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Nursing home report

THE ENCLAVE

SAN ANTONIO, TX · Medicare-certified · 142 beds

Needs attention
For-profitChain member
1 of 5 overall

The Enclave in San Antonio has a 1-star overall rating, with 1-star staffing, 2-star health inspection, and 4-star quality measures. It reports 3.68 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $10,039 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.6799 hrs/resident/day

Quality measures

Last inspection: February 26, 2026Penalties, last 24 months: $10,039recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6799.

Staffing detail

Registered nurses
0.33
Licensed practical nurses
1.35
Nurse aides
2.00
Weekend nursing
3.12

Hours per resident per day.

Total staff turnover: 58%
Registered nurse turnover: 60%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

4.5%8.6%Worsening

Residents with a fall causing major injury

3.3%5.6%Worsening

Residents with pressure ulcers (bedsores)

1.6%3.7%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

3.9%2.6%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

11.6%16.4%Worsening

Residents whose ability to walk got worse

4.3%3.9%No change

Long-stay residents on antianxiety or sleep medication

15%15.6%Worsening

Short-stay residents newly given an antipsychotic

0.8%1.1%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

13.2%7.3%Improving

Residents with depressive symptoms

1.2%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

99%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

87.2%

Short-stay residents given the pneumonia vaccine

97.1%98.5%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: E

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: E

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $10,039 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $10,039 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    May 4, 2024

    28 days
  • Federal fine

    May 4, 2024

    $10,039

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
Occupancy
116.4 residents on an average day (82% of 142 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 9 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.