Stone Oak Care Center

Nursing Home · San Antonio, TX

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number675968

Contact & location

505 Madison Oak Drive
San Antonio, TX 78258
Bexar County
Phone
(210) 481-9000
ZIP code
78258 – all care providers

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Facility details

Certified beds
152
Residents per day
125.3 (82% occupied)
Ownership
For profit - Limited Liability company
Legal name
Bexar County Hospital District
Chain
Touchstone Communities (25 facilities, avg 2.9★)
Medicare certified since
May 13, 2003
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.88 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.23 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.81 (state 0.95 · U.S. 0.86)
Nurse aides
1.84 (state 2.00 · U.S. 2.32)
Weekend total
2.48 (state 2.98 · U.S. 3.42)
Nursing staff turnover
59.8 (state 55.3 · U.S. 45.8)%
RN turnover
69.2 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
July 25, 2025
Health deficiencies (last cycle)
18.0 (state 9.3 · U.S. 9.3)
From complaints
10
Citations on record (3 years)
40 health · 3 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-04 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-23
2025-12-03 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-04
2025-12-03 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-04
2025-12-03 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-04
2025-12-03 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.
F0849 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-04
2025-11-25 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-26
2025-11-20 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-11-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-07-25 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-07-25 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-07-25 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-07-25 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-07-25 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-07-25 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-07-25 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.
F0726 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-07-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-06-27 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-06-27
2025-06-27 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-28
2025-06-27 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-28
2025-06-27 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-28
2024-06-21 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-22
2024-06-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-22
2024-06-21 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-22
2024-06-21 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-22
2024-06-21 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.
F0726 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-22
2024-06-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-22
2024-06-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-22
2023-09-22 Provide routine and 24-hour emergency dental care for each resident.
F0790 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-26
2023-04-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-04-29
2023-04-28 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-29
2023-04-28 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-29
2023-04-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-29
2023-04-28 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-29
2023-04-28 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-29
2023-04-28 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-29
2023-04-28 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-29
2023-04-28 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-29
2023-04-28 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.
F0849 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-29

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $9,087 in fines.

DateTypeAmount
2025-06-27Fine$9,087

Ownership & management

NameRoleSince
Bexar County Hospital District (organization)5%+ Direct Ownership Interest · 100%
International Bank of Commerce (organization)5%+ Security Interest · NOT APPLICABLE
Aegis Therapies, INC. (organization)Administrator · NOT APPLICABLE
Basaldua, Rolando (individual)Administrator · NOT APPLICABLE
Campbell, Leslie (individual)Administrator · NOT APPLICABLE
Carvajal Pharmacy LTC (organization)Administrator · NOT APPLICABLE
Castaneda, Monica (individual)Administrator · NOT APPLICABLE
Castillo, Lynnea (individual)Administrator · NOT APPLICABLE
Clayton, Jonathon (individual)Administrator · NOT APPLICABLE
Fellbaum, Ernest (individual)Administrator · NOT APPLICABLE
Givens, Laura (individual)Administrator · NOT APPLICABLE
Nutritious Lifestyles, INC. (organization)Administrator · NOT APPLICABLE
Plante & Moran Pllc (organization)Administrator · NOT APPLICABLE
Sehlke, Bryon (individual)Administrator · NOT APPLICABLE
Studer, Stanley (individual)Administrator · NOT APPLICABLE
Touchstone Communities INC (organization)Administrator · NOT APPLICABLE
Touchstone Realty - Stone Oak LLC (organization)Administrator · NOT APPLICABLE
Touchstone Strategies Stone Oak LLC (organization)Administrator · NOT APPLICABLE
Trident Health Services INC (organization)Administrator · NOT APPLICABLE
Zurovec, Darrell (individual)Administrator · NOT APPLICABLE
Hurley, Christopher (individual)Corporate Officer · NOT APPLICABLE
Basaldua, Rolando (individual)Operational/managerial Control · NOT APPLICABLE
Campbell, Leslie (individual)Operational/managerial Control · NOT APPLICABLE
Castaneda, Monica (individual)Operational/managerial Control · NOT APPLICABLE
Castillo, Lynnea (individual)Operational/managerial Control · NOT APPLICABLE
Clayton, Jonathon (individual)Operational/managerial Control · NOT APPLICABLE
Sehlke, Bryon (individual)Operational/managerial Control · NOT APPLICABLE
Touchstone Strategies Stone Oak LLC (organization)Operational/managerial Control · NOT APPLICABLE
Zurovec, Darrell (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Stone Oak Care Center?

Stone Oak Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Stone Oak Care Center have?

It has 152 certified beds and cares for about 125 residents per day.

Has Stone Oak Care Center been fined?

Yes. CMS lists 1 penalty totaling $9,087 in the last three years.

Who owns Stone Oak Care Center?

It is part of Touchstone Communities and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Stone Oak Care Center?

(210) 481-9000. The facility is located at 505 Madison Oak Drive, San Antonio, TX 78258.

Other nursing homes in San Antonio

Compare all nursing homes in San Antonio, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.