San Antonio, TX

Stone Oak Care Center

2-star overall rating with 3-star inspections with $13,980 in total fines with 17 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

505 Madison Oak Dr, San Antonio, TX

(210) 481-9000

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

152

Certified beds

Average residents

113

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Touchstone Communities

Operator or chain grouping

Approved since

2003-05-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

28 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.31

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.72

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.97

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.00

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.03

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.56

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.27

CMS adjusted RN staffing hours

Adjusted total hours

2.54

CMS adjusted total nurse staffing hours

Case-mix index

1.61

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,077

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

14.02

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.57% · Performance 21.30% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.97

Baseline 8.56% · Performance 6.97% · Measure score 3.97 · Achievement 2.90 · Improvement 3.97

Total nurse turnover

1.64

Performance 56.98% · Measure score 1.64 · Achievement 1.64 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.15 hours · Performance 2.72 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.83%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 77 · Observed rate 6.49% · Lower 95% interval 6.45%
Discharge to community	48.91%	50.57% 1.7 pts worse	No Different than the National Rate · Eligible stays 48 · Observed rate 43.75% · Lower 95% interval 36.03%
Medicare spending per beneficiary	1.02	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 54 · Denominator 54
Falls with major injury	3.7%	0.77% 2.9 pts worse	Numerator 2 · Denominator 54
Discharge self-care score	51.85%	53.69% 1.8 pts worse	Numerator 14 · Denominator 27
Discharge mobility score	62.96%	50.94% 12 pts better	Numerator 17 · Denominator 27
Pressure ulcers or injuries, new or worsened	1.85%	2.29% 0.4 pts better	Numerator 1 · Denominator 54 · Adjusted rate 1.29%
Healthcare-associated infections requiring hospitalization	6.97%	7.12% 0.2 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 5% · Lower 95% interval 3.25%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 103
Staff flu vaccination coverage	10.1%	42% 31.9 pts worse	Numerator 91 · Denominator 901
Discharge function score	59.26%	56.45% 2.8 pts better	Numerator 16 · Denominator 27
Transfer of health information to provider	95.45%	95.95% 0.5 pts worse	Numerator 21 · Denominator 22
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	4%	25.2% 21.2 pts worse	Numerator 1 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	2.1 0.1 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.3 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	5.1	2.1 3 pts worse	1.8 3.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 5.1 · Observed 3.6 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.5%	97.1% 1.6 pts worse	93.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.1% · Q3 91.8% · Q4 92.7% · 4Q avg 95.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.5%	3.3% 1.2 pts worse	3.3% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.9% · Q3 4.1% · Q4 5.2% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	2.7% 2.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	2.4%	3.3% 0.9 pts better	5.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.7% · Q3 0.0% · Q4 4.1% · 4Q avg 2.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.2%	18.9% 0.7 pts better	19.6% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 21.3% · Q3 17.6% · Q4 14.5% · 4Q avg 18.2%
Percentage of long-stay residents who received an antipsychotic medication	7.7%	10.8% 3.1 pts better	16.7% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 7.8% · Q3 7.0% · Q4 10.3% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.3%	15.4% 11.1 pts better	16.3% 12 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 11.9% · Q4 0.0% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.5%	16.1% 10.6 pts better	14.9% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.0% · Q3 9.0% · Q4 5.6% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	10.8%	15.0% 4.2 pts better	19.8% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 13.8% · Q3 10.6% · Q4 10.8% · 4Q avg 10.8%
Percentage of long-stay residents with pressure ulcers	1.7%	4.2% 2.5 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.7% · Q3 2.7% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.7%	89.7% 6 pts better	81.7% 14 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.5% · Q3 93.6% · Q4 89.6% · 4Q avg 95.7%
Percentage of short-stay residents who had an outpatient emergency department visit	14.5%	12.0% 2.5 pts worse	12.0% 2.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 14.3% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.5% 0.3 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.4%	88.0% 8.4 pts better	79.7% 16.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.0%	25.9% 1.1 pts worse	23.9% 3.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 22.9% · Expected 20.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-25 · Fire 2025-07-25

17 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-06-21 · Fire 2024-06-21

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-04-28 · Fire 2023-04-28

13 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-07-25

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-07-23

E · Potential for more than minimal harm 2024-06-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-19

F · Potential for more than minimal harm 2023-04-28

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-04-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-03

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-12-04

D · Potential for more than minimal harm 2025-12-03

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-12-04

D · Potential for more than minimal harm 2025-12-03

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-12-04

D · Potential for more than minimal harm 2025-12-03

F849 · Administration Deficiencies

Health

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.

Corrected 2025-12-04

D · Potential for more than minimal harm 2025-11-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-11-26

E · Potential for more than minimal harm 2025-07-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-07-26

E · Potential for more than minimal harm 2025-07-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-07-26

E · Potential for more than minimal harm 2025-07-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-26

D · Potential for more than minimal harm 2025-07-25

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-07-26

D · Potential for more than minimal harm 2025-07-25

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-07-26

D · Potential for more than minimal harm 2025-07-25

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-07-26

D · Potential for more than minimal harm 2025-07-25

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-07-26

D · Potential for more than minimal harm 2025-07-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-26

J · Immediate jeopardy 2025-06-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-06-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-06-28

D · Potential for more than minimal harm 2025-06-27

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-06-28

D · Potential for more than minimal harm 2025-06-27

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-06-28