Texas › Bexar County › San Antonio
The Enclave
18803 Hardy Oak, San Antonio, TX 78258
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
The Enclave is a For-profit, corporation nursing home in San Antonio, Texas, certified for 142 beds and caring for about 120 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 3.
Inspectors recorded 46 health deficiencies across the three most recent survey cycles (16, 16, 14 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 32.4 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $10K and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 60.9%.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 46 | 38 | 25 | 28.7 |
| Citations per 100 beds | 32.4 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 60.9% | 50.0% | 52.1% | 45.8% |
| Fines listed | $10,039 | $15,616 | $16,801 | — |
County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Aug 2025, 28 Jun 2024.
Severity mix: J ×1 D ×29 E ×13 F ×1 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0761 | 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. | D | Complaint investigation | 27 Feb 2026 |
| 6 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 7 Feb 2026 |
| 6 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 Feb 2026 |
| 27 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0690 | 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 | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0761 | 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. | D | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 28 Aug 2025 |
| 27 Aug 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 28 Aug 2025 |
| 24 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 25 Jul 2025 |
| 5 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 6 May 2025 |
| 28 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 29 Jun 2024 |
| 28 Jun 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0693 | 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 | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0700 | 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. | D | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0761 | 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. | D | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0803 | 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. | D | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 29 Jun 2024 |
| 28 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Jun 2024 |
| 7 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Jun 2024 |
| 4 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 8 Jun 2024 |
| 4 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 5 May 2024 |
| 4 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 5 May 2024 |
| 4 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 May 2024 |
| 4 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 5 May 2024 |
| 4 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 5 May 2024 |
| 29 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 30 Jan 2024 |
| 29 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Jan 2024 |
| 19 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 27 Apr 2023 |
| 19 Apr 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 27 Apr 2023 |
| 19 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Apr 2023 |
| 19 Apr 2023 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 27 Apr 2023 |
| 19 Apr 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 27 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 May 2024 | Payment denial | — | 28 days |
| 4 May 2024 | Fine | $10,039 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 60.9%, RNs 45.5%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.3% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: West Wharton County Hospital District. Chain: Touchstone Communities (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| International Bank of Commerce | 5% or greater security interest | NOT APPLICABLE | 04/28/2021 |
| Touchstone Strategies - Stone Oak2 LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2023 |
| Aegis Therapies, Inc. | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
| Carvajal Pharmacy LTC | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
| Nutritious Lifestyles, Inc. | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
| Touchstone Communities Inc | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
| Touchstone Realty - Stone Oak2 LLC | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
| Touchstone Strategies - Stone Oak2 LLC | Adp of the snf | NOT APPLICABLE | 07/14/2025 |
| Trident Health Services Inc | Adp of the snf | NOT APPLICABLE | 03/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bexar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Army Residence Community | San Antonio | 91 | 5 | 5 | 4 | 18 | 19.8 | — | 5 Jun 2025 |
| Coronado At Stone Oak | San Antonio | 112 | 5 | 4 | 3 | 24 | 21.4 | — | 28 Jan 2026 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | 5 | 4 | 2 | 23 | 19.5 | $15K | 5 Jun 2026 |
| The Mission At Blue Skies of Texas East | San Antonio | 80 | 5 | 4 | 4 | 25 | 31.3 | $17K | 8 Aug 2025 |
| Morningside Manor | San Antonio | 147 | 4 | 3 | 3 | 26 | 17.7 | $5K | 11 Apr 2026 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 124 | 4 | 4 | 1 | 25 | 20.2 | — | 29 Apr 2026 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | 4 | 3 | 3 | 23 | 38.3 | — | 15 Dec 2025 |
| San Pedro Manor | San Antonio | 150 | 4 | 3 | 2 | 30 | 20.0 | $24K | 30 Apr 2026 |
All 62 facilities in Bexar County
Questions and answers
How many deficiencies has The Enclave been cited for?
46 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Enclave been fined?
Yes. CMS lists fines totalling $10K in the period covered, plus 1 payment denial.
How does staffing at The Enclave compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Enclave?
It is part of the Touchstone Communities chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Touchstone Strategies - Stone Oak2 LLC. Individual owners and managers are not listed on this site.
When was The Enclave last inspected?
The most recent survey or investigation in the CMS record is dated 26 Feb 2026; the most recent standard health survey was 27 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.