For profit - Corporation · 142 certified beds · CMS number 676425
The Enclave, San Antonio, TX
CMS records 46 health deficiencies at The Enclave in San Antonio, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 27, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $10,039 and 1 payment denial in the last three years.
- 46deficiencies, 3 cycles (TX median 25)
- 16in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $10,039fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Enclave as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Enclave may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (16 deficiencies)
Standard inspection Aug 27, 2025. CMS counts 16 health deficiencies and 2 fire safety deficiencies in this cycle.
Feb 26, 2026 · Complaint inspection
1 deficiency, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 27, 2026
Feb 6, 2026 · Complaint inspection
2 deficiencies, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 7, 2026
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 7, 2026
Aug 27, 2025 · Standard inspection
13 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 28, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 28, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 28, 2025
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 28, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 28, 2025
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Aug 28, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 28, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 28, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 28, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 28, 2025
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Aug 28, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 28, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 28, 2025
Previous cycle: 16 deficiencies (standard inspection Jun 28, 2024)
Standard inspection Jun 28, 2024. CMS counts 16 health deficiencies and 8 fire safety deficiencies in this cycle.
Jul 24, 2025 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 25, 2025
May 5, 2025 · Complaint inspection
1 deficiency, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 6, 2025
Jun 28, 2024 · Standard + complaint inspection
14 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 29, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jun 29, 2024
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
F803 · Menus that meet nutritional needs
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 29, 2024
F700 · Bed rail safety
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 29, 2024
Earlier cycle: 14 deficiencies (standard inspection Apr 19, 2023)
Standard inspection Apr 19, 2023. CMS counts 14 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 7, 2024 · Complaint inspection
1 deficiency, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 8, 2024
May 4, 2024 · Complaint inspection
6 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 5, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 5, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 5, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jun 8, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 5, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 5, 2024
Jan 29, 2024 · Complaint inspection
2 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 30, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 30, 2024
Apr 19, 2023 · Standard inspection
5 deficiencies, highest E
F850 · Full-time social worker in larger homes
Requirement cited (CMS): Hire a qualified full-time social worker in a facility with more than 120 beds.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 27, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 27, 2023
F757 · Avoiding unnecessary drugs
Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 27, 2023
F685 · Vision and hearing services
Requirement cited (CMS): Assist a resident in gaining access to vision and hearing services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 27, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 27, 2023
Tags cited in more than one inspection
12 tags cited on more than one inspection date at The Enclave; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F755 Pharmacy services and a consultant pharmacist | 4 | Aug 27, 2025; Jul 24, 2025; May 4, 2024; Jan 29, 2024 |
| F880 Infection prevention and control program | 4 | Aug 27, 2025; Jun 28, 2024; May 4, 2024; Jan 29, 2024 |
| F761 Drug labeling and secure storage | 3 | Feb 26, 2026; Aug 27, 2025; Jun 28, 2024 |
| F812 Food safety and sanitation | 3 | Aug 27, 2025; Jun 28, 2024; Apr 19, 2023 |
| F550 Dignity and the right to exercise rights | 2 | Aug 27, 2025; May 4, 2024 |
| F558 Accommodating individual needs and preferences | 2 | Aug 27, 2025; Jun 28, 2024 |
| F609 Reporting suspected abuse and crimes | 2 | Feb 6, 2026; May 4, 2024 |
| F641 Accurate resident assessments | 2 | Aug 27, 2025; Jun 28, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Aug 27, 2025; Apr 19, 2023 |
| F689 Accident prevention and supervision | 2 | Jun 7, 2024; May 4, 2024 |
| F695 Respiratory and oxygen care | 2 | Aug 27, 2025; Jun 28, 2024 |
| F760 No significant medication errors | 2 | Jun 28, 2024; May 4, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 4, 2024 | Fine | $10,039 |
| May 4, 2024 | Payment Denial | 28 days from Jun 1, 2024 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.63 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.33 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.09 h
- Nursing staff turnover
- 60.9% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for The Enclave, copied as published; Texas medians are ours.
Facility details
- Address
- 18803 Hardy Oak, San Antonio, TX 78258
- Phone
- (210) 982-4600
- County
- Bexar
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 142
- Average residents per day
- 119.5
- In Medicare/Medicaid since
- Apr 27, 2017
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Both
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 4 times)
- How do staff track and report infections among residents? (F880, cited 4 times)
- How are medications stored and secured on each unit? (F761, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
Other nursing homes in San Antonio and the same chain
- San Antonio West Nursing and Rehabilitation
San Antonio · 76 deficiencies - Parklane West Healthcare Center
San Antonio · 68 deficiencies - Castle Hills Rehabilitation and Care Center
San Antonio · 67 deficiencies - Crestway Nursing & Rehabilitation
San Antonio · 65 deficiencies - Oak Park Nursing and Rehabilitation Center
San Antonio · 60 deficiencies - Wurzbach Nursing and Rehabilitation
San Antonio · 58 deficiencies - Harker Heights Nursing & Rehabilitation
Harker Heights · 51 deficiencies - The Heights of Bulverde
Spring Branch · 47 deficiencies - The Heights at Medical Center
San Antonio · 44 deficiencies - Stone Oak Care Center
San Antonio · 40 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.