48.8/100
Below average
505 Madison Oak Dr, San Antonio, TX 78258
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$9,087 in federal fines
CMS has fined this facility across 1 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: July 25, 2025 (1 year ago).
Nursing and Physician Services Deficiencies
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.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
Administration Deficiencies
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.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
Part of TOUCHSTONE COMMUNITIES, which operates 25 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| INTERNATIONAL BANK OF COMMERCE | Organization | 5% OR GREATER SECURITY INTEREST | — |
| HURLEY, CHRISTOPHER | Individual | CORPORATE OFFICER | — |
| TOUCHSTONE STRATEGIES STONE OAK LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BASALDUA, ROLANDO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CAMPBELL, LESLIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CASTANEDA, MONICA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CASTILLO, LYNNEA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CLAYTON, JONATHON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SEHLKE, BRYON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ZUROVEC, DARRELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| AEGIS THERAPIES, INC. | Organization | ADP OF THE SNF | — |
| CARVAJAL PHARMACY LTC | Organization | ADP OF THE SNF | — |
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Stone Oak Care Center holds an ElderGrade of D (48.8 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 2.88 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 39 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Stone Oak Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.