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.

June 28, 2024
Tag F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
June 28, 2024
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 June 29, 2024.
June 28, 2024
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 June 29, 2024.
June 28, 2024
Tag 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
June 28, 2024
Tag F0641
Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
June 28, 2024
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
June 28, 2024
Tag F0558
Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
June 28, 2024
Tag 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
June 28, 2024
Tag 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
June 28, 2024
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
June 28, 2024
Tag F0645
PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
June 28, 2024
Tag F0760
Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 29, 2024.
June 7, 2024
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 8, 2024.
May 4, 2024
Tag F0760
Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 5, 2024.
May 4, 2024
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 May 5, 2024.
May 4, 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 May 5, 2024.
May 4, 2024
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 May 5, 2024.
May 4, 2024
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 May 5, 2024.
May 4, 2024
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected June 8, 2024.
January 29, 2024
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 January 30, 2024.

See the source data on data.cms.gov

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

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

Texas cost breakdown

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