nursing home in San Antonio, TX
Stone Oak Care Center
505 Madison Oak Drive, San Antonio, TX 78258 · (210) 481-9000
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Stone Oak Care Center at a glance
Stone Oak Care Center is a 152-bed for-profit nursing home in San Antonio, Texas (Bexar County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.9 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (July 25, 2025) found 18 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $9,087.
Nursing staff turnover is 59.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 152
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Touchstone Communities
- Medicare-certified since
- May 13, 2003
- Resident/family council
- Resident
- County
- Bexar County
- CMS Certification Number
- 675968
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.88 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.23 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.84 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.48 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 59.8% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 69.2% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 18 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 79 | 102 | 80.6 | Average |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $9,087 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 152 | 113 | 107 | |
| Average residents per day | 125 | 76 | 86 | |
| Occupancy | 82.4% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.4% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.7% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 5.9% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.4% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 4.2% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.6% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.3% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 10.6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 93.9% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 96.4% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.2% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 40 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 4, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 23, 2026 |
| December 3, 2025 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected December 4, 2025 |
| December 3, 2025 Complaint | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected December 4, 2025 |
| December 3, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 4, 2025 |
| December 3, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 4, 2025 |
| November 25, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 26, 2025 |
| November 20, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 21, 2025 |
| November 20, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected November 21, 2025 |
| November 20, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 21, 2025 |
| November 20, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 21, 2025 |
| July 25, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected July 23, 2025 |
| July 25, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 26, 2025 |
| July 25, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected July 26, 2025 |
| July 25, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected July 26, 2025 |
| July 25, 2025 Standard | 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 Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected July 26, 2025 |
| July 25, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 26, 2025 |
| July 25, 2025 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected July 26, 2025 |
| July 25, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected July 26, 2025 |
| July 25, 2025 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected July 26, 2025 |
| June 27, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 27, 2025 |
| June 27, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 28, 2025 |
| June 27, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 28, 2025 |
| June 27, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 28, 2025 |
| June 21, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 19, 2024 |
| June 21, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 22, 2024 |
| June 21, 2024 Standard | 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 · Tag F0693 | D Potential harm, isolated | Corrected June 22, 2024 |
| June 21, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected June 22, 2024 |
| June 21, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 22, 2024 |
| June 21, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 22, 2024 |
| June 21, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 22, 2024 |
| June 21, 2024 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected June 22, 2024 |
| September 22, 2023 Complaint | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected September 26, 2023 |
| April 28, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected April 29, 2023 |
| April 28, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 29, 2023 |
| April 28, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 29, 2023 |
| April 28, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected April 29, 2023 |
| April 28, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected April 29, 2023 |
| April 28, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 29, 2023 |
| April 28, 2023 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected April 29, 2023 |
| April 28, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 29, 2023 |
| April 28, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected April 29, 2023 |
| April 28, 2023 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected April 29, 2023 |
| April 28, 2023 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected April 29, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $9,087 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 27, 2025 | Fine | $9,087 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BEXAR COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 03/01/2016 |
| INTERNATIONAL BANK OF COMMERCE Organization | 5% or greater security interest | NOT APPLICABLE | 04/16/2018 |
| AEGIS THERAPIES, INC. Organization | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| BASALDUA, ROLANDO Individual | adp of the snf | NOT APPLICABLE | 11/24/2025 |
| CAMPBELL, LESLIE Individual | adp of the snf | NOT APPLICABLE | 04/01/2020 |
| CARVAJAL PHARMACY LTC Organization | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| CASTANEDA, MONICA Individual | adp of the snf | NOT APPLICABLE | 06/06/2023 |
| CASTILLO, LYNNEA Individual | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| CLAYTON, JONATHON Individual | adp of the snf | NOT APPLICABLE | 05/01/2023 |
| FELLBAUM, ERNEST Individual | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| GIVENS, LAURA Individual | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| NUTRITIOUS LIFESTYLES, INC. Organization | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| PLANTE & MORAN PLLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| SEHLKE, BRYON Individual | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| STUDER, STANLEY Individual | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| TOUCHSTONE COMMUNITIES INC Organization | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| TOUCHSTONE REALTY - STONE OAK LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| TOUCHSTONE STRATEGIES STONE OAK LLC Organization | adp of the snf | NOT APPLICABLE | 07/24/2025 |
| TRIDENT HEALTH SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 03/01/2016 |
| ZUROVEC, DARRELL Individual | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| HURLEY, CHRISTOPHER Individual | corporate officer | NOT APPLICABLE | 09/26/2014 |
| BASALDUA, ROLANDO Individual | operational/managerial control | NOT APPLICABLE | 11/24/2025 |
| CAMPBELL, LESLIE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2020 |
| CASTANEDA, MONICA Individual | operational/managerial control | NOT APPLICABLE | 06/06/2023 |
| CASTILLO, LYNNEA Individual | operational/managerial control | NOT APPLICABLE | 03/01/2016 |
| CLAYTON, JONATHON Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| SEHLKE, BRYON Individual | operational/managerial control | NOT APPLICABLE | 03/01/2016 |
| TOUCHSTONE STRATEGIES STONE OAK LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2016 |
| ZUROVEC, DARRELL Individual | operational/managerial control | NOT APPLICABLE | 08/01/2017 |
Other nursing homes near Stone Oak Care Center
Sonterra Health Center
18514 Sonterra Place, San Antonio, TX 78258 · under 1 mi
For-profit · 124 beds · Part of The Ensign Group
★★★★★1Much below averageCoronado at Stone Oak
19638 Stone Oak Parkway, San Antonio, TX 78258 · under 1 mi
For-profit · 112 beds · Part of Cantex Continuing Care
- CMS high performer
★★★★★5Much above averageThe Enclave
18803 Hardy Oak, San Antonio, TX 78258 · 1.1 mi
For-profit · 142 beds · Part of Touchstone Communities
★★★★★1Much below average- ★★★★★3Average
Castle Hills Rehabilitation and Care Center
8020 Blanco Rd, San Antonio, TX 78216 · 5.9 mi
For-profit · 143 beds · Part of Optima Care
- Special Focus candidate
★★★★★1Much below averageSan Antonio Wellness & Rehabilitation
1 Heartland Drive, San Antonio, TX 78247 · 7.3 mi
For-profit · 154 beds · Part of Opco Skilled Management
★★★★★2Below average
Frequently asked questions
What is Stone Oak Care Center's rating?
Stone Oak Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Stone Oak Care Center receive?
Its most recent standard health inspection found 18 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Stone Oak Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Stone Oak Care Center?
It is for profit - limited liability company and part of Touchstone Communities. The ownership section on this page lists the owners and managers reported to CMS.
Where is Stone Oak Care Center and how do I contact it?
Stone Oak Care Center is at 505 Madison Oak Drive, San Antonio, TX 78258. Phone: (210) 481-9000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.