Texas › Bexar County › San Antonio
Stone Oak Care Center
505 Madison Oak Drive, San Antonio, TX 78258
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Stone Oak Care Center, in San Antonio, Texas, is certified for 152 beds under for-profit, limited liability company ownership and belongs to the Touchstone Communities chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 4.
Inspectors recorded 40 health deficiencies across the three most recent survey cycles (18, 11, 11 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 26.3 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $9K.
Reported nurse staffing is 2.9 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 59.8%.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 40 | 38 | 25 | 28.7 |
| Citations per 100 beds | 26.3 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 59.8% | 50.0% | 52.1% | 45.8% |
| Fines listed | $9,087 | $15,616 | $16,801 | — |
County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Jul 2025, 21 Jun 2024.
Severity mix: J ×1 D ×32 E ×6 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 23 Jun 2026 |
| 3 Dec 2025 | F0726 | 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 investigation | 4 Dec 2025 |
| 3 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 4 Dec 2025 |
| 3 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 4 Dec 2025 |
| 3 Dec 2025 | F0849 | 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 investigation | 4 Dec 2025 |
| 25 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 26 Nov 2025 |
| 20 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 21 Nov 2025 |
| 20 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 21 Nov 2025 |
| 20 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 21 Nov 2025 |
| 20 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Nov 2025 |
| 25 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 26 Jul 2025 |
| 25 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 26 Jul 2025 |
| 25 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Jul 2025 |
| 25 Jul 2025 | F0584 | 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 | Standard survey | 26 Jul 2025 |
| 25 Jul 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 26 Jul 2025 |
| 25 Jul 2025 | F0690 | 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 | Standard survey | 26 Jul 2025 |
| 25 Jul 2025 | F0726 | 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 | Standard survey | 26 Jul 2025 |
| 25 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Jul 2025 |
| 27 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Jun 2025 |
| 27 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Jun 2025 |
| 27 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 28 Jun 2025 |
| 27 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 28 Jun 2025 |
| 21 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 Jun 2024 |
| 21 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Jun 2024 |
| 21 Jun 2024 | F0693 | 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 | Standard survey | 22 Jun 2024 |
| 21 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Jun 2024 |
| 21 Jun 2024 | F0726 | 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 | Standard survey | 22 Jun 2024 |
| 21 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 22 Jun 2024 |
| 21 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Jun 2024 |
| 22 Sep 2023 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Complaint investigation | 26 Sep 2023 |
| 28 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Apr 2023 |
| 28 Apr 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 29 Apr 2023 |
| 28 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 29 Apr 2023 |
| 28 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Apr 2023 |
| 28 Apr 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Apr 2023 |
| 28 Apr 2023 | F0578 | 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 | Standard survey | 29 Apr 2023 |
| 28 Apr 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 29 Apr 2023 |
| 28 Apr 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 29 Apr 2023 |
| 28 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Apr 2023 |
| 28 Apr 2023 | F0849 | 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 | Standard survey | 29 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Jun 2025 | Fine | $9,087 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 59.8%, RNs 69.2%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.9% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Bexar County Hospital District. Chain: Touchstone Communities (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bexar County Hospital District | 5% or greater direct ownership interest | 100% | 03/01/2016 |
| International Bank of Commerce | 5% or greater security interest | NOT APPLICABLE | 04/16/2018 |
| Touchstone Strategies Stone Oak LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2016 |
| Aegis Therapies, Inc. | Adp of the snf | NOT APPLICABLE | 03/01/2016 |
| Carvajal Pharmacy LTC | Adp of the snf | NOT APPLICABLE | 03/01/2016 |
| Nutritious Lifestyles, Inc. | Adp of the snf | NOT APPLICABLE | 03/01/2016 |
| Touchstone Communities Inc | Adp of the snf | NOT APPLICABLE | 03/01/2016 |
| Touchstone Realty - Stone Oak LLC | Adp of the snf | NOT APPLICABLE | 03/01/2016 |
| Touchstone Strategies Stone Oak LLC | Adp of the snf | NOT APPLICABLE | 07/24/2025 |
| Trident Health Services Inc | Adp of the snf | NOT APPLICABLE | 03/01/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bexar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Army Residence Community | San Antonio | 91 | 5 | 5 | 4 | 18 | 19.8 | — | 5 Jun 2025 |
| Coronado At Stone Oak | San Antonio | 112 | 5 | 4 | 3 | 24 | 21.4 | — | 28 Jan 2026 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | 5 | 4 | 2 | 23 | 19.5 | $15K | 5 Jun 2026 |
| The Mission At Blue Skies of Texas East | San Antonio | 80 | 5 | 4 | 4 | 25 | 31.3 | $17K | 8 Aug 2025 |
| Morningside Manor | San Antonio | 147 | 4 | 3 | 3 | 26 | 17.7 | $5K | 11 Apr 2026 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 124 | 4 | 4 | 1 | 25 | 20.2 | — | 29 Apr 2026 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | 4 | 3 | 3 | 23 | 38.3 | — | 15 Dec 2025 |
| San Pedro Manor | San Antonio | 150 | 4 | 3 | 2 | 30 | 20.0 | $24K | 30 Apr 2026 |
All 62 facilities in Bexar County
Questions and answers
How many deficiencies has Stone Oak Care Center been cited for?
40 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Stone Oak Care Center been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at Stone Oak Care Center compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Stone Oak Care Center?
It is part of the Touchstone Communities chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Bexar County Hospital District and Touchstone Strategies Stone Oak LLC. Individual owners and managers are not listed on this site.
When was Stone Oak Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 25 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.