The Enclave

18803 Hardy Oak, San Antonio, TX 78258

Phone: 2109824600

CMS ratings and facility information

The Enclave is a Medicare-certified nursing facility in San Antonio, Bexar County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating2 of 5
Staffing rating1 of 5
Quality measures rating3 of 5
Certified beds142
OwnershipFor profit - Corporation
CMS certification number676425

Staffing

Total nurse hours per resident day3.63
RN hours per resident day0.33
Nurse aide hours per resident day2.08
Total nursing staff turnover percent60.9
RN turnover percent45.5

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.85events_per_1000_resident_days20250101-20251231
Emergency-department visits1.48events_per_1000_resident_days20250101-20251231
Falls with major injury4.18percent2025Q2-2026Q1
Pressure ulcers3.43percent2025Q2-2026Q1
Urinary tract infections0.28percent2025Q2-2026Q1
Antipsychotic medication use6.25percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-08-270641Ensure each resident receives an accurate assessment.E
2025-08-270656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2025-08-270755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2025-08-270812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-08-270880Provide and implement an infection prevention and control program.E
2025-08-270550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2025-08-270558Reasonably accommodate the needs and preferences of each resident.D
2025-08-270690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2025-08-270695Provide safe and appropriate respiratory care for a resident when needed.D
2025-08-270759Ensure medication error rates are not 5 percent or greater.D
2025-08-270761Ensure 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.D
2025-08-270732Post nurse staffing information every day.C
2025-08-270640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B
2024-06-280812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-06-280760Ensure that residents are free from significant medication errors.E
2024-06-280813Have a policy regarding use and storage of foods brought to residents by family and other visitors.E
2024-06-280558Reasonably accommodate the needs and preferences of each resident.D
2024-06-280641Ensure each resident receives an accurate assessment.D
2024-06-280645PASARR screening for Mental disorders or Intellectual DisabilitiesD
2024-06-280677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-06-280693Ensure 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.D
2024-06-280695Provide safe and appropriate respiratory care for a resident when needed.D
2024-06-280700Try 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.D
2024-06-280761Ensure 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.D
2024-06-280803Ensure 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.D
2024-06-280806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2024-06-280880Provide and implement an infection prevention and control program.D
2023-04-190656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2023-04-190757Ensure each resident’s drug regimen must be free from unnecessary drugs.E
2023-04-190812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-04-190850Hire a qualified full-time social worker in a facility with more than 120 beds.E
2023-04-190685Assist a resident in gaining access to vision and hearing services.D

Penalties

DateTypeAmount
2024-05-04Fine,039
2024-05-04Payment Denial

Ownership records

NameTypeRole
INTERNATIONAL BANK OF COMMERCEOrganization5% OR GREATER SECURITY INTEREST
THOMPSON, JOHNNYIndividualCORPORATE OFFICER
TOUCHSTONE STRATEGIES - STONE OAK2 LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
CAMPBELL, LESLIEIndividualOPERATIONAL/MANAGERIAL CONTROL
CASTILLO, LYNNEAIndividualOPERATIONAL/MANAGERIAL CONTROL
CLAYTON, JONATHONIndividualOPERATIONAL/MANAGERIAL CONTROL
COLLINGWOOD, YINGIndividualOPERATIONAL/MANAGERIAL CONTROL
CRUZ, ELIZABETHIndividualOPERATIONAL/MANAGERIAL CONTROL
SEHLKE, BRYONIndividualOPERATIONAL/MANAGERIAL CONTROL
ZUROVEC, DARRELLIndividualOPERATIONAL/MANAGERIAL CONTROL
AEGIS THERAPIES, INC.OrganizationADP OF THE SNF
CARVAJAL PHARMACY LTCOrganizationADP OF THE SNF
NUTRITIOUS LIFESTYLES, INC.OrganizationADP OF THE SNF
PLANTE & MORAN PLLCOrganizationADP OF THE SNF
TOUCHSTONE COMMUNITIES INCOrganizationADP OF THE SNF
TOUCHSTONE REALTY - STONE OAK2 LLCOrganizationADP OF THE SNF
TOUCHSTONE STRATEGIES - STONE OAK2 LLCOrganizationADP OF THE SNF
TRIDENT HEALTH SERVICES INCOrganizationADP OF THE SNF
CAMPBELL, LESLIEIndividualADP OF THE SNF
CASTILLO, LYNNEAIndividualADP OF THE SNF
CLAYTON, JONATHONIndividualADP OF THE SNF
COLLINGWOOD, YINGIndividualADP OF THE SNF
CRUZ, ELIZABETHIndividualADP OF THE SNF
FELLBAUM, ERNESTIndividualADP OF THE SNF
SEHLKE, BRYONIndividualADP OF THE SNF
STUDER, STANLEYIndividualADP OF THE SNF
ZUROVEC, DARRELLIndividualADP OF THE SNF

Compare nursing homes in Bexar County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.