The Enclave

About The Enclave

The Enclave, located in SAN ANTONIO, TX, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose The Enclave

Key Performance Indicators

CMS Overall Rating 1 Stars
Nursing Hours 3.68 hrs
Safety Record Clean

Chain Affiliations & Network

This facility is part of the TOUCHSTONE COMMUNITIES network. This chain operates 25 facilities.

Chain Performance Overview

Inspection

2.8

Staffing

1.4

Quality

4.1

For AI Users, Agents, and Developers

Do you use a Generative AI assistant like ChatGPT or Claude or others? If so, you can point your assistant to our MCP server at https://mcp.nursinghomedatabase.com/mcp and have it do the searching for you. Ask your question and use our data to help you find the answers.

Prefer scripts? Use a public REST API for JSON over HTTPS. Or set up MCP using our setup guide.
Fair use applies; high-volume or commercial use may need a custom data arrangement.

API & MCP access (setup guide)

Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Mixed Staffing Levels

The Enclave provides more care hours than the state average and less than the national average.

Registered Nurses (RN)

0.33 hrs/day

State: 0.42 US: 0.68

Case Mix Adj: 0.89

Quality Adj: 0.25

Licensed Practical Nurses

1.68 hrs/day

State: 1.37 US: 1.54

Case Mix Adj: 1.13

Quality Adj: 1.02

Certified Assistants

2.00 hrs/day

State: 2.02 US: 2.33

Case Mix Adj: 3.06

Quality Adj: 1.51

CMS Quality Ratings

Category	Rating	Stars
Overall Rating	1
Health Inspection	2
Quality Measures	4
Staffing	1

Health Inspection History

Inspection Cycle	Score	Date
Cycle 1 (Most Recent)	88	Aug 27, 2025
Weighted Average	113	Combined Score

Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure	Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521)	22.7%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522)	14.2%
Number of hospitalizations per 1000 long-stay resident days (QM551)	2.4%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552)	1.4%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure	Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401)	16.9%
Percentage of long-stay residents who lose too much weight (QM404)	3.3%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406)	0.0%
Percentage of long-stay residents with a urinary tract infection (QM407)	0.3%
Percentage of long-stay residents who have depressive symptoms (QM408)	1.5%
Percentage of long-stay residents who were physically restrained (QM409)	0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410)	4.1%
Percentage of long-stay residents assessed and appropriately given the p... (QM415)	100.0%
Percentage of short-stay residents assessed and appropriately given the... (QM430)	98.0%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434)	0.6%
Percentage of long-stay residents whose ability to walk independently wo... (QM451)	10.0%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452)	16.8%
Percentage of long-stay residents assessed and appropriately given the s... (QM454)	99.0%
Percentage of short-stay residents who were assessed and appropriately g... (QM472)	87.2%
Percentage of long-stay residents with pressure ulcers (QM479)	2.8%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480)	11.7%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481)	6.5%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

2024: 10 complaints
2025: 2 complaints
2026: 3 complaints
Total: 15 complaints on record

Recent Complaints (Since Jan 2023)

Date	Description
Feb 27, 2026	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.
Feb 07, 2026	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 07, 2026	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jul 25, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 06, 2025	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 29, 2024	Ensure that residents are free from significant medication errors.
Jun 08, 2024	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 08, 2024	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 05, 2024	Ensure that residents are free from significant medication errors.
May 05, 2024	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 05, 2024	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 05, 2024	Provide and implement an infection prevention and control program.
May 05, 2024	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 30, 2024	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 30, 2024	Provide and implement an infection prevention and control program.

Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Nearby Hospitals

SAN ANTONIO, TX

N/A

Owner & Operator Information

Business Entity

WEST WHARTON COUNTY HOSPITAL DISTRICT

Ownership Structure

Management & Direction

AEGIS THERAPIES INC. ADP OF THE SNF
LESLIE CAMPBELL ADP OF THE SNF
LESLIE CAMPBELL OPERATIONAL/MANAGERIAL CONTROL
CARVAJAL PHARMACY LTC ADP OF THE SNF
LYNNEA CASTILLO ADP OF THE SNF
LYNNEA CASTILLO OPERATIONAL/MANAGERIAL CONTROL
JONATHON CLAYTON OPERATIONAL/MANAGERIAL CONTROL
JONATHON CLAYTON ADP OF THE SNF
YING COLLINGWOOD OPERATIONAL/MANAGERIAL CONTROL
YING COLLINGWOOD ADP OF THE SNF
ELIZABETH CRUZ OPERATIONAL/MANAGERIAL CONTROL
ELIZABETH CRUZ ADP OF THE SNF
ERNEST FELLBAUM ADP OF THE SNF
NUTRITIOUS LIFESTYLES INC. ADP OF THE SNF
PLANTE & MORAN ADP OF THE SNF
BRYON SEHLKE OPERATIONAL/MANAGERIAL CONTROL
BRYON SEHLKE ADP OF THE SNF
STANLEY STUDER ADP OF THE SNF
JOHNNY THOMPSON CORPORATE OFFICER
TOUCHSTONE COMMUNITIES INC ADP OF THE SNF
TOUCHSTONE REALTY - STONE OAK2 LLC ADP OF THE SNF
TOUCHSTONE STRATEGIES - STONE OAK2 LLC ADP OF THE SNF
TOUCHSTONE STRATEGIES - STONE OAK2 LLC OPERATIONAL/MANAGERIAL CONTROL
TRIDENT HEALTH SERVICES INC ADP OF THE SNF
DARRELL ZUROVEC OPERATIONAL/MANAGERIAL CONTROL
DARRELL ZUROVEC ADP OF THE SNF

Associated Doctors

No associated doctor information available.

Local Comparison

Facility	Distance	Rating
The Army Residence Community Health Care Center	N/A	5
Country Care Manor	N/A	4
St. Francis Nursing Home	N/A	5
The Village at Incarnate Word	N/A	4
Silver Creek Nursing and Rehabilitation	N/A	4
Lakeside Nursing and Rehabilitation Center	N/A	5
Legend Oaks Healthcare and Rehabilitation Center -	N/A	5
The Atrium Rehabilitation Center	N/A	2
Medina Valley Health and Rehabilitation Center	N/A	4
Kendall House Wellness and Rehabilitation	N/A	4

Related Analysis

Best Nursing Homes in SAN ANTONIO, TX

Compare The Enclave to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

The Enclave has a 1-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 3.68 hours per resident daily, compared to the national average of 3.87 hours.

The Enclave is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:

Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
Long-term Residential Care: Assistance with daily living activities for extended stays
Short-term Rehabilitation: Recovery services after hospital stays or surgeries
Memory Care: Specialized programs for residents with dementia and Alzheimer's disease

The facility has 142 certified beds.

The Enclave accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:

Level of care needed (skilled nursing vs. long-term care)
Room type (private vs. semi-private)
Insurance coverage (Medicare, Medicaid, private insurance)
Length of stay and specific services required

For current rates and to discuss payment options, contact The Enclave directly at 2109824600. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting The Enclave, pay attention to these important factors:

Environment & Cleanliness

Overall cleanliness and odors
Resident room conditions
Common area maintenance
Safety features and accessibility

Staff & Care Quality

Staff-to-resident ratios
How staff interact with residents
Response time to resident needs
Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.