Quick answers
- Where is The Enclave?
- 18803 Hardy Oak, San Antonio, TX 78258, in Bexar County, Texas.
- What is the phone number of The Enclave?
- (210) 982-4600, as listed by Medicare (CMS).
- What is the Medicare star rating of The Enclave?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has The Enclave been fined?
- Medicare lists 1 fine totaling $10,039 and 1 payment denial.
- What did inspectors find at The Enclave?
- In its last three inspection cycles (April 19, 2023 to August 27, 2026), Medicare lists 47 health citations; the most serious was level J. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 19, 2023 to August 27, 2026), The Enclave had 47 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $10,039 in total (1 fine, the latest on May 4, 2024) and had 1 Medicare payment denial. Nurse staffing is 3.52 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: August 27, 2025 — 17 health citations
Inspections in this cycle: August 27, 2025 (standard health inspection); February 6, 2026 (complaint investigation); February 26, 2026 (complaint investigation); August 27, 2026 (complaint investigation).
Show 17 citations (levels A to F, no actual harm)
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0761 Level D
“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.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level D
“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.”
F0732 Level C
“Post nurse staffing information every day.”
F0640 Level B
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
Previous cycle: June 28, 2024 — 16 health citations
Inspections in this cycle: June 28, 2024 (standard health inspection); May 5, 2025 (complaint investigation); July 24, 2025 (complaint investigation).
Show 16 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0813 Level E
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0693 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0700 Level D
“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.”
F0761 Level D
“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.”
F0803 Level D
“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.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: April 19, 2023 — 14 health citations
Inspections in this cycle: April 19, 2023 (standard health inspection); January 29, 2024 (complaint investigation); May 4, 2024 (complaint investigation); June 7, 2024 (complaint investigation); June 28, 2024 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 13 less serious citations (levels A to F)
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0757 Level E
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0850 Level E
“Hire a qualified full-time social worker in a facility with more than 120 beds.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (12)
K0223 Level D
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0918 Level E
“Have generator or other power source capable of supplying service within 10 seconds.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
K0911 Level E
“Meet requirements for the installation and maintenance of electrical systems.”
K0324 Level D
“Provide properly protected cooking facilities.”
Fines and payment denials
Total fines over about the last three years: $10,039 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| May 4, 2024 | Fine | $10,039 |
| May 4, 2024 | Payment denial | from June 1, 2024, 28 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.32 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.21 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.00 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.52 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.97 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.28 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 57.9% | 50.8% | 45.3% |
| RN turnover (per year) | 66.7% | 49.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 25 nursing homes: Touchstone Communities.
Legal business name: West Wharton County Hospital District.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Touchstone Strategies - Stone OAK2 LLC | Management company (operational or managerial control) | NOT APPLICABLE | March 1, 2023 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 142 |
| Average residents per day | 126.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Touchstone Communities |
| Legal business name | West Wharton County Hospital District |
| First approved by Medicare/Medicaid | 2017-04-27 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 18803 Hardy Oak, San Antonio, TX 78258 |
| County | Bexar County |
| State | Texas |
| Phone | (210) 982‑4600 |
| CMS Certification Number | 676425 |
| Name in Medicare records | THE ENCLAVE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Stone Oak Care Center1.1 mi · San Antonio, TX · 3 of 5 stars
- Sonterra Health Center1.2 mi · San Antonio, TX · 2 of 5 stars
- Coronado at Stone Oak1.6 mi · San Antonio, TX · 5 of 5 stars
- Castle Hills Rehabilitation and Care Center5.9 mi · San Antonio, TX · 1 of 5 stars
- Estates at Shavano Park6.0 mi · Shavano Park, TX · 2 of 5 stars
Nearest hospital emergency rooms
- Methodist Hospital Stone Oak0.2 mi · San Antonio, TX · Acute Care Hospital
- South Texas Spine and Surgical Hospital0.3 mi · San Antonio, TX · Acute Care Hospital
- Baptist Neighborhood Hospital Thousand Oaks2.0 mi · San Antonio, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13