STONE OAK CARE CENTER – SAN ANTONIO, TX

CMS Verified | 2026-03-01

Stone Oak Care Center

505 MADISON OAK DR, San Antonio, TX 78258
(210) 481-9000
152 beds
All San Antonio facilities
2.0*
Overall
3.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
66.63
Score /100
#9743
National Rank

#9743
of 14703 facilities
National
33.7% position
#747
of 1177 in TX
State Rank
#39
of 62 in Bexar
County Rank
#38
of 58 in San Antonio
City Rank
#4
of 4 in ZIP 78258
ZIP Rank






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.
Facility

Stone Oak Care Center

Address

505 Madison Oak Dr, San Antonio, TX 78258

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 152 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: TOUCHSTONE COMMUNITIES

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 5 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
66.63
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#9743 of 14703 nationally – #747 of 1177 in Texas

Who Is This Facility Best For?

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.
Number of Fines (current period) 1
Total Fines Amount $13980.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 83.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#9,743
of 14,703
National
Bottom 34%
#747
TX State
Bottom 37% in TX
#39
of 62
️ Bexar County
#39 of 62
#38
of 58
️ San Antonio
#38 of 58
#4
of 4
ZIP 78258
#4 of 4

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).

How do we calculate these rankings?

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/

Contact and Location

ADR
Address

505 MADISON OAK DR, San Antonio, TX 78258
Get directions on Google Maps

TEL
LLC
Legal Name

BEXAR COUNTY HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Bexar County ·
San Antonio ·
ZIP 78258

Facility Details

Number of Certified Beds 152
Average Residents / Day 112 (74% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Bexar County, TX
City San Antonio, TX
ZIP Code 78258
Approved Since May 13, 2003
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675968
Data Processing Date March 1, 2026
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.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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