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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasThe Enclave

The Enclave

18803 Hardy Oak, San Antonio, TX 782582109824600
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
4/5
Beds
142
certified
1 fine(s) totaling $10,039

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 142 certified beds with an average of 123.4 residents per day (87% occupancy)

• Last health inspection found 15 deficiencies (inspected Aug 27, 2025)

• Has been fined a total of $10,039 across 1 fine(s)

• Total nursing staff: 3.44 hours per resident per day

• Staff turnover rate: 63.2% (high)

• Part of the Touchstone Communities chain (29 facilities)

The Enclave is a 1-star Medicare and Medicaid certified nursing home in San Antonio, Texas with 142 certified beds. It has been operating since 2017. The facility scored below average compared to Texas facilities.

Beds
142
Avg Residents/Day
123.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 27, 2017
Sprinklers
Yes
Council
Both
County
Bexar
Last Inspection
Aug 27, 2025
Deficiencies (Cycle 1)
15
Weighted Score
104.8
Infection Citations
1

Deficiency Citations (44)

F0755Potential for Harm

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

Survey: Jul 24, 2025Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: May 5, 2025Corrected: NoCycle: 1
F0550Potential for Harm

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

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0640Minimal Harm

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

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0690Potential for Harm

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

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Jun 7, 2024Corrected: NoCycle: 2
F0550Potential for Harm

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

Survey: May 4, 2024Corrected: NoCycle: 2
F0609Potential for Harm

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

Survey: May 4, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: May 4, 2024Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: May 4, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 4, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 4, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0693Potential for Harm

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.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0695Potential for Harm

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

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0700Potential for Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Jun 28, 2024Corrected: NoCycle: 2

+ 14 more deficiencies

Total Fines
$10,039
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineMay 4, 2024
$10,039
Payment DenialMay 4, 2024
28 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.72 hrs
National avg: 2.35 hrs
LPN1.44 hrs
National avg: 0.86 hrs
RN0.28 hrs
National avg: 0.68 hrs
Total Nursing3.44 hrs
National avg: 3.89 hrs
Weekend Total2.96 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
63.2%
RN Turnover
64.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (11)

NameRoleTypeOwnership %Since
WEST WHARTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 1, 2023
TOUCHSTONE STRATEGIES - STONE OAK2 LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2023
CAMPBELL, LESLIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2023
CASTILLO, LYNNEAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2023
CLAYTON, JONATHONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2023
COLLINGWOOD, YINGOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 11, 2025
CRUZ, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
SEHLKE, BRYONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2023
ZUROVEC, DARRELLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2023
THOMPSON, JOHNNYCORPORATE OFFICERIndividualN/ANov 1, 2023
INTERNATIONAL BANK OF COMMERCE5% OR GREATER SECURITY INTERESTOrganizationN/AApr 28, 2021

Nearby Nursing Homes

All Texas facilities

Stone Oak Care Center

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Quality
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Sonterra Health Center

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Quality
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Coronado at Stone Oak

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Health
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San Antonio Wellness & Rehabilitation

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Health
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Quality
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Castle Hills Rehabilitation and Care Center

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For profit$157,841 in fines
Health
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Asbury Care Center of Alamo

San Antonio, TX · 237 beds

For profit$88,642 in fines
Health
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Quality
7.3 mi

Frequently Asked Questions

What is the CMS rating for The Enclave?▾
The Enclave has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has The Enclave had any health inspection violations?▾
The Enclave had 15 deficiency citations in its most recent health inspection (Aug 27, 2025). The facility has been fined a total of $10,039 across 1 fine(s). It also has 1 infection control citation(s).
What are the staffing levels at The Enclave?▾
The Enclave provides 3.44 total nursing staff hours per resident per day, including 0.28 RN hours, 1.44 LPN hours, and 1.72 nurse aide hours. The total staff turnover rate is 63.2%.
How many beds does The Enclave have?▾
The Enclave has 142 certified beds with an average of 123.4 residents per day, resulting in approximately 87% occupancy. The facility is For profit - Corporation owned and is part of the Touchstone Communities chain.
Are there other nursing homes near The Enclave?▾
Yes, there are 57 other nursing homes in San Antonio, Texas with an average rating of 2.5/5. You can compare all facilities on the San Antonio nursing homes page.

Part of Touchstone Communities

This chain operates 29 facilities. View all →