The Enclave
18803 HARDY OAK, San Antonio, TX, 78258
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Touchstone Communities
- Certified beds
- 142 · avg 123 residents/day
- Total nursing staff turnover
- 63.2% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 64.3% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $10,039 total
- Payment denials
- 1 denial
- Infection control citations
- 1
State licensing & capacity
- License number
- 311424
- Service type
- Medicare/medicaid
- Licensed capacity
- 142 beds
- Bed type breakdown
- 67 Medicare-only · 75 Medicaid/Medicare
- Current license effective
- March 1, 2023
- Current license expires
- March 1, 2026
- Initial license date
- April 26, 2017
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Stone Oak2, Llc
- Administrator
- Ying Collingwood
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 28 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (22 on record)
- Elizabeth Cruz
Operational/managerial Control · since 2025
- Ying Collingwood
Operational/managerial Control · since 2025
- Touchstone Strategies - Stone Oak2 Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Johnny Thompson
Corporate Officer · since 2023
- Jonathon Dewey Clayton
Operational/managerial Control · since 2023
+ 16 additional owners on the federal record.
Recent change of ownership
March 2023 (3 years ago) · acquired from Touchstone Strategies - Stone Oak2 Llc
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 44)
- E0880·Aug 27, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Aug 27, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Aug 27, 2025
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.
- D0759·Aug 27, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0755·Aug 27, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- C0732·Aug 27, 2025
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0695·Aug 27, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0690·Aug 27, 2025
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.
Federal penalties
By year
- 20241 fine · $10K · 1 payment denial
Most recent events
- May 4, 2024Payment denial · 28 days · starting Jun 1, 2024
- May 4, 2024Fine · $10K
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Aug 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Enclave is a 142-bed nursing home in San Antonio (Bexar County), operated by Touchstone Communities and licensed through March 2026. CMS rates it 1 star overall — the lowest tier, shared by roughly 38% of Texas nursing homes. Staffing earns a separate 1-star rating; quality-of-care measures score 4 stars. The facility accepts Medicare and Medicaid and currently averages about 123 residents per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates The Enclave 1 star on staffing. Each resident receives about 206 minutes of nursing care per day — roughly 35 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — sicker or less mobile on average — so those 206 minutes stretch thinner than the raw number suggests. Registered nurses account for only 17 of those minutes, compared to 37 minutes at a 4-star-staffing facility in Texas.
About 6 in 10 nursing staff left in the past year. Texas's 75th-percentile turnover cutoff is 60% — this facility sits just above it. For a long-stay resident, that pace means cycling through multiple primary caregivers over the course of a year.
CMS recorded one fine totaling $10,039. Texas's median fine across fined facilities is about $20,699, so this fine falls below the state midpoint.
Quality measures tell a different story from staffing. The Enclave scores 4 stars overall on quality measures, including 5 stars for long-stay residents and 4 stars for short-stay residents — the top two tiers in each category.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average about 178 minutes per resident per day here — ask how many nurses and aides are on the floor during overnight and weekend shifts specifically.
How turnover affects your loved one's care
About 6 in 10 nursing staff left last year; ask how the facility assigns consistent caregivers to long-stay residents when staffing changes frequently.
Registered nurse coverage each day
Reported RN time runs about 17 minutes per resident per day; ask how many hours a registered nurse is physically present in the building on a typical day.
What drives the strong quality scores
Quality measures rate 4–5 stars despite a 1-star staffing rating; ask which specific outcomes those scores reflect and how care plans are reviewed and updated.
Management company's role day to day
The facility is licensed to a hospital district but managed by Touchstone Strategies Stone Oak2 LLC; ask which entity sets staffing budgets and handles resident complaints.
Current bed availability
The facility averages about 123 residents across 142 licensed beds; ask whether the unit relevant to your family member has open beds or a waitlist.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.