Stone Oak Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 233 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (17 vs median 8.0)
- High staff turnover (57%)
- High RN turnover (57%)
Below average in Texas · Critically understaffed (RN) · Below chain average · $13,980 in fines
What this means for your family
This facility is highly recommended for its exceptional admissions team and beautiful environment, which can make the transition much easier for your loved one. However, you should specifically ask about nursing staffing levels during weekends and verify their protocols for medication administration and hygiene maintenance, as these are the primary areas of concern for recent reviewers.
Google Reviews
Google Reviews
233 reviews on Google“Families frequently praise the admissions and administration team, specifically Rose Haley, for providing a compassionate and smooth transition process. While many reviewers highlight the beautiful facility and attentive staff, there are serious, recurring allegations regarding understaffing, hygiene issues (specifically odors), and medication errors that should be investigated.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate admissions and administrative staff
- Beautiful and well-maintained facility
- Effective rehabilitation and therapy services
- Welcoming and friendly atmosphere for families
Concerns
- Staffing shortages and slow response times (mentioned by 5 reviewers)
- Hygiene and unpleasant odors (urine) (mentioned by 4 reviewers)
- Medication management and overmedication concerns (mentioned by 3 reviewers)
- Inconsistent cleanliness in patient rooms (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 209 analyzed
How They Respond to Reviews
The owner relies heavily on a set of pre-written templates that incorporate specific brand slogans like 'Making Lives Better' and 'best-in-class, compassionate care.' While they do personalize the responses by including the reviewer's name, the core of the message is almost always a copy-paste block of text.
Questions for Your Tour
- 1It is wonderful to see how well-maintained the building is; how do you ensure that the cleanliness and freshness of the resident rooms are maintained throughout the day?
- 2We are so glad to see how responsive the administration is to feedback; what specific steps are being taken right now to improve staffing levels and response times for residents?
- 3Could you walk us through your protocols for medication administration and how you ensure accuracy and prevent overmedication?
- 4What does a typical daily schedule look like for residents, and what kind of social activities or outings are available to keep them engaged?
- 5How does the nursing team handle medical emergencies or changes in a resident's condition during the overnight hours?
- 6Since the therapy services are highly regarded, how do you coordinate with the rehab team to ensure a resident's physical needs are met during their stay?
Personalized based on this facility's data
Key Review Excerpts
“Compared to other memory care facilities that I visited, I can give this location high props for the freedom they give their patients.”
“Rose H. has been amazing! From our first visit to tour the facility to now having my father here at Stone Oak Care Center, Rose has been helpful and ready to answer even the most mundane questions.”
“The Rehab Center did an amazing job with teaching and helping my mom get back up on her feet and adjust to walking again.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
1
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Stone Oak Care Center shows concerning patterns with families filing multiple complaints that triggered inspections. The facility has recurring issues with resident assessment and care planning, medication management, and maintaining medical records, with these problems persisting across multiple surveys from 2023 through 2025. While the facility has correction dates for all deficiencies, the repeated nature of core care issues suggests ongoing challenges in providing consistent, quality care.
Dec 3, 2025Complaint4
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Administration Deficiencies
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.
Nov 25, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nov 20, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 25, 2025Routine9
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 27, 2025Complaint4
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 21, 2024Routine8
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Jun 27, 2025
$13,980
Ownership & Operations
Who Operates This Facility
Bexar County Hospital District
for profit
TOUCHSTONE STRATEGIES STONE OAK, LLC
MONICA CASTANEDA
Chain Affiliation
Touchstone Communities
25 facilities nationwide
Chain avg rating: 2.8/5 · Rank 20 of 27
Ownership & Management
Owners
Bexar County Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
233 reviews from families & visitors
Official Website
Visit stoneoakcare.com
Medicare data downloads
Original nursing home datasets
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