Nursing Home

Stone Oak Care Center

505 Madison Oak Drive, San Antonio, TX 78258

Part of Touchstone Communitiessee all 25 affiliated facilities

152 certified beds 125 residents per day on average

CMS Five-Star Quality Rating

2 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
2.9 hours

TX average: 3.4 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.2 hours

TX average: 0.4 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
2.5 hours

TX average: 3.0 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
59.8%

TX average: 55.3% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

1 fine totaling $9,087 in the recent inspection window (most recent: June 27, 2025).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Limited Liability company
Chain
Touchstone Communities
Who owns this facility — 25 entries in CMS's ownership records expand ↓
  • Bexar County Hospital District Organization
    Direct owner (≥5%) 100% ownership since 03/01/2016
  • International Bank Of Commerce Organization
    Security interest (≥5%) since 04/16/2018
  • Hurley, Christopher Individual
    Corporate officer since 09/26/2014
  • Touchstone Strategies Stone Oak LLC Organization
    Operational/managerial control since 03/01/2016
  • Basaldua, Rolando Individual
    Operational/managerial control since 11/24/2025
  • Campbell, Leslie Individual
    Operational/managerial control since 04/01/2020
  • Castaneda, Monica Individual
    Operational/managerial control since 06/06/2023
  • Castillo, Lynnea Individual
    Operational/managerial control since 03/01/2016
  • Clayton, Jonathon Individual
    Operational/managerial control since 05/01/2023
  • Sehlke, Bryon Individual
    Operational/managerial control since 03/01/2016

…and 15 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 18 health (TX avg 9.3) · 1 fire (TX avg 3.2) · ⚠ 1 serious Details

40 deficiencies cited across recent inspection cycles, including ⚠ 1 serious (actual harm or immediate jeopardy). Most recent survey: June 4, 2026.

Most recent inspection cycle: 18 health deficiencies · TX average: 9.3 · National: 9.3

3 fire-safety deficiencies cited — most often smoke (2) and egress (1).

Most recent fire-safety inspection (2025-07-25): 1 deficiency · TX average: 3.2 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

Is this your organization?

Claim this listing free to add your logo, correct details, and publish a statement.

Claim this listing

How Stone Oak Care Center compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Stone Oak Care Center's overall star rating is 2★; the median among the 8 peers reporting it is 1.5★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 2★ 1.5★ 5★
Health inspections reported by 8 of 8 nearby peers 3★ 2★ 4★
Staffing reported by 8 of 8 nearby peers 1★ 1.5★ 3★
Quality measures reported by 8 of 8 nearby peers 4★ 3.5★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

Compare this nursing home with another →