The Enclave

Nursing Home · San Antonio, TX

CMS overall rating 1/5 For profit - Corporation

CMS certification number676425

Contact & location

18803 Hardy Oak
San Antonio, TX 78258
Bexar County
Phone
(210) 982-4600
ZIP code
78258 – all care providers

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Facility details

Certified beds
142
Residents per day
119.5 (84% occupied)
Ownership
For profit - Corporation
Legal name
West Wharton County Hospital District
Chain
Touchstone Communities (25 facilities, avg 2.9★)
Medicare certified since
April 27, 2017
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.63 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.33 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.22 (state 0.95 · U.S. 0.86)
Nurse aides
2.08 (state 2.00 · U.S. 2.32)
Weekend total
3.09 (state 2.98 · U.S. 3.42)
Nursing staff turnover
60.9 (state 55.3 · U.S. 45.8)%
RN turnover
45.5 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
August 27, 2025
Health deficiencies (last cycle)
16.0 (state 9.3 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
46 health · 12 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-02-26 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-27
2026-02-06 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-07
2026-02-06 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-07
2025-08-27 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-28
2025-08-27 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2025-08-28
2025-08-27 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-08-28
2025-07-24 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-25
2025-05-05 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2024-06-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 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.
F0700 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 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.
F0803 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-29
2024-06-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-08
2024-05-04 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-06-08
2024-05-04 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-05-05
2024-05-04 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-05
2024-05-04 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-05
2024-05-04 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-05
2024-05-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-05
2024-01-29 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-30
2024-01-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-30
2023-04-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-27
2023-04-19 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-27
2023-04-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-27
2023-04-19 Hire a qualified full-time social worker in a facility with more than 120 beds.
F0850 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-04-27
2023-04-19 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-27

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $10,039 in fines.

DateTypeAmount
2024-05-04Payment Denial28 days payment denial
2024-05-04Fine$10,039

Ownership & management

NameRoleSince
International Bank of Commerce (organization)5%+ Security Interest · NOT APPLICABLE
Aegis Therapies, INC. (organization)Administrator · NOT APPLICABLE
Campbell, Leslie (individual)Administrator · NOT APPLICABLE
Carvajal Pharmacy LTC (organization)Administrator · NOT APPLICABLE
Castillo, Lynnea (individual)Administrator · NOT APPLICABLE
Clayton, Jonathon (individual)Administrator · NOT APPLICABLE
Collingwood, Ying (individual)Administrator · NOT APPLICABLE
Cruz, Elizabeth (individual)Administrator · NOT APPLICABLE
Fellbaum, Ernest (individual)Administrator · NOT APPLICABLE
Nutritious Lifestyles, INC. (organization)Administrator · NOT APPLICABLE
Plante & Moran Pllc (organization)Administrator · NOT APPLICABLE
Sehlke, Bryon (individual)Administrator · NOT APPLICABLE
Studer, Stanley (individual)Administrator · NOT APPLICABLE
Touchstone Communities INC (organization)Administrator · NOT APPLICABLE
Touchstone Realty - Stone Oak2 LLC (organization)Administrator · NOT APPLICABLE
Touchstone Strategies - Stone Oak2 LLC (organization)Administrator · NOT APPLICABLE
Trident Health Services INC (organization)Administrator · NOT APPLICABLE
Zurovec, Darrell (individual)Administrator · NOT APPLICABLE
Thompson, Johnny (individual)Corporate Officer · NOT APPLICABLE
Campbell, Leslie (individual)Operational/managerial Control · NOT APPLICABLE
Castillo, Lynnea (individual)Operational/managerial Control · NOT APPLICABLE
Clayton, Jonathon (individual)Operational/managerial Control · NOT APPLICABLE
Collingwood, Ying (individual)Operational/managerial Control · NOT APPLICABLE
Cruz, Elizabeth (individual)Operational/managerial Control · NOT APPLICABLE
Sehlke, Bryon (individual)Operational/managerial Control · NOT APPLICABLE
Touchstone Strategies - Stone Oak2 LLC (organization)Operational/managerial Control · NOT APPLICABLE
Zurovec, Darrell (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of The Enclave?

The Enclave has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does The Enclave have?

It has 142 certified beds and cares for about 120 residents per day.

Has The Enclave been fined?

Yes. CMS lists 2 penalties totaling $10,039 in the last three years.

Who owns The Enclave?

It is part of Touchstone Communities and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Enclave?

(210) 982-4600. The facility is located at 18803 Hardy Oak, San Antonio, TX 78258.

Other nursing homes in San Antonio

Compare all nursing homes in San Antonio, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.