The Enclave
18803 Hardy Oak · San Antonio, TX · 78258 · 2109824600
142 certified beds For profit - Corporation Chain: Touchstone Communities
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 1 · $10,039 |
Inspection citations (46 in the current record)
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Potential for harm · D February 26, 2026 · found via complaint
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.
Corrected February 27, 2026 · Pharmacy Service
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Potential for harm · D February 6, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 6, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 28, 2025 · Resident Rights
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Potential for harm · D August 27, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected August 28, 2025 · Resident Rights
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Potential for harm · E August 27, 2025
Ensure each resident receives an accurate assessment.
Corrected August 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 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.
Corrected August 28, 2025 · Quality of Life and Care
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Potential for harm · D August 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 28, 2025 · Quality of Life and Care
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Potential for harm · E August 27, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 28, 2025 · Pharmacy Service
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Potential for harm · D August 27, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected August 28, 2025 · Pharmacy Service
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Potential for harm · D August 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 locked compartments, separately locked, compartments for controlled drugs.
Corrected August 28, 2025 · Pharmacy Service
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Potential for harm · E August 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 28, 2025 · Nutrition and Dietary
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Potential for harm · E August 27, 2025
Provide and implement an infection prevention and control program.
Corrected August 28, 2025 · Infection Control
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No harm found · B August 27, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected August 28, 2025 · Resident Assessment and Care Planning
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No harm found · C August 27, 2025
Post nurse staffing information every day.
Corrected August 28, 2025 · Nursing and Physician Services
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Potential for harm · D July 24, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 25, 2025 · Pharmacy Service
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Potential for harm · E May 5, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 28, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected June 29, 2024 · Resident Rights
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Potential for harm · D June 28, 2024
Ensure each resident receives an accurate assessment.
Corrected June 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 28, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 28, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 29, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 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.
Corrected June 29, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 29, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 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.
Corrected June 29, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 4, 2024 | Fine | $10,039 |
| May 4, 2024 | Payment Denial | 28 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676425 · certified since April 27, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.