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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasStone Oak Care Center

Stone Oak Care Center

505 Madison Oak Dr, San Antonio, TX 782582104819000
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
4/5
Beds
152
certified

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 152 certified beds with an average of 112.5 residents per day (74% occupancy)

• Last health inspection found 21 deficiencies (inspected Jul 25, 2025)

• No fines on record

• Total nursing staff: 3.00 hours per resident per day

• Staff turnover rate: 57.3% (high)

• Part of the Touchstone Communities chain (29 facilities)

Stone Oak Care Center is a 1-star Medicare and Medicaid certified nursing home in San Antonio, Texas with 152 certified beds. It has been operating since 2003. The facility scored below average compared to Texas facilities.

Beds
152
Avg Residents/Day
112.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 13, 2003
Sprinklers
Yes
Council
Resident
County
Bexar
Last Inspection
Jul 25, 2025
Deficiencies (Cycle 1)
21
Weighted Score
101.0
Infection Citations
0

Deficiency Citations (43)

F0726Potential for Harm

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.

Survey: Dec 3, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 3, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Dec 3, 2025Corrected: NoCycle: 1
F0849Potential for Harm

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.

Survey: Dec 3, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Nov 25, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 20, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jun 27, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jun 27, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 27, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jun 27, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Jul 25, 2025Corrected: NoCycle: 1
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Jul 25, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 25, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jul 25, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Jul 25, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 25, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 25, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 25, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jun 21, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jun 21, 2024Corrected: NoCycle: 2
F0693Potential for Harm

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.

Survey: Jun 21, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jun 21, 2024Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Jun 21, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jun 21, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 21, 2024Corrected: NoCycle: 2
F0790Potential for Harm

Provide routine and 24-hour emergency dental care for each resident.

Survey: Sep 22, 2023Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jun 7, 2023Corrected: NoCycle: 3

+ 13 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.97 hrs
National avg: 2.35 hrs
LPN0.72 hrs
National avg: 0.86 hrs
RN0.31 hrs
National avg: 0.68 hrs
Total Nursing3.00 hrs
National avg: 3.89 hrs
Weekend Total2.56 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
57.3%
RN Turnover
57.1%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (11)

NameRoleTypeOwnership %Since
BEXAR COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 1, 2016
TOUCHSTONE STRATEGIES STONE OAK LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2016
BASALDUA, ROLANDOOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 24, 2025
CAMPBELL, LESLIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2020
CASTANEDA, MONICAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 6, 2023
CASTILLO, LYNNEAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2016
CLAYTON, JONATHONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2023
SEHLKE, BRYONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2016
ZUROVEC, DARRELLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 1, 2017
HURLEY, CHRISTOPHERCORPORATE OFFICERIndividualN/ASep 26, 2014
INTERNATIONAL BANK OF COMMERCE5% OR GREATER SECURITY INTERESTOrganizationN/AApr 16, 2018

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Frequently Asked Questions

What is the CMS rating for Stone Oak Care Center?▾
Stone Oak Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has Stone Oak Care Center had any health inspection violations?▾
Stone Oak Care Center had 21 deficiency citations in its most recent health inspection (Jul 25, 2025). The facility has no fines on record.
What are the staffing levels at Stone Oak Care Center?▾
Stone Oak Care Center provides 3.00 total nursing staff hours per resident per day, including 0.31 RN hours, 0.72 LPN hours, and 1.97 nurse aide hours. The total staff turnover rate is 57.3%.
How many beds does Stone Oak Care Center have?▾
Stone Oak Care Center has 152 certified beds with an average of 112.5 residents per day, resulting in approximately 74% occupancy. The facility is For profit - Limited Liability company owned and is part of the Touchstone Communities chain.
Are there other nursing homes near Stone Oak Care Center?▾
Yes, there are 57 other nursing homes in San Antonio, Texas with an average rating of 2.5/5. You can compare all facilities on the San Antonio nursing homes page.

Part of Touchstone Communities

This chain operates 29 facilities. View all →