Nursing home report
SAN ANTONIO, TX · Medicare-certified · 142 beds
The Enclave in San Antonio has a 1-star overall rating, with 2 stars for health inspections, 1 star for staffing, and 3 stars for quality measures. It has the lowest overall rating flag, no fines in the last 24 months, and reported nurse staffing is 3.63 hours per resident per day versus the 4.1-hour federal benchmark.
Health inspections
Staffing
3.6312 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6312.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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.
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.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
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.
F-Tag 755 — 42 CFR §483.45 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Health inspection found 13 health deficiencies.
A federal payment denial was recorded.
A federal fine of $10,039 was recorded.
On record with Medicare: 1 fine · $10,039 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
May 4, 2024
Federal fine
May 4, 2024
Now operated by West Wharton County Hospital District, previously Touchstone Strategies - Stone Oak2 LLC.
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.
