D

STONE OAK CARE CENTER

505 MADISON OAK DR, SAN ANTONIO, TX 78258
Score: 41 / 100

Stone Oak Care Center faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 45th percentile among Texas nursing homes, suggesting significant room for improvement.

With 3.00 total nurse hours per resident per day, Stone Oak Care Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 37 deficiencies at Stone Oak Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: 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..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.00 3.8 Below Average
Registered Nurses (RN) 0.31 0.7 Below Average
Licensed Practical Nurses (LPN) 0.72 0.7 Average
Certified Nursing Assistants (CNA) 1.97 2.4 Below Average
Weekend Total Nursing 2.56 3.8 Below Average
Weekend RN Hours 0.16 0.7 Below Average

🔍 Inspection & Deficiency History

37
Total Deficiencies
Dec 2, 2025
Most Recent Inspection
🟠 36 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0726 Severity D
    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.
    Dec 2, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Dec 2, 2025 · Pharmacy Service Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Dec 2, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0849 Severity D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice serv
    Dec 2, 2025 · Administration Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Nov 24, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.7% 4.5% Better
Falls with major injury 4.5% 3.0% Worse
On antipsychotic medication 7.7% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 5.5% 14.0% Better
Excessive weight loss 2.4% 7.5% Better
New/worsened incontinence 10.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $13,980

How This Grade Was Calculated

This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
152
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 24, 2025
Deficiencies (Cycle 1)
17