OneStone Oak Senior Living

    20718 Stone Oak Pkwy, San Antonio, TX 78258
    • Assisted Living

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    Reviews

    5.00·(29)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      5.0
    • Meals

      4.6
    • Amenities

      4.7
    • Value

      5.0

    Pros

    • High caregiver-to-resident ratio
    • Compassionate, personalized care
    • Skilled and communicative staff
    • Family-owned with on-site management
    • Immaculate cleanliness and sanitation
    • Home-style, nutritious meals
    • Engaging daily activities and social programs
    • Outdoor patio and landscaped garden
    • Strong hospice and end-of-life coordination
    • Consistent medication administration and clinical coordination
    • Comforting, home-like atmosphere
    • Frequent family communication and updates
    • Low staff turnover and experienced caregivers
    • 24/7 attentive care
    • Rehabilitation support and mobility improvements
    • Bright, open common areas

    Cons

    • Limited capacity due to small bed count
    • Limited on-site specialty medical services for high-acuity needs
    • Smaller-scale amenities and program variety compared with larger communities
    • Operational dependence on on-site owners for oversight and continuity

    Summary of reviews

    OneStone Oak Senior Living is described consistently as a small, family-operated assisted living community with an intimate scale (roughly 15 beds) and a strong emphasis on individualized, dignity-preserving care. Families and visitors emphasize a high caregiver-to-resident ratio, low staff turnover, and round-the-clock attentiveness. Reviewers attribute improved clinical and functional outcomes — for example appetite and weight changes and mobility gains — to the facility's one-on-one approach and proactive clinical coordination.

    Care quality is characterized by consistent medication administration, routine vitals monitoring, timely attention to personal-care needs, and coordinated transitions with hospitals, pharmacies, and hospice providers. Several accounts highlight strong hospice support and end-of-life coordination. Communication with families is frequently noted as timely and detailed: managers and care staff provide updates, involve families in care decisions, and maintain a partnership approach to care planning.

    Staff and management receive repeated praise for professionalism, empathy, and responsiveness. The presence of on-site owners and experienced caregivers is cited as a contributing factor to a family-like atmosphere and accessible leadership. Teamwork and respect among staff are recurrent themes, and specific caregiving staff are repeatedly named for their competence and compassion.

    Dining and activities are presented as strengths: residents receive home-cooked, nutritious meals that reviewers link to improved eating and weight gain. The community organizes daily activities, social programming, and entertainment intended to keep residents engaged and mentally active. The facility layout includes bright common spaces, a central meeting area, and outdoor patio/porch and landscaped grounds that support socialization and outdoor access.

    The physical environment is described as clean, well-maintained, and welcoming. Reviews emphasize spotless facilities, odor-free spaces, and comfortable, home-like common areas. Families report feeling reassured about safety and sanitation, and note occasional services provided to visiting family members (for example meals).

    Limitations to consider: the community's small size is an operational trait that brings both advantages (personalization, close oversight) and constraints. Limited bed capacity may affect availability and scalability for families seeking immediate placement or longer-term transitions. The facility appears optimized for assisted living and rehabilitative goals within a boutique setting; reviewers do not describe extensive on-site specialty medical services, so individuals with very high-acuity or complex specialty-care needs may require additional external services. Because oversight and culture are closely tied to on-site owners and a small staff, continuity could be influenced by owner or key-staff availability.

    Overall, OneStone Oak is consistently portrayed as a highly attentive, family-centered assisted living option that emphasizes personalized care, cleanliness, good nutrition, active programming, and close family communication. Prospective residents and families should weigh the benefits of its small-community model against capacity limits and the potential need for outside specialty medical services if higher-acuity care is anticipated.

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    Location

    OneStone Oak Senior Living is located at 20718 Stone Oak Pkwy, San Antonio, TX, 78258.

    About OneStone Oak Senior Living

    OneStone Oak Senior Living sits in Los Angeles and seems designed for folks who want a quiet, homey spot in their old age, and the place feels a bit like a bed and breakfast with private rooms, cozy sitting areas, and outdoor patios filled with flowers and gardens where you can sit outside if you want. The staff's around day and night and they'll help with bathing, dressing, medication, diabetes care, and all the small daily things, and they come by often to check that everyone's okay, and there's even an emergency call button in the rooms if someone needs quick help. There are personal aides who offer support, and licensed professionals like geriatric doctors, physical therapists, and speech and occupational therapists visit by appointment, so folks can get care right where they live, and some aides help people even if they just need a short stay, like in respite care or hospice cases.

    There are game nights, brain activities, arts and crafts, music from the resident group, and performances, and there's even story time and educational programs, plus outdoor gardens and patios to wander or relax, and the common rooms have TVs if you want to watch something with others. Families can bring in small pets after checking the rules, and staff can prepare meals with special diets-low fat, low salt, diabetic and the like-plus community dining means meals get served right at tables with the other residents, like at home. They do haircuts and barber services on-site, and the place has an on-site laundry, drycleaning, and weekly housekeeping, so folks don't have to worry about chores, and the grounds stay secure so people with memory concerns can move around safely.

    Because it's family-owned, the people running things get involved in the day-to-day, and the whole place aims for genuine connections through a smaller size and an easy, comfortable atmosphere. There's regular Alzheimer's care and dementia-specific programming and residents who need memory help get an extra level of attention with plans made for their needs. OneStone Oak Senior Living uses electronic health records for better care and helps with medications through a local pharmacy. Visitors can ask for a tour and look at rooms, floor plans, or photos online if they want to see things before deciding. Folks pay all together in an all-inclusive setup which covers almost everything, and the place takes payment by insurance and checks. Residents seem to have options for independent or assisted living, so people can move in with more or less help depending on what's best for them, and advice and planning is part of the support so each person can keep as much independence as possible with the level of care they'd like.

    People often ask...

    OneStone Oak Senior Living offers assisted living.

    There are 35 photos of OneStone Oak Senior Living on Mirador.

    The full address for this community is 20718 Stone Oak Pkwy, San Antonio, TX 78258.

    No, OneStone Oak Senior Living does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RwHqiAAF
    StatusActive
    Facility typeAssisted Living Facility (type B)
    License classLicensed
    Capacity16 residents
    LicenseeVL Development, LLC
    Care servedType B
    View the official license record

    Inspection Reports

    2

    Reports

    9

    Citations

    0

    Complaints

    5

    Years

    04 Nov 2025Life Safety
    Found deficiencies in fire safety equipment and its mounting.
    • —Life Safety Code
    • —Life Safety Code
    08 Dec 2021Inspection
    Identified multiple deficiencies related to hazard correction, fire drills, smoke detector testing, employment registry checks, TB screening, electronic monitoring documentation, and posting of the latest inspection results.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of OneStone Oak Senior Living. The information above has not been verified or approved by the owner or operator. For exact information, please contact OneStone Oak Senior Living directly. There is no cost for this service. We are compensated by the community you select.

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