 14,703
#749 / 1,177
⚠️ Bottom 25%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Stone Oak Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2003-05-13. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 481-9000 or your local Medicaid office to verify current eligibility.
Stone Oak Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 66.6/100, placing it #9743 of 14703 facilities nationally and #747 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Stone Oak Care Center receives a reported average of 3 hours of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 19 minutes; Licensed Practical Nurse (LPN) — 43 minutes; Nurse Aide — 1 hour 58 minutes. On weekends, total nurse staffing is 2 hours 33 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 57.3%. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $13,980. 41 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $13,980, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 83.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Stone Oak Care Center ranks 9743rd out of 14,703 facilities (composite score: 66.6/100), placing it in the below average nationwide. Within TX, it ranks 747th out of 1,177 nursing homes. In San Antonio, it ranks 38th out of 58 facilities. Among facilities sharing its ZIP code, it ranks 4th of 4. For 2026 staffing: total nurse hours rank #13,165 nationally and RN hours rank #12,507 nationally (#749 in TX). Our composite quality score of 66.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Antonio, visit: https://nursinghomesnearme.org/texas/san-antonio/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.