The Enclave
18803 Hardy Oak, San Antonio, TX 78258 · (210) 982-4600
For profit - Corporation · 142 certified beds
The Enclave has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 13 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $10,039 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 27, 2025 found 13 citations. What an inspection citation means
- Ensure each resident receives an accurate assessment.August 27, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 27, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 27, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 27, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.August 27, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 27, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.August 27, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.August 27, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.August 27, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.August 27, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 27, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.August 27, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.August 27, 2025 · F0640 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 15 citations.
- 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.February 26, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 6, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 6, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 24, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 5, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.June 28, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 7, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 4, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 4, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 4, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 4, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.May 4, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.May 4, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.January 29, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.January 29, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $10,039May 4, 2024
- Medicare payment denial for 28 daysStarting June 1, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.63 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.33 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.22 | 0.95 | 0.86 |
| Nurse aides | 2.08 | 2.01 | 2.32 |
| Total nursing staff turnover | 60.9% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 142 |
| Average residents per day | 119.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Army Residence Community San Antonio · ★★★★★ 5 out of 5 stars
- Coronado at Stone Oak San Antonio · ★★★★★ 5 out of 5 stars
- Lakeside Nursing and Rehabilitation Center San Antonio · ★★★★★ 5 out of 5 stars
- The Mission at Blue Skies of Texas East San Antonio · ★★★★★ 5 out of 5 stars
- Pecan Valley Rehabilitation and Healthcare San Antonio · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from The Enclave on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.