Nursing home report
SAN ANTONIO, TX · Medicare-certified · 152 beds
STONE OAK CARE CENTER in San Antonio has a 2-star overall rating, with very weak staffing (1 star) and reported nurse staffing of 2.88 hours per resident per day versus the 4.1 federal benchmark. It also has a recent federal penalty and $9,087 in fines over the last 24 months, while its health inspection rating is 3 stars and quality measures are 4 stars.
Health inspections
Staffing
2.8796 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8796.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2023 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited July 2025 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited July 2025 — limited pattern, potential for harm.
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2023 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 4 health deficiencies.
A federal fine of $9,087 was recorded.
A federal fine of $13,980 was recorded.
On record with Medicare: 1 fine · $9,087 in total fines.
Federal fine
Jun 27, 2025
Now operated by Bexar County Hospital District, previously Madison Oak Management, INC..
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
