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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
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.