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Nursing homeFAID #14392

Stone Oak Care Center

505 Madison Oak Drive, SAN ANTONIO, TX, 78258

(210) 481-9000

www.stoneoakcare.com

152 licensed beds

CMS rates Stone Oak Care Center 3 out of 5 overall. Federal inspectors issued 42 citations across 11 inspections in the last three years, with $9,087 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · Stone Oak Care Center

Address

505 Madison Oak Drive

San Antonio, TX 78258

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Public record summary

What we can show you for free.

Bed capacity

152

CMS facility ID

675968

Care type

Nursing home

County

Bexar

Facility name

Stone Oak Care Center

Street address

505 Madison Oak Drive

City / state / ZIP

San Antonio, TX 78258

Phone

(210) 481-9000

Website

www.stoneoakcare.com

About this facility — Stone Oak Care Center

Stone Oak Care Center is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 152 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 341 senior care facilities in San Antonio and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Touchstone Communities, a group of 25 facilities on this site.

Federal inspectors have cited Stone Oak Care Center 42 times across 11 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $9,087 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Touchstone Communities

Ownership type

For profit - Limited Liability company

Registered owners & officers

Bexar County Hospital District

Direct owner — 100% stake — since 2016

Aegis Therapies, Inc.

Additional disclosable party — since 2016

Basaldua, Rolando

Operational control · Additional disclosable party — since 2025

Campbell, Leslie

Operational control · Additional disclosable party — since 2020

Carvajal Pharmacy Ltc

Additional disclosable party — since 2016

Castaneda, Monica

Operational control · Additional disclosable party — since 2023

Castillo, Lynnea

Operational control · Additional disclosable party — since 2016

Clayton, Jonathon

Operational control · Additional disclosable party — since 2023

Fellbaum, Ernest

Additional disclosable party — since 2016

Givens, Laura

Additional disclosable party — since 2022

Hurley, Christopher

Officer — since 2014

International Bank of Commerce

Security-interest holder — since 2018

Nutritious Lifestyles, Inc.

Additional disclosable party — since 2016

Plante & Moran Pllc

Additional disclosable party — since 2016

Sehlke, Bryon

Operational control · Additional disclosable party — since 2016

Studer, Stanley

Additional disclosable party — since 2016

Touchstone Communities Inc

Additional disclosable party — since 2016

Touchstone Realty - Stone Oak Llc

Additional disclosable party — since 2016

Touchstone Strategies Stone Oak Llc

Operational control · Additional disclosable party — since 2016

Trident Health Services Inc

Additional disclosable party — since 2016

Zurovec, Darrell

Operational control · Additional disclosable party — since 2017

Regulatory standing

Federal court records

1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2003-05-13

CMS overall rating

3 of 5 stars

Health deficiencies

18 at the last standard inspection

Federal fines

$9,087 total

Last standard inspection

2025-07-25

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$306 per day (≈ $9,300/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

63% Medicaid · 9% Medicare · 28% private/other

Occupancy

72% (fiscal year 2023)

Vs. state median

10% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

152

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-04Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

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

Corrected 2026-06-23

2025-12-03Health inspectionComplaint-triggered4 citations

F-0726

D · No harm foundFrom a 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.

Corrected 2025-12-04

F-0755

D · No harm foundFrom a complaint

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

Corrected 2025-12-04

F-0842

D · No harm foundFrom a complaint

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

Corrected 2025-12-04

F-0849

D · No harm foundFrom a 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.

Corrected 2025-12-04

9 earlier / fire-safety inspections (37 citations)

2025-11-25Health inspectionComplaint-triggered1 citation

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2025-11-26

2025-11-20Health inspectionComplaint-triggered4 citations

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-11-21

F-0755

D · No harm foundFrom a complaint

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

Corrected 2025-11-21

F-0842

D · No harm foundFrom a complaint

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

Corrected 2025-11-21

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-11-21

2025-07-25Health inspection8 citations

F-0584

D · No harm found

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.

Corrected 2025-07-26

F-0640

D · No harm found

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

Corrected 2025-07-26

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-07-26

F-0690

D · No harm found

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

Corrected 2025-07-26

F-0726

D · No harm found

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.

Corrected 2025-07-26

F-0755

E · No harm found

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

Corrected 2025-07-26

F-0812

E · No harm foundFood safety

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

Corrected 2025-07-26

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-07-26

2025-06-27Health inspectionComplaint-triggered4 citations

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-06-28

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-06-28

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2025-06-27

F-0842

D · No harm foundFrom a complaint

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

Corrected 2025-06-28

2024-06-21Health inspection7 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-06-22

F-0656

D · No harm found

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

Corrected 2024-06-22

F-0693

D · No harm found

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.

Corrected 2024-06-22

F-0695

D · No harm found

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

Corrected 2024-06-22

F-0726

D · No harm found

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.

Corrected 2024-06-22

F-0812

D · No harm foundFood safety

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

Corrected 2024-06-22

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-06-22

2023-04-28Health inspection10 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-04-29

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-04-29

F-0578

D · No harm found

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.

Corrected 2023-04-29

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-04-29

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-04-29

F-0656

D · No harm found

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

Corrected 2023-04-29

F-0689

E · No harm found

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

Corrected 2023-04-29

F-0812

F · No harm foundFood safety

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

Corrected 2023-04-29

F-0849

D · No harm found

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.

Corrected 2023-04-29

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-04-29

2025-07-25Fire-safety inspection1 citation

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-07-23

2024-06-21Fire-safety inspection1 citation

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-06-19

2023-04-28Fire-safety inspection1 citation

K-0222

F · No harm found

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.

Corrected 2023-04-29

Federal penalties

2025-06-27Fine$9,087

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675968.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 68% of nursing homes in the state

State median: 33

Federal fines, 3 years

$9,087

More than 40% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

2.9

Higher than 13% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

59%

Higher than 73% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 13 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	9.0%	15.8%	13.5%	Better than state
Lose too much weight	2.1%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.2%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	4.5%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	96.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	1.8%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	14.6%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	95.9%	97.0%	95.3%	Near state average
With pressure ulcers	2.1%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	10.6%	12.5%	18.3%	Better than state
Received an antipsychotic medication	5.2%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	0.85	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	3.22	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	91.6%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.8%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	69.4%	85.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	27.8%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	18.3%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0842 4 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0726 3 inspections. 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.
F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0641 3 inspections. Ensure each resident receives an accurate assessment.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What its owners also hold

Bexar County Hospital District has an ownership stake on file at 4 nursing homes, averaging 4.3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

South Texas Spine and Surgical Hospital, about 1.1 miles.
Methodist Hospital Stone Oak, about 1.3 miles. CMS rating 4 of 5.
Baptist Neighborhood Hospital Thousand Oaks, about 2.6 miles. CMS rating 5 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Sonterra Health Center, San Antonio, about 0.5 miles. CMS rating 2 of 5.
Coronado At Stone Oak, San Antonio, about 0.8 miles. CMS rating 5 of 5.
The Enclave, San Antonio, about 1.1 miles. CMS rating 1 of 5.
Estates At Shavano Park, Shavano Park, about 5.2 miles. CMS rating 2 of 5.
Castle Hills Rehabilitation and Care Center, San Antonio, about 5.9 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

4.2261 ratings on Google

★★★★★Richard Hopson · 2026-02-11 · via Google
“I was told it isn't a new nursing home but it seems that way. Large halls, large dining rooms, large activity area give the residents plenty of space to live their lives well there. The staff are friendly and professional.”

★★★★★Dirk Hirsch · 2026-06-02 · via Google
“Raul Gutierrez is very responsive to patients needs and concerns! He’s constantly striving to give the best care to his patients to improve healthy outcomes and create a safe and caring environment at Touchstone! I am blessed to have meet him and a small part of the team today! The leadership and Team at Touchstone is truly exceptional and doing the Good Lords work. Very hard to find these days!”

★★★★★Rebecca Trevino · 2026-05-01 · via Google
“Stone Oak is a great facility. I walk about on different occasions and see the residents playing bingo or making crafts. This sense of community is very good for the mind and is wholesome. I also want to give kudos to the staff from the receptionist who actually answers the phones , to t Admitting Dept. Rose to the unsung heroes...the CNAS (Brenda, Pete and Ryan)and the woundcare nurse Rita Ann a…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 42 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered