Nursing homes › Texas › The Enclave
18803 Hardy Oak, San Antonio, TX 78258 · 2109824600 · 142 certified beds
Per CMS filings, this facility is affiliated with Touchstone Communities, a group operating 25 facilities in 1 states. Group record: average rating 2.9/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $696,390 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 3.63 (Texas median: 3.27). RN hours: 0.33. Weekend total: 3.09. Nursing staff turnover: 61%.
All-time on record: 46 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-26 | 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. | D | complaint | corrected 2026-02-27 |
| 2026-02-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-02-07 |
| 2026-02-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-02-07 |
| 2025-08-27 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2025-08-28 |
| 2025-08-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-08-28 |
| 2025-08-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2025-08-28 |
| 2025-08-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-08-28 |
| 2025-08-27 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-08-28 |
| 2025-08-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-08-28 |
| 2025-08-27 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-08-28 |
| 2025-08-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-08-28 |
| 2025-08-27 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-08-28 |
| 2025-08-27 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-08-28 |
| 2025-08-27 | 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. | D | Health | corrected 2025-08-28 |
| 2025-08-27 | Post nurse staffing information every day. | C | Health | corrected 2025-08-28 |
| 2025-08-27 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Health | corrected 2025-08-28 |
| 2025-07-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-07-25 |
| 2025-05-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2025-05-06 |
| 2024-06-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-06-29 |
| 2024-06-28 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2024-06-29 |
| 2024-06-28 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Health | corrected 2024-06-29 |
| 2024-06-28 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-06-29 |
| 2024-06-28 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-06-29 |
| 2024-06-28 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-06-29 |
| 2024-06-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-06-29 |
| 2024-06-28 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Health | corrected 2024-06-29 |
| 2024-06-28 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-06-29 |
| 2024-06-28 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Health | corrected 2024-06-29 |
| 2024-06-28 | 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. | D | Health | corrected 2024-06-29 |
| 2024-06-28 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Health | corrected 2024-06-29 |
| 2024-06-28 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2024-06-29 |
| 2024-06-28 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-06-29 |
| 2024-06-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-06-08 |
| 2024-05-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-06-08 |
| 2024-05-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-05-05 |
| 2024-05-04 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-05-05 |
| 2024-05-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-05-05 |
| 2024-05-04 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-05-05 |
| 2024-05-04 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-05-05 |
| 2024-01-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-01-30 |
| Date | Type | Amount |
|---|---|---|
| 2024-05-04 | Fine | $10,039 |
| 2024-05-04 | Payment Denial | 28 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| THOMPSON, JOHNNY | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2023 |
| TOUCHSTONE STRATEGIES - STONE OAK2 LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2023 |
| CAMPBELL, LESLIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
| CASTILLO, LYNNEA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
| CLAYTON, JONATHON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
| COLLINGWOOD, YING | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/11/2025 |
| CRUZ, ELIZABETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
| SEHLKE, BRYON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
| ZUROVEC, DARRELL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676425. Corrections: data@carerecords.org.