The Enclave
18803 Hardy Oak, San Antonio, TX, 78258
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Touchstone Communities
- Certified beds
- 142 · avg 116 residents/day
- Total nursing staff turnover
- 57.5% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $10,039 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 676425
- Certified beds
- 142 beds · avg 116 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- West Wharton County Hospital District
- Chain affiliation
- Touchstone Communities
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 25 facilities. Chain-wide average overall rating 2.7 / 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 May 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 46)
- D0761·Feb 26, 2026Complaint
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.
- D0609·Feb 6, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0600·Feb 6, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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.
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Enclaveinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.