For profit - Corporation ·
142 certified beds ·
Medicare and Medicaid
· Part of Touchstone Communities (28 facilities)
1
Overall CMS Rating
★☆☆☆☆
The Enclave is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.44 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Aug 27, 2025 cited 15 deficiencies.
1 fine totaling $10,039 in CMS records.
2 total penalties
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★☆☆☆☆ 1/5
Health Inspections
★★☆☆☆ 2/5
Staffing
★☆☆☆☆ 1/5
Quality Measures
★★★★☆ 4/5
Long-Stay QM
★★★★★ 5/5
Short-Stay QM
★★★★☆ 4/5
How The Enclave compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
Texas avg
National avg
Total nurse staffing (hrs/resident/day)
3.44
3.40
3.89
above avg
RN staffing (hrs/resident/day)
0.28
0.44
0.68
below avg
Aide staffing (hrs/resident/day)
1.72
2.01
2.34
below avg
Nursing staff turnover
63.2%
51.5%
46.4%
above avg
Deficiencies cited, last inspection
15.0
9.1
9.5
above avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
3.44
Total Nurse Hrs/Resident/Day
0.28
RN Hrs/Resident/Day
1.44
LPN Hrs/Resident/Day
1.72
Aide Hrs/Resident/Day
2.96
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
63.2%
Registered Nurses
64.3%
Administrator Changes0 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Aug 27, 2025
Most Recent Inspection Date
15
Total Deficiencies Found
76
Health Inspection Score
1
Number of Fines
What inspectors found at The Enclave
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Potential 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.Pharmacy Service Deficiencies · Feb 26, 2026
Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 6, 2026
Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 6, 2026
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Aug 27, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Aug 27, 2025
Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies · Aug 27, 2025
Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Aug 27, 2025
Potential for harm
Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Aug 27, 2025
Potential 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.Pharmacy Service Deficiencies · Aug 27, 2025
Potential for harm
Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Aug 27, 2025
Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Aug 27, 2025
Potential 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.Quality of Life and Care Deficiencies · Aug 27, 2025
About This Facility
Address
18803 Hardy Oak San Antonio, TX 78258
CMS Certification #
676425
Ownership
For profit - Corporation
Certified Beds
142
Avg Residents/Day
123.4
Provider Type
Medicare and Medicaid
First Certified
2017-04-27
Chain
Touchstone Communities (28 facilities)
Setting
Urban
Part of Touchstone Communities
28
Facilities Nationwide
Touchstone Communities operates 28 nursing facilities across the United States.
CMS gives The Enclave an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
The Enclave reports 3.44 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 15 deficiencies.
The Enclave is certified for 142 beds.
Admissions at The Enclave
For admissions, availability and rehab questions, call (210) 982-4600. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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