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Medicare-certifiedSkilled Nursing

The Enclave

San Antonio, TexasMedicare inspection record
(210) 982-4600

About The Enclave

The Enclave brings together skilled nursing and rehabilitation expertise in San Antonio, Texas, where experienced caregivers focus on helping patients regain independence and strength. Our team provides personalized medical care and therapy services designed to support each person's recovery goals.

Community at a glance

Capacity

142 residents

Location

San Antonio, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

18803 HARDY OAK, San Antonio, Texas 78258

(210) 982-4600

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on August 27, 2025, state inspectors cited 16 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 38 minutes with each resident a day, above the Texas average of 3 hours 23 minutes.

Medicare fined The Enclave once in the last three years, $10,039 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 38 minutesAbove the Texas average
Registered nurse time per resident, per day20 minutesBelow the Texas average
Nursing staff who left in the past year61%Above the Texas average

1 administrator has left the home in the past year.

Inspections

41 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

February 26, 2026 · Complaint investigation · 1 citation

  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 27, 2026

February 6, 2026 · Complaint investigation · 2 citations

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

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 7, 2026
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 7, 2026
August 27, 2025 · Standard inspection · 13 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Aug 28, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Aug 28, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Aug 28, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 28, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Aug 28, 2025
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 28, 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 28, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 28, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 28, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 28, 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 locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 28, 2025
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Aug 28, 2025
  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningCorrected Aug 28, 2025
July 24, 2025 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 25, 2025
May 5, 2025 · Complaint investigation · 1 citation+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected May 6, 2025
June 28, 2024 · Standard inspection · 14 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jun 29, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jun 29, 2024
  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 29, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 29, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 29, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 29, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 29, 2024
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 29, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 29, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 29, 2024
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 29, 2024
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 29, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 29, 2024
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 29, 2024
June 7, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 8, 2024
May 4, 2024 · Complaint investigation · 6 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jun 8, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected May 5, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 5, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected May 5, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 5, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 5, 2024
January 29, 2024 · Complaint investigation · 2 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jan 30, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 30, 2024

Fines and payment denials

1 fine totaling $10,039 and 1 Medicare payment denial in the last three years.

  • May 4, 2024Payment denial, 28 days
  • May 4, 2024Fine: $10,039

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
West Wharton County Hospital District
Medicare-certified beds
142
Average residents per day
120
Accepts
Medicare and Medicaid
First certified
April 27, 2017
Part of a chain
Touchstone Communities, 25 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Both
Sprinklers in all required areas
Yes
CMS Certification Number
676425

Location

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18803 HARDY OAKSan Antonio, TX 78258

12 other communities within 10 miles

Senior living near San Antonio

Questions about The Enclave

How did The Enclave do on its last inspection?+

State inspectors visited on August 27, 2025 and cited 16 health deficiencies, 3 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at The Enclave?+

Nurses and aides spend 3 hours 38 minutes with each resident per day, including 20 minutes from registered nurses. 61% of nursing staff left over the past year.

Has The Enclave been fined by Medicare?+

Yes. Medicare fined The Enclave once in the last three years, totaling $10,039.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in San Antonio Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026