Skilled nursing facility · CMS certification number 675968
STONE OAK CARE CENTER
SAN ANTONIO, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 152
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $9,087.00 · Payment denials: 0. The most recent penalty on file: June 27, 2025, Fine, $9,087. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 16, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,516,619 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,921,584 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,595,035 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,534,803 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$939,768 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $291 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$939,477 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$939,477 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 55,632 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,605 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 23,704 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 15,749 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 41,058 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 57 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 133 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 497 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 687 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 178.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1432423, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 10, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,174,832 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,837,424 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,337,408 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,191,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$854,585 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $616,794 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$237,791 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$237,791 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,849 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 562 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 141.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1382290, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 5, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,143,341 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,655,781 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,487,560 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,395,867 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$908,307 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $945,517 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $37,210 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $37,210 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,036 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 526 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 135.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391125, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 2, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,980,710 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,215,154 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,765,556 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,321,145 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$555,589 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,234,830 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $679,241 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $679,241 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,001 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 616 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 142.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328677, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,668,476 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,972,350 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,696,126 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,839,898 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$143,772 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $747,080 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $603,308 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $603,308 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,516 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 435 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 92.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 113.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301339, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 14, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,038,758 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,037,258 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,001,500 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,179,422 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,177,922 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,635,252 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $457,330 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $457,330 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,903 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 555 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 138.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1270630, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 27, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,553,452 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,698,149 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,855,303 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,931,130 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,075,827 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,909 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,070,918 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,070,918 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,408 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 442 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 138.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1233785, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,738,794 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,684,356 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,054,438 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,360,983 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,306,545 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,518 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,304,027 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,304,027 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,013 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 401 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 114.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209258, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for March 1, 2016 to December 31, 2016 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,966,893 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$198,440 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,165,333 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,344,975 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,179,642 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,867 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,168,775 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,168,775 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,240 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 334 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 352.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174142, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 24, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,347,576 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $220,307 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,127,269 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,460,888 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$333,619 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $115,980 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$217,639 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$217,639 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,861 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 407 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 266.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1145371, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 6, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,919,414 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $126,203 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,793,211 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,452,551 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $340,660 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$67,514 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $273,146 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $273,146 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,174 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 269 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,822.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147637, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,766,242 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$20,351 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,786,593 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,814,000 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$27,407 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,496 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$18,911 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$18,911 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,422 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 346 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 292.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074262, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,573,472 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$84,171 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,657,643 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,034,238 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$376,595 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,297 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$369,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$369,298 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,683 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 394 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 383.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042665, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,451,662 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $461,392 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,990,270 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,168,375 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,178,105 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,639 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,161,466 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,161,466 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,354 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 413 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 356.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 117.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1014333, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,355,513 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,332,993 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $22,520 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$22,937 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$417 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,614 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 493 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 193.42 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 98.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417212, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,582,863 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,242,910 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $339,953 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $144,527 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $484,480 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 48,424 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 364 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 336.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 133.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 380778, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for May 29, 2008 to December 31, 2008 — a reporting period of 216 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 17, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,077,016 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,730,349 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $346,667 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,146 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $357,813 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,581 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 409 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 118.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354783, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 11, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,449,006 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,213,271 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,235,735 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,135 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,241,870 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,111 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 507 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 227.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 323506, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 9, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,528,616 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,785,212 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,743,404 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,509 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,759,913 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,394 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 460 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 268.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 291596, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,027,549 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,696,872 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,330,677 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,788 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,366,465 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 50,708 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 460 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 225.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 110.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261383, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 4, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $1,600,849 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,600,849 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$1,600,849 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,309 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 292 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 354.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 158.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230011, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for May 13, 2003 to December 31, 2003 — a reporting period of 232 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 10, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | −$16,485 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $982,307 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$998,792 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$998,792 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 152 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,963 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 142.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 199340, read from the public cost report file SNFFY2003.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BEXAR COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 03/01/2016 |
| INTERNATIONAL BANK OF COMMERCE | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 04/16/2018 |
| AEGIS THERAPIES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2016 |
| BASALDUA, ROLANDO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/24/2025 |
| CAMPBELL, LESLIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2020 |
| CARVAJAL PHARMACY LTC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2016 |
| CASTANEDA, MONICA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/06/2023 |
| CASTILLO, LYNNEA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2016 |
| CLAYTON, JONATHON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2023 |
| FELLBAUM, ERNEST | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2016 |
| GIVENS, LAURA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2022 |
| NUTRITIOUS LIFESTYLES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2016 |
| PLANTE & MORAN PLLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2016 |
| SEHLKE, BRYON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2016 |
| STUDER, STANLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2016 |
| TOUCHSTONE COMMUNITIES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2016 |
| TOUCHSTONE REALTY - STONE OAK LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2016 |
| TOUCHSTONE STRATEGIES STONE OAK LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/24/2025 |
| TRIDENT HEALTH SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/01/2016 |
| ZUROVEC, DARRELL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2017 |
| HURLEY, CHRISTOPHER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/26/2014 |
| 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 |
| TOUCHSTONE STRATEGIES STONE OAK LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/01/2016 |
| ZUROVEC, DARRELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BEXAR COUNTY HOSPITAL DISTRICT (enrollment ID O20160525002695).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BEXAR COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 3/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| INTERNATIONAL BANK OF COMMERCE | Organization | 5% OR GREATER SECURITY INTEREST | 5 | 4/16/2018 | Private equity company: No Real estate investment trust: No Holding company: No |
| AEGIS THERAPIES, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRYON SEHLKE | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARVAJAL PHARMACY LTC | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| DARRELL D ZUROVEC | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERNEST C FELLBAUM | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHON DEWEY CLAYTON | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURA GIVENS | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LESLIE D CAMPBELL | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNNEA CASTILLO | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MONICA CASTANEDA | Individual | ADP OF THE SNF | Not stated in the filing | 6/6/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NUTRITIOUS LIFESTYLES, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| PLANTE & MORAN PLLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROLANDO BASALDUA | Individual | ADP OF THE SNF | Not stated in the filing | 11/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STANLEY S STUDER | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOUCHSTONE COMMUNITIES INC | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| TOUCHSTONE REALTY - STONE OAK LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| TOUCHSTONE STRATEGIES STONE OAK LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/24/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRIDENT HEALTH SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 3/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 7/11/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTOPHER REED HURLEY | Individual | CORPORATE OFFICER | 0 | 9/26/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRYON SEHLKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARRELL D ZUROVEC | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHON DEWEY CLAYTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LESLIE D CAMPBELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNNEA CASTILLO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MONICA CASTANEDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/6/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROLANDO BASALDUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOUCHSTONE STRATEGIES STONE OAK LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- February 1, 2026: AURORA MARTINEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: AURORA MARTINEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ROLANDO BASALDUA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ROLANDO BASALDUA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- November 1, 2025: CHRISTOPHER REED HURLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GEORGE B HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAISY NOGUERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JESSICA DYSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: STANLEY S STUDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE STRATEGIES STONE OAK LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JONATHON DEWEY CLAYTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JONATHON DEWEY CLAYTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TRIDENT HEALTH SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERNEST C FELLBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHRISTOPHER REED HURLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 26, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AURORA MARTINEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 5, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AURORA MARTINEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 5, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE REALTY - STONE OAK LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LESLIE D CAMPBELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LESLIE D CAMPBELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRYON SEHLKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRYON SEHLKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AEGIS THERAPIES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE COMMUNITIES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARRELL D ZUROVEC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARRELL D ZUROVEC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: INTERNATIONAL BANK OF COMMERCE (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 16, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NUTRITIOUS LIFESTYLES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MONICA CASTANEDA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MONICA CASTANEDA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PLANTE & MORAN PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LYNNEA CASTILLO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LYNNEA CASTILLO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CARVAJAL PHARMACY LTC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LAURA GIVENS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Recent changes on this record
- February 1, 2026: AURORA MARTINEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: AURORA MARTINEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ROLANDO BASALDUA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ROLANDO BASALDUA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- November 1, 2025: CHRISTOPHER REED HURLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GEORGE B HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAISY NOGUERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JESSICA DYSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: STANLEY S STUDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE STRATEGIES STONE OAK LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JONATHON DEWEY CLAYTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JONATHON DEWEY CLAYTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TRIDENT HEALTH SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERNEST C FELLBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHRISTOPHER REED HURLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 26, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AURORA MARTINEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 5, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AURORA MARTINEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 5, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE REALTY - STONE OAK LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LESLIE D CAMPBELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LESLIE D CAMPBELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRYON SEHLKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRYON SEHLKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AEGIS THERAPIES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE COMMUNITIES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARRELL D ZUROVEC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARRELL D ZUROVEC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: INTERNATIONAL BANK OF COMMERCE (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 16, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NUTRITIOUS LIFESTYLES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MONICA CASTANEDA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MONICA CASTANEDA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PLANTE & MORAN PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LYNNEA CASTILLO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LYNNEA CASTILLO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CARVAJAL PHARMACY LTC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LAURA GIVENS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- June 16, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 5, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 25, 2025 | July 25, 2025 | 18 | 1 |
| 2 | June 21, 2024 | June 21, 2024 | 11 | 1 |
| 3 | April 28, 2023 | April 28, 2023 | 11 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
40 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 4, 2026 | Health | F 0842 | 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. | D | Yes | Deficient, Provider has date of correction | June 23, 2026 |
| December 3, 2025 | Health | F 0726 | 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. | D | Yes | Deficient, Provider has date of correction | December 4, 2025 |
| December 3, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | December 4, 2025 |
| December 3, 2025 | Health | F 0842 | 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. | D | Yes | Deficient, Provider has date of correction | December 4, 2025 |
| December 3, 2025 | Health | F 0849 | 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. | D | Yes | Deficient, Provider has date of correction | December 4, 2025 |
| November 25, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | November 26, 2025 |
| November 20, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | November 21, 2025 |
| November 20, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | November 21, 2025 |
| November 20, 2025 | Health | F 0842 | 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. | D | Yes | Deficient, Provider has date of correction | November 21, 2025 |
| November 20, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | November 21, 2025 |
| July 25, 2025 | Health | F 0584 | Resident Rights Deficiencies | 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 | No | Deficient, Provider has date of correction | July 26, 2025 |
| July 25, 2025 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | July 26, 2025 |
| July 25, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | July 26, 2025 |
| July 25, 2025 | Health | F 0690 | Quality of Life and Care Deficiencies | 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 | No | Deficient, Provider has date of correction | July 26, 2025 |
| July 25, 2025 | Health | F 0726 | 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. | D | No | Deficient, Provider has date of correction | July 26, 2025 |
| July 25, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | July 26, 2025 |
| July 25, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | July 26, 2025 |
| July 25, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 26, 2025 |
| June 27, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | June 28, 2025 |
| June 27, 2025 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | June 28, 2025 |
| June 27, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | June 27, 2025 |
| June 27, 2025 | Health | F 0842 | 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. | D | Yes | Deficient, Provider has date of correction | June 28, 2025 |
| June 21, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | June 22, 2024 |
| June 21, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 22, 2024 |
| June 21, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | 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 | No | Deficient, Provider has date of correction | June 22, 2024 |
| June 21, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | June 22, 2024 |
| June 21, 2024 | Health | F 0726 | 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. | D | No | Deficient, Provider has date of correction | June 22, 2024 |
| June 21, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | June 22, 2024 |
| June 21, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 22, 2024 |
| September 22, 2023 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | Yes | Deficient, Provider has date of correction | September 26, 2023 |
| April 28, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | April 29, 2023 |
| April 28, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | April 29, 2023 |
| April 28, 2023 | Health | F 0578 | Resident Rights Deficiencies | 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 | No | Deficient, Provider has date of correction | April 29, 2023 |
| April 28, 2023 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | April 29, 2023 |
| April 28, 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | April 29, 2023 |
| April 28, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 29, 2023 |
| April 28, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | April 29, 2023 |
| April 28, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | April 29, 2023 |
| April 28, 2023 | Health | F 0849 | 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. | D | No | Deficient, Provider has date of correction | April 29, 2023 |
| April 28, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 29, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| June 27, 2025 | Fine | $9,087 | 133846 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | BEXAR COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-05-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Bexar |
| Telephone Number | 2104819000 |
| Chain Name | TOUCHSTONE COMMUNITIES |
| Chain ID | 521 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 152 |
| Average Number of Residents per Day | 125.3 |
| Overall Rating | 2 |
| Health Inspection Rating | 3 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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