The Enclave
Nursing home in San Antonio, Texas, CMS certification number 676425
18803 Hardy Oak, San Antonio, TX 78258 · Bexar County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 142
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 27, 2025
- Deficiencies at that inspection
- 17
- Fines in 3 years
- $10,039 (1)
Does The Enclave take Medicare and Medicaid?
Yes to both. The Enclave is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours The Enclave reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.52
- Registered nurse hours
- 0.32
- Licensed practical nurse hours
- 1.21
- Nurse aide hours
- 2.00
- Weekend total hours
- 2.97
- Nursing staff turnover
- 57.9%
- Registered nurse turnover
- 66.7%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on August 27, 2025 and cited 17 deficiencies, plus 4 from complaint visits.
The visit before, on June 28, 2024, found 14.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined The Enclave 1 time in the past 3 years, for $10,039 in total.
It also had 1 payment denial, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 126.1 residents live here, about 89% of its 142 certified beds.
- Certified beds
- 142
- Average residents per day
- 126.1
- Certified since
- April 27, 2017
- Resident or family council
- Both
Who owns The Enclave
- Legal business name
- West Wharton County Hospital District
- Ownership type
- For profit - Corporation
- Chain
- 25 homes nationally under Touchstone Communities, 2.8-star chain average
Other nursing homes near The Enclave
- Stone Oak Care Center505 Madison Oak Drive, San Antonio 78258
- Sonterra Health Center18514 Sonterra Place, San Antonio 78258
- Coronado at Stone Oak19638 Stone Oak Parkway, San Antonio 78258
- Castle Hills Rehabilitation and Care Center8020 Blanco Rd, San Antonio 78216
- Estates at Shavano Park4366 Lockhill Selma, Shavano Park 78249
See also all nursing homes in San Antonio.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 58 in San Antonio, or see how assisted living and nursing homes differ.
Is this your facility?
If you run The Enclave, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about The Enclave
What is the CMS star rating of The Enclave?
1 out of 5 stars overall.
Does The Enclave accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at The Enclave?
17 cited at the last standard visit.
Who owns The Enclave?
West Wharton County Hospital District, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.