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Nursing Homes · Medicare certified

The Enclave

18803 Hardy Oak · San Antonio, TX 78258 · 142 certified beds

(210) 982-4600

NPI 1801500038 (opens in a new tab)

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About The Enclave

The Enclave is a nursing home in San Antonio, Texas. Its capacity is 142 beds, above the Bexar County median of 120 for nursing homes. It is run by a nonprofit operator and is part of Touchstone Communities. It is Medicare certified. Its public inspection record shows 46 citations, the most recent on February 26, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.52 hours per resident per day. It is one of 59 nursing homes listed in San Antonio. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

1.0

Staffing

1.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (46)

Records from April 2023 to February 2026.

  • February 26, 2026

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 27, 2026.

  • February 6, 2026

    Tag F0609

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 7, 2026.

  • February 6, 2026

    Tag F0600

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 7, 2026.

  • August 27, 2025

    Tag F0550

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag F0732

    Post nurse staffing information every day.

    Severity C: widespread, no actual harm, potential for minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag F0640

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

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag F0656

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag F0812

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag F0558

    Reasonably accommodate the needs and preferences of each resident.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag F0759

    Ensure medication error rates are not 5 percent or greater.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag F0695

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • August 27, 2025

    Tag F0755

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 28, 2025.

  • July 24, 2025

    Tag F0755

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 25, 2025.

  • May 5, 2025

    Tag F0842

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

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 6, 2025.

  • June 28, 2024

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.

  • June 28, 2024

    Tag F0806

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.

See the source data on data.cms.gov (opens in a new tab)

Penalties (2)

Total fines: $10,039

  • May 4, 2024 · Fine

    CMS recorded a civil money penalty of $10,039 against this nursing home on May 4, 2024.

  • May 4, 2024 · Payment Denial

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting June 1, 2024, lasting 28 days (triggered by inspection on May 4, 2024).

See the source data on data.cms.gov (opens in a new tab)

Staffing

3.52 nurse hours per resident per day in Q2 2026, down from 3.68 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

Part of Touchstone Communities, a chain of 25 nursing homes.

Average CMS star ratings across the chain: 2.8 overall, 2.9 for health inspections, 1.5 for staffing, 4.2 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Texas.

Nursing Homes

Texas median$5,627/mo

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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The Enclave in San Antonio, TX · ElderCareCosts