Stone Oak Care Center: Medical Records Violation - TX
The citation, issued November 20, 2025, covers a failure to safeguard resident-identifiable information and to maintain medical records in accordance with accepted professional standards. Inspectors classified it as an isolated deficiency with no documented actual harm, but with potential for more than minimal harm to the people living there.
That distinction matters less than it might sound. Resident medical records contain some of the most sensitive personal information a person can have on file anywhere, diagnoses, medications, mental health history, financial details tied to insurance and Medicaid status. When a facility fails to handle those records properly, the residents whose information is at stake are rarely the first to know.
Stone Oak Care Center has not filed a plan of correction.
That fact sits at the center of this inspection, and it is worth staying with for a moment. When inspectors cite a deficiency, facilities are expected to respond with a written plan explaining what went wrong, what they are doing to fix it, and when the fix will be complete. It is a basic accountability mechanism. Stone Oak has not provided one for this violation.
The inspection turned up four deficiencies in total. The records violation falls under the category of Resident Assessment and Care Planning Deficiencies, a broad area that covers how facilities track, evaluate, and document the care they provide. Failures in this category can ripple outward. A record that is incomplete, improperly stored, or accessible to people who shouldn't see it doesn't just represent a paperwork problem. It represents a gap in the chain of information that nurses, doctors, and family members depend on to make decisions about a person's care.
The complaint-driven nature of this inspection adds another layer. Inspectors did not arrive as part of a routine annual survey. Someone contacted authorities. Something prompted a report. The inspection narrative does not identify the complainant or describe the specific circumstances that led to the records citation, and the public record does not fill in those details. What it does show is that when inspectors arrived in response to that complaint, they found enough to issue a citation under the federal standard requiring facilities to protect resident-identifiable information.
Scope and severity ratings in federal nursing home inspections run from A to L, with A representing the least serious and L reserved for widespread, immediate jeopardy situations. A D-level citation, where this one lands, means inspectors found an isolated instance with potential for harm but no documented injury. That is not a clean bill of health. It is a finding that something went wrong, that it affected at least one resident's records, and that the harm it could cause was real enough to cite.
Stone Oak Care Center is not a facility with a long public history of serious violations in the record available here. But a missing plan of correction is its own kind of signal. Facilities that intend to fix a problem say so, in writing, with dates and responsible parties named. The absence of that document means inspectors, regulators, and the public have no stated commitment from the facility about when or how this will change.
The people living at Stone Oak Care Center did not choose to have their medical histories managed by this facility in the way that a person might choose a doctor or a hospital. For many nursing home residents, placement is determined by circumstance, by what beds are available, by what insurance covers, by what family members can arrange in a difficult moment. Once inside, residents depend on the facility to handle their information with care. That is not an abstract obligation. It is one the federal government has codified, and one that Stone Oak was found, at least in this instance, to have failed.
No one from the facility has said publicly what happened to the records, whose information was involved, or what, if anything, has been done since November to address the problem. The correction status listed in the federal inspection record remains the same: deficient, no plan of correction on file.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Stone Oak Care Center from 2025-11-20 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 27, 2026 · Our methodology
STONE OAK CARE CENTER in SAN ANTONIO, TX was cited for violations during a health inspection on November 20, 2025.
Inspectors classified it as an isolated deficiency with no documented actual harm, but with potential for more than minimal harm to the people living there.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.