Independence Hill Assisted Living
State licensed20500 Huebner Rd, San Antonio, TX 78258
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Prices not published
About Stone Oak Care Center
STONE OAK CARE CENTER is a for profit - limited liability company nursing home in SAN ANTONIO, TX with 152 certified beds.
Community at a glance
Capacity
152 residents
Location
San Antonio, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
505 MADISON OAK DR, San Antonio, Texas 78258
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 25, 2025, state inspectors cited 18 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 2 hours 53 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Stone Oak Care Center once in the last three years, $9,087 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 53 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 14 minutesBelow the Texas average |
| Nursing staff who left in the past year | 60%Above the Texas average |
Inspections
29 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 4, 2026 · Complaint investigation · 1 citation
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 23, 2026
December 3, 2025 · Complaint investigation · 4 citations
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 4, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Dec 4, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Dec 4, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 4, 2025
November 25, 2025 · Complaint investigation · 1 citation+
Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 26, 2025
November 20, 2025 · Complaint investigation · 4 citations+
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 21, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Nov 21, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Nov 21, 2025Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 21, 2025
July 25, 2025 · Standard inspection · 8 citations+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 26, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 26, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 26, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 26, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 26, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Jul 26, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 26, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 26, 2025
June 27, 2025 · Complaint investigation · 4 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Jun 27, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 28, 2025Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 28, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 28, 2025
June 21, 2024 · Standard inspection · 7 citations+
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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 22, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 22, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 22, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Jun 22, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 22, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 22, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 22, 2024
Fines and payment denials
1 fine totaling $9,087 in the last three years.
- June 27, 2025Fine: $9,087
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Bexar County Hospital District
- Medicare-certified beds
- 152
- Average residents per day
- 125
- Accepts
- Medicare and Medicaid
- First certified
- May 13, 2003
- Part of a chain
- Touchstone Communities, 25 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675968
Location
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505 MADISON OAK DRSan Antonio, TX 78258
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Questions about Stone Oak Care Center
How did Stone Oak Care Center do on its last inspection?+
State inspectors visited on July 25, 2025 and cited 18 health deficiencies, 10 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Stone Oak Care Center?+
Nurses and aides spend 2 hours 53 minutes with each resident per day, including 14 minutes from registered nurses. 60% of nursing staff left over the past year.
Has Stone Oak Care Center been fined by Medicare?+
Yes. Medicare fined Stone Oak Care Center once in the last three years, totaling $9,087.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.