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HomeTexasThe Enclave

The Enclave

18803 Hardy Oak, San Antonio, TX 782582109824600WebsiteGoogle Maps
3.9on Google(247 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
3/5
Beds
142
certified
1 fine(s) totaling $10,039

How The Enclave Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.63 hrs/day
TX average
3.39 hrs/day
Above state average
RN hours per resident
0.33 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
60.9%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported RN time is 0.33 hours per resident per day, below the state average of 0.43.
Staff turnover is 60.9%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
24
deficiency citations
Inspected Jun 28, 2024
Most recent cycle
17
deficiency citations
Inspected Aug 27, 2025
The most recent cycle recorded 7 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Bexar County 65+
248,631
12.3% of county
County Population
2,014,059
Bexar County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 1 out of 5.

Beds
142
Avg Residents/Day
119.5
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)
17
Weighted Score
108.8
Infection Citations
0

Deficiency Citations (46)

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: Feb 26, 2026Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Feb 6, 2026Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Feb 6, 2026Corrected: 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
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
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
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
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
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
F0732Minimal Harm

Post nurse staffing information every day.

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
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: 2
F0812Potential for Harm

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

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jun 28, 2024Corrected: NoCycle: 2
F0813Potential for Harm

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey: Jun 28, 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
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Jun 28, 2024Corrected: NoCycle: 2

+ 16 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 Aide2.08 hrs
National avg: 2.32 hrs
LPN1.22 hrs
National avg: 0.86 hrs
RN0.33 hrs
National avg: 0.69 hrs
Total Nursing3.63 hrs
National avg: 3.86 hrs
Weekend Total3.09 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
60.9%
RN Turnover
45.5%
Administrators Left
1

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (27)

NameRoleTypeOwnership %Since
INTERNATIONAL BANK OF COMMERCE5% OR GREATER SECURITY INTERESTOrganizationN/AApr 28, 2021
THOMPSON, JOHNNYCORPORATE OFFICERIndividualN/ANov 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
AEGIS THERAPIES, INC.ADP OF THE SNFOrganizationN/AMar 1, 2023
CARVAJAL PHARMACY LTCADP OF THE SNFOrganizationN/AMar 1, 2023
NUTRITIOUS LIFESTYLES, INC.ADP OF THE SNFOrganizationN/AMar 1, 2023
PLANTE & MORAN PLLCADP OF THE SNFOrganizationN/AMar 1, 2023
TOUCHSTONE COMMUNITIES INCADP OF THE SNFOrganizationN/AMar 1, 2023
TOUCHSTONE REALTY - STONE OAK2 LLCADP OF THE SNFOrganizationN/AMar 1, 2023
TOUCHSTONE STRATEGIES - STONE OAK2 LLCADP OF THE SNFOrganizationN/AJul 14, 2025
TRIDENT HEALTH SERVICES INCADP OF THE SNFOrganizationN/AMar 1, 2023
CAMPBELL, LESLIEADP OF THE SNFIndividualN/AMar 1, 2023
CASTILLO, LYNNEAADP OF THE SNFIndividualN/AMar 1, 2023
CLAYTON, JONATHONADP OF THE SNFIndividualN/AMay 1, 2023
COLLINGWOOD, YINGADP OF THE SNFIndividualN/AAug 11, 2025
CRUZ, ELIZABETHADP OF THE SNFIndividualN/AOct 1, 2025
FELLBAUM, ERNESTADP OF THE SNFIndividualN/AMar 1, 2023
SEHLKE, BRYONADP OF THE SNFIndividualN/AMar 1, 2023
STUDER, STANLEYADP OF THE SNFIndividualN/AMar 1, 2023
ZUROVEC, DARRELLADP OF THE SNFIndividualN/AMar 1, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for The Enclave and nearby alternatives.

All Texas facilities
The Enclave
San Antonio, TXCurrent facility
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $10,039
Stone Oak Care Center
San Antonio, TX1.1 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $9,087
Sonterra Health Center
San Antonio, TX1.2 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $80,964
Coronado at Stone Oak
San Antonio, TX1.6 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
San Antonio Wellness & Rehabilitation
San Antonio, TX4.9 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $104,627
Castle Hills Rehabilitation and Care Center
San Antonio, TX5.9 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $112,386
Estates at Shavano Park
Shavano Park, TX6.0 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
The Enclave
San Antonio, TX · Current facility
—1/52/51/5$10,039
Stone Oak Care Center
San Antonio, TX
1.1 mi2/53/51/5$9,087
Sonterra Health Center
San Antonio, TX
1.2 mi1/52/51/5$80,964
Coronado at Stone Oak
San Antonio, TX
1.6 mi5/54/53/5None recorded
San Antonio Wellness & Rehabilitation
San Antonio, TX
4.9 mi2/52/52/5$104,627
Castle Hills Rehabilitation and Care Center
San Antonio, TX
5.9 mi1/51/51/5$112,386
Estates at Shavano Park
Shavano Park, TX
6.0 mi3/53/52/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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 3/5. This facility is rated below average.
How much does The Enclave cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). The Enclave participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has The Enclave had any health inspection violations?▾
The Enclave had 17 deficiency citations in its most recent health inspection (Aug 27, 2025). The current CMS dataset records 1 fine(s) totaling $10,039.
What are the staffing levels at The Enclave?▾
The Enclave provides 3.63 total nursing staff hours per resident per day, including 0.33 RN hours, 1.22 LPN hours, and 2.08 nurse aide hours. The total staff turnover rate is 60.9%.
How many beds does The Enclave have?▾
The Enclave has 142 certified beds with an average of 119.5 residents per day, resulting in approximately 84% 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. This page lists 6 nearby nursing homes in Texas, including 5 in San Antonio. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about The Enclave?▾
On Google Maps, The Enclave has a rating of 3.9 out of 5 based on 247 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Touchstone Communities

This chain operates 25 facilities. View all →