Nursing homes › Texas › Stone Oak Care Center
505 Madison Oak Dr, San Antonio, TX 78258 · 2104819000 · 152 certified beds
Per CMS filings, this facility is affiliated with Touchstone Communities, a group operating 25 facilities in 1 states. Group record: average rating 2.9/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $696,390 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 2.88 (Texas median: 3.27). RN hours: 0.23. Weekend total: 2.48. Nursing staff turnover: 60%.
All-time on record: 39 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-12-04 |
| 2025-11-25 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-11-26 |
| 2025-11-20 | Respond appropriately to all alleged violations. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-11-21 |
| 2025-11-20 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-11-21 |
| 2025-07-25 | Ensure each resident receives an accurate assessment. | E | Health | 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. | E | Health | 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. | E | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2025-07-26 |
| 2025-07-25 | Provide and implement an infection prevention and control program. | D | Health | 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. | J | complaint | corrected 2025-06-27 |
| 2025-06-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-28 |
| 2025-06-27 | Respond appropriately to all alleged violations. | D | complaint | 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. | D | complaint | corrected 2025-06-28 |
| 2024-06-21 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2024-06-22 |
| 2024-06-21 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2024-06-22 |
| 2024-06-21 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-06-22 |
| 2023-09-22 | Provide routine and 24-hour emergency dental care for each resident. | D | complaint | 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. | F | Health | corrected 2023-04-29 |
| 2023-04-28 | Reasonably accommodate the needs and preferences of each resident. | E | Health | 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. | E | Health | corrected 2023-04-29 |
| 2023-04-28 | Provide and implement an infection prevention and control program. | E | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2023-04-29 |
| 2023-04-28 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2023-04-29 |
| Date | Type | Amount |
|---|---|---|
| 2025-06-27 | Fine | $9,087 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BEXAR COUNTY HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/01/2016 |
| HURLEY, CHRISTOPHER | Corporate Officer | Individual | NOT APPLICABLE | since 09/26/2014 |
| TOUCHSTONE STRATEGIES STONE OAK LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2016 |
| BASALDUA, ROLANDO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/24/2025 |
| CAMPBELL, LESLIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2020 |
| CASTANEDA, MONICA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/06/2023 |
| CASTILLO, LYNNEA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2016 |
| CLAYTON, JONATHON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
| SEHLKE, BRYON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2016 |
| ZUROVEC, DARRELL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675968. Corrections: data@carerecords.org.