C71

STONE OAK CARE CENTER

Grade C 71/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
3/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

152

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

505 MADISON OAK DR, SAN ANTONIO, TX 78258
2104819000

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.27h
LPN
0.61h
CNA
1.67h
Total
2.54h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

BEXAR COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Mar 2016

100%

TOUCHSTONE STRATEGIES STONE OAK LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2016

CAMPBELL, LESLIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2020

CASTANEDA, MONICA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2023

CASTILLO, LYNNEA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2016

CLAYTON, JONATHON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2023

MARTINEZ, AURORA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

SEHLKE, BRYON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2016

ZUROVEC, DARRELL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2017

HURLEY, CHRISTOPHER

IndividualCORPORATE OFFICERSince Sep 2014

INTERNATIONAL BANK OF COMMERCE

Organization5% OR GREATER SECURITY INTERESTSince Apr 2018

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (39)

November 25, 2025Health1 deficiency
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 26, 2025
November 20, 2025Health4 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

July 25, 2025Health8 deficiencies
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jul 26, 2025
0640DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 26, 2025
0641EMinimal harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 26, 2025
0690DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 26, 2025
0726DMinimal harm, Isolated

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.

Nursing and Physician Services Deficiencies

Corrected Jul 26, 2025
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Jul 26, 2025
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Jul 26, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 26, 2025
June 27, 2025Health4 deficiencies1 severe
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 28, 2025
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 28, 2025
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 27, 2025
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 28, 2025
June 21, 2024Health7 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 22, 2024
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 22, 2024
0693DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Jun 22, 2024
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 22, 2024
0726DMinimal harm, Isolated

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.

Nursing and Physician Services Deficiencies

Corrected Jun 22, 2024
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Jun 22, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 22, 2024
September 22, 2023Health1 deficiency
0790DMinimal harm, Isolated

Provide routine and 24-hour emergency dental care for each resident.

Quality of Life and Care Deficiencies

Corrected Sep 26, 2023
June 7, 2023Health2 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jun 8, 2023
0842EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 8, 2023
April 28, 2023Health10 deficiencies
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Apr 29, 2023
0558EMinimal harm, Pattern

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Apr 29, 2023
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Apr 29, 2023
0636DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 29, 2023
0644DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 29, 2023
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 29, 2023
0689EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 29, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Apr 29, 2023
0849DMinimal harm, Isolated

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.

Administration Deficiencies

Corrected Apr 29, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 29, 2023
February 12, 2023Health2 deficiencies1 severe
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 13, 2023
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 13, 2023

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Frequently Asked Questions

What is the CareGrader rating for STONE OAK CARE CENTER?

STONE OAK CARE CENTER in SAN ANTONIO, Texas has a CareGrader grade of C (Average), with a composite score of 71 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for STONE OAK CARE CENTER?

STONE OAK CARE CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does STONE OAK CARE CENTER have?

STONE OAK CARE CENTER has 39 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does STONE OAK CARE CENTER have?

STONE OAK CARE CENTER has 152 certified beds with approximately 112 current residents (74% occupancy). The facility is located at 505 MADISON OAK DR, SAN ANTONIO, Texas 78258. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.