The Enclave

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (210) 982-4600 Send a message Map ↗

Public-record details

Address: 18803 Hardy Oak, San Antonio, TX 78258
Phone: (210) 982-4600
Listed under: For-profit
Medicare CCN: 676425
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 1 of 5
Quality measures rating: 3 of 5
Certified beds: 142
Average residents per day: 120
Ownership: For-profit, corporation
Legal business name: West Wharton County Hospital District
Chain: Touchstone Communities (25 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Apr 27, 2017
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident and family councils
Sprinklers in all required areas: Yes

CMS certification number 676425. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 27, 2025. CMS lists 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 19, 2023 to Feb 26, 2026): 15 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Feb 26, 2026	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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Feb 6, 2026	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 · complaint inspection	D Potential for more than minimal harm, isolated
Feb 6, 2026	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Aug 27, 2025	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning	B Potential for minimal harm, pattern
Aug 27, 2025	Post nurse staffing information every day. Nursing and Physician Services	C Potential for minimal harm, widespread
Aug 27, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
Aug 27, 2025	Reasonably accommodate the needs and preferences of each resident. Resident Rights	D Potential for more than minimal harm, isolated
Aug 27, 2025	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	D Potential for more than minimal harm, isolated
Aug 27, 2025	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
Aug 27, 2025	Ensure medication error rates are not 5 percent or greater. Pharmacy Service	D Potential for more than minimal harm, isolated
Aug 27, 2025	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… Pharmacy Service	D Potential for more than minimal harm, isolated
Aug 27, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 46. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,039 and 1 denial of Medicare payment for new admissions in the last three years.

May 4, 2024	Fine: $10,039
May 4, 2024	Payment denial for 28 days from Jun 1, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.63 hours
Registered nurse (RN) time per resident per day: 0.33 hours
Nurse aide time per resident per day: 2.08 hours
Total nurse staffing on weekends: 3.09 hours
Nursing staff turnover (yearly): 61%
RN turnover (yearly): 46%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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