nursing home in San Antonio, TX

The Enclave

18803 Hardy Oak, San Antonio, TX 78258 · (210) 982-4600

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

The Enclave at a glance

The Enclave is a 142-bed for-profit nursing home in San Antonio, Texas (Bexar County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.6 hours of nursing care per day (0.3 of them from registered nurses), better than the state average of 3.4 hours.

Its most recent standard health inspection (August 27, 2025) found 16 health citations. The Texas average is 9.4.

Federal regulators fined it 1 time in the past three years, totaling $10,039.

Nursing staff turnover is 60.9% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
142
Certified for
Medicare and Medicaid
Chain / affiliated entity
Touchstone Communities
Medicare-certified since
April 27, 2017
Resident/family council
Both
County
Bexar County
CMS Certification Number
676425

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 54 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)2 / 53.2 / 53.3 / 5Worse

Staffing

This facility3.63 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.63 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.33 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.08 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.09 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)60.9%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)45.5%54.6%42.9%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility16Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1699Worse
Citations from complaint investigations (latest cycle) (lower is better)343Worse
Weighted health inspection score ⓘ (lower is better)106.810280.6Worse

Penalties

This facility1Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$10,039$44,141$30,972Better
All federal penalties in the past 3 years (lower is better)221Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds142113107
Average residents per day1207686
Occupancy84.2%67.6%80.9%

Long-stay residents

This facility4.2%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)4.2%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)3.4%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)6.3%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.3%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)17.9%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)9.5%14%14.1%Better
Long-stay residents who lose too much weight (lower is better)3%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)1.2%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)17.1%18%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)9.4%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)99%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%96.6%93.6%Better

Short-stay residents

This facility0.7%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.7%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)87.2%88%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)98.5%88.9%82%Better

Inspection citations

State inspectors cited this home for 46 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
February 26, 2026
Complaint
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 · Tag F0761
D
Potential harm, isolated
Corrected February 27, 2026
February 6, 2026
Complaint
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 · Tag F0600
D
Potential harm, isolated
Corrected February 7, 2026
February 6, 2026
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected February 7, 2026
August 27, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected August 27, 2025
August 27, 2025
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
D
Potential harm, isolated
Corrected August 27, 2025
August 27, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected August 28, 2025
August 27, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected August 28, 2025
August 27, 2025
Standard
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 · Tag F0656
E
Potential harm, pattern
Corrected August 28, 2025
August 27, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected August 28, 2025
August 27, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected August 28, 2025
August 27, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected August 28, 2025
August 27, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected August 28, 2025
August 27, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected August 28, 2025
August 27, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected August 28, 2025
August 27, 2025
Standard
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 · Tag F0690
D
Potential harm, isolated
Corrected August 28, 2025
August 27, 2025
Standard
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 · Tag F0761
D
Potential harm, isolated
Corrected August 28, 2025
August 27, 2025
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected August 28, 2025
August 27, 2025
Standard
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0640
B
No harm, pattern
Corrected August 28, 2025
July 24, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected July 25, 2025
May 5, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected May 6, 2025
June 28, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected June 29, 2024
June 28, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
E
Potential harm, pattern
Corrected June 29, 2024
June 28, 2024
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected June 29, 2024
June 28, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
E
Potential harm, pattern
Corrected June 29, 2024
June 28, 2024
Standard
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Tag F0813
E
Potential harm, pattern
Corrected June 29, 2024
June 28, 2024
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
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.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
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.
Quality of Life and Care Deficiencies · Tag F0700
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
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 · Tag F0761
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected June 29, 2024
June 28, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected June 29, 2024
June 7, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected June 8, 2024
May 4, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected June 8, 2024
May 4, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected May 5, 2024
May 4, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected May 5, 2024
May 4, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected May 5, 2024
May 4, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected May 5, 2024
May 4, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected May 5, 2024
January 29, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected January 30, 2024
January 29, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected January 30, 2024
April 19, 2023
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
E
Potential harm, pattern
Corrected May 15, 2023
April 19, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected May 15, 2023
April 19, 2023
Standard
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · Tag F0850
E
Potential harm, pattern
Corrected April 27, 2023
April 19, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected April 27, 2023
April 19, 2023
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
E
Potential harm, pattern
Corrected April 27, 2023
April 19, 2023
Standard
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 · Tag F0656
E
Potential harm, pattern
Corrected April 27, 2023
April 19, 2023
Standard
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Tag F0685
D
Potential harm, isolated
Corrected April 27, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $10,039 in fines.

DatePenaltyAmount / length
May 4, 2024Payment Denial28 days from June 1, 2024
May 4, 2024Fine$10,039

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
INTERNATIONAL BANK OF COMMERCE
Organization
5% or greater security interestNOT APPLICABLE04/28/2021
AEGIS THERAPIES, INC.
Organization
adp of the snfNOT APPLICABLE03/01/2023
CAMPBELL, LESLIE
Individual
adp of the snfNOT APPLICABLE03/01/2023
CARVAJAL PHARMACY LTC
Organization
adp of the snfNOT APPLICABLE03/01/2023
CASTILLO, LYNNEA
Individual
adp of the snfNOT APPLICABLE03/01/2023
CLAYTON, JONATHON
Individual
adp of the snfNOT APPLICABLE05/01/2023
COLLINGWOOD, YING
Individual
adp of the snfNOT APPLICABLE08/11/2025
CRUZ, ELIZABETH
Individual
adp of the snfNOT APPLICABLE10/01/2025
FELLBAUM, ERNEST
Individual
adp of the snfNOT APPLICABLE03/01/2023
NUTRITIOUS LIFESTYLES, INC.
Organization
adp of the snfNOT APPLICABLE03/01/2023
PLANTE & MORAN PLLC
Organization
adp of the snfNOT APPLICABLE03/01/2023
SEHLKE, BRYON
Individual
adp of the snfNOT APPLICABLE03/01/2023
STUDER, STANLEY
Individual
adp of the snfNOT APPLICABLE03/01/2023
TOUCHSTONE COMMUNITIES INC
Organization
adp of the snfNOT APPLICABLE03/01/2023
TOUCHSTONE REALTY - STONE OAK2 LLC
Organization
adp of the snfNOT APPLICABLE03/01/2023
TOUCHSTONE STRATEGIES - STONE OAK2 LLC
Organization
adp of the snfNOT APPLICABLE07/14/2025
TRIDENT HEALTH SERVICES INC
Organization
adp of the snfNOT APPLICABLE03/01/2023
ZUROVEC, DARRELL
Individual
adp of the snfNOT APPLICABLE03/01/2023
THOMPSON, JOHNNY
Individual
corporate officerNOT APPLICABLE11/01/2023
CAMPBELL, LESLIE
Individual
operational/managerial controlNOT APPLICABLE03/01/2023
CASTILLO, LYNNEA
Individual
operational/managerial controlNOT APPLICABLE03/01/2023
CLAYTON, JONATHON
Individual
operational/managerial controlNOT APPLICABLE05/01/2023
COLLINGWOOD, YING
Individual
operational/managerial controlNOT APPLICABLE08/11/2025
CRUZ, ELIZABETH
Individual
operational/managerial controlNOT APPLICABLE10/01/2025
SEHLKE, BRYON
Individual
operational/managerial controlNOT APPLICABLE03/01/2023
TOUCHSTONE STRATEGIES - STONE OAK2 LLC
Organization
operational/managerial controlNOT APPLICABLE03/01/2023
ZUROVEC, DARRELL
Individual
operational/managerial controlNOT APPLICABLE03/01/2023

Other nursing homes near The Enclave

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    For-profit · 152 beds · Part of Touchstone Communities

    ★★★★★2Below average
  2. Sonterra Health Center

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    For-profit · 124 beds · Part of The Ensign Group

    ★★★★★1Much below average
  3. Coronado at Stone Oak

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    ★★★★★5Much above average
  4. Castle Hills Rehabilitation and Care Center

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    • Special Focus candidate
    ★★★★★1Much below average
  5. Estates at Shavano Park

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  6. San Antonio Wellness & Rehabilitation

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Frequently asked questions

What is The Enclave's rating?

The Enclave has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did The Enclave receive?

Its most recent standard health inspection found 16 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does The Enclave accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns The Enclave?

It is for profit - corporation and part of Touchstone Communities. The ownership section on this page lists the owners and managers reported to CMS.

Where is The Enclave and how do I contact it?

The Enclave is at 18803 Hardy Oak, San Antonio, TX 78258. Phone: (210) 982-4600.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.