The Enclave
Nursing home · 18803 HARDY OAK, San Antonio, TX 78258 · Bexar County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 142
- State license
- 106631
- Medicare CCN
- 676425
- Licensed entity
- WEST WHARTON COUNTY HOSPITAL DISTRICT
- Chain
- TOUCHSTONE COMMUNITIES
- Ownership
- For profit - Corporation
- Phone
- (210) 982-4600
- Nurse staffing
- 3.63 hours per resident per day; 60.9% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 1★ · Quality 3★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- May 4, 2024 — Fine ($10,039)
- May 4, 2024 — Payment Denial · payment denial 28 days
Inspection findings
-
Feb 26, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0761 Pharmacy Service Deficiencies
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 Feb 27, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 6, 2026 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Feb 7, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Feb 7, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 27, 2025 Health · 15 findings
-
Not serious
Scope/severity D
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity B
F0640 Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
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 Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity C
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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 Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Aug 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0223 Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected Aug 27, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Aug 27, 2025 · CMS fire safety
-
Not serious
Scope/severity D
-
Jul 24, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jul 25, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 5, 2025 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 6, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Jun 28, 2024 Health · 22 findings
-
Not serious
Scope/severity D
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0693 Quality of Life and Care Deficiencies
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 Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0700 Quality of Life and Care Deficiencies
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 Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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 Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0803 Nutrition and Dietary Deficiencies
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.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0806 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0813 Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Jun 29, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Jun 29, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Jun 29, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Jun 29, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Jun 29, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jun 29, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Jun 29, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Jun 29, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Jun 7, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 8, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 4, 2024 Health · 6 findings
-
Not serious
Scope/severity D
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 5, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 8, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected May 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 5, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 29, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jan 30, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jan 30, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 19, 2023 Health · 7 findings
-
Not serious
Scope/severity E
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Apr 27, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0685 Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Corrected Apr 27, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Apr 27, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 27, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0850 Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected Apr 27, 2023 · CMS health inspection
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected May 15, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0911 Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Corrected May 15, 2023 · CMS fire safety
-
Not serious
Scope/severity E
Owners and managers (as published by CMS)
- CAMPBELL, LESLIE — operational/managerial control, NOT APPLICABLE, since 03/01/2023
- CAMPBELL, LESLIE — adp of the snf, NOT APPLICABLE, since 03/01/2023
- CASTILLO, LYNNEA — operational/managerial control, NOT APPLICABLE, since 03/01/2023
- CASTILLO, LYNNEA — adp of the snf, NOT APPLICABLE, since 03/01/2023
- CLAYTON, JONATHON — operational/managerial control, NOT APPLICABLE, since 05/01/2023
- CLAYTON, JONATHON — adp of the snf, NOT APPLICABLE, since 05/01/2023
- COLLINGWOOD, YING — operational/managerial control, NOT APPLICABLE, since 08/11/2025
- COLLINGWOOD, YING — adp of the snf, NOT APPLICABLE, since 08/11/2025
- CRUZ, ELIZABETH — adp of the snf, NOT APPLICABLE, since 10/01/2025
- CRUZ, ELIZABETH — operational/managerial control, NOT APPLICABLE, since 10/01/2025
- FELLBAUM, ERNEST — adp of the snf, NOT APPLICABLE, since 03/01/2023
- SEHLKE, BRYON — operational/managerial control, NOT APPLICABLE, since 03/01/2023
- SEHLKE, BRYON — adp of the snf, NOT APPLICABLE, since 03/01/2023
- STUDER, STANLEY — adp of the snf, NOT APPLICABLE, since 03/01/2023
- THOMPSON, JOHNNY — corporate officer, NOT APPLICABLE, since 11/01/2023
- ZUROVEC, DARRELL — operational/managerial control, NOT APPLICABLE, since 03/01/2023
- ZUROVEC, DARRELL — adp of the snf, NOT APPLICABLE, since 03/01/2023
- AEGIS THERAPIES, INC. — adp of the snf, NOT APPLICABLE, since 03/01/2023
- CARVAJAL PHARMACY LTC — adp of the snf, NOT APPLICABLE, since 03/01/2023
- INTERNATIONAL BANK OF COMMERCE — 5% or greater security interest, NOT APPLICABLE, since 04/28/2021
- NUTRITIOUS LIFESTYLES, INC. — adp of the snf, NOT APPLICABLE, since 03/01/2023
- PLANTE & MORAN PLLC — adp of the snf, NOT APPLICABLE, since 03/01/2023
- TOUCHSTONE COMMUNITIES INC — adp of the snf, NOT APPLICABLE, since 03/01/2023
- TOUCHSTONE REALTY - STONE OAK2 LLC — adp of the snf, NOT APPLICABLE, since 03/01/2023
- TOUCHSTONE STRATEGIES - STONE OAK2 LLC — adp of the snf, NOT APPLICABLE, since 07/14/2025
- TOUCHSTONE STRATEGIES - STONE OAK2 LLC — operational/managerial control, NOT APPLICABLE, since 03/01/2023
- TRIDENT HEALTH SERVICES INC — adp of the snf, NOT APPLICABLE, since 03/01/2023
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.