Stone Oak Care Center
505 Madison Oak Dr, San Antonio, TX, 78258
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Touchstone Communities
- Certified beds
- 152 · avg 124 residents/day
- Total nursing staff turnover
- 61.2% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 75% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $9,087 total
Medicare certification
- CMS Certification Number
- 675968
- Certified beds
- 152 beds · avg 124 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Bexar County Hospital District
- Chain affiliation
- Touchstone Communities
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 25 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (22 on record)
- Rolando Basaldua
Operational/managerial Control · since 2025
- Touchstone Strategies Stone Oak Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Monica Castaneda
Operational/managerial Control · since 2023
- Jonathon Dewey Clayton
Operational/managerial Control · since 2023
- Laura Givens
Adp of The Snf · since 2022
+ 16 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 41)
- D0849·Dec 3, 2025Complaint
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.
- D0842·Dec 3, 2025Complaint
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.
- D0755·Dec 3, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0726·Dec 3, 2025Complaint
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.
- D0641·Nov 25, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0880·Nov 20, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Nov 20, 2025Complaint
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.
- D0755·Nov 20, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20251 fine · $9,087
Most recent events
- Jun 27, 2025Fine · $9,087
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Jul 25, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Stone Oak Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.