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Complaint Investigation

Stone Oak Care Center

November 20, 2025 · San Antonio, TX · 505 Madison Oak Dr
Citations 4
CMS Rating 1/5
Beds 152
Provider ID 675968
Healthcare Facility
Stone Oak Care Center
San Antonio, TX  ·  View full profile →
Inspection Summary

STONE OAK CARE CENTER in SAN ANTONIO, TX — inspection on November 20, 2025.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0610
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited STONE OAK CARE CENTER in SAN ANTONIO, TX for a deficiency under regulatory tag F-F0610 during a complaint investigation conducted on 2025-11-20.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Respond appropriately to all alleged violations.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 4 deficiencies cited during this inspection of STONE OAK CARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited STONE OAK CARE CENTER in SAN ANTONIO, TX for a deficiency under regulatory tag F-F0755 during a complaint investigation conducted on 2025-11-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 4 deficiencies cited during this inspection of STONE OAK CARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited STONE OAK CARE CENTER in SAN ANTONIO, TX for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-11-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 4 deficiencies cited during this inspection of STONE OAK CARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited STONE OAK CARE CENTER in SAN ANTONIO, TX for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-11-20.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 4 deficiencies cited during this inspection of STONE OAK CARE CENTER.

Correction Status: Deficient, Provider has no plan of correction.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAN ANTONIO, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from STONE OAK CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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