| The Enclave | |
| 18803 Hardy Oak, San Antonio, Texas 78258 | |
| (210) 982-4600 | |
| Name | The Enclave |
|---|---|
| Location | 18803 Hardy Oak, San Antonio, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 142 |
| Occupancy Rate | 84.15% |
| Medicare ID (CCN) | 676425 |
| Legal Business Name | West Wharton County Hospital District |
| Ownership Type | For Profit - Corporation |
| Chain | Touchstone Communities (25 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1801500038 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | West Wharton County Hospital District |
| Doing Business As | The Enclave |
| Address | 18803 Hardy Oak Blvd, San Antonio, TX 78258 |
| Phone Number | 210-982-4600 |
| NPI Number | 1982050431 |
| Match | Possible same name, address or phone number |
| Organization Name | Touchstone Strategies - Stone Oak2 LLC |
| Doing Business As | The Enclave |
| Address | 18803 Hardy Oak, San Antonio, TX 78258 |
| Phone Number | 210-828-5686 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.63 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.33 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.22 | 0.86 |
| Nurse aide hours per resident per day | 2.08 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.09 | 3.42 |
| RN hours per resident per day on the weekend | 0.29 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 60.9% | 45.8% |
| Registered nurse turnover | 45.5% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $10,039 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 26, 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. F0761, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Feb 27, 2026 |
| Feb 6, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Feb 7, 2026 |
| Feb 6, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Feb 7, 2026 |
| Aug 27, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Aug 28, 2025 |
| Aug 27, 2025 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Aug 28, 2025 |
| Jul 24, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| May 5, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by May 6, 2025 |
| Jun 28, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | 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. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 29, 2024 |
| Jun 28, 2024 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jun 29, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.87 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.28 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.25 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.18 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.51 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.74 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.49 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.11 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.16 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.43 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.38 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.25 | 15.38 |
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