The Enclave: Staffing, Turnover, and Inspection Record
The Enclave is a 142-bed for-profit nursing home in San Antonio, Texas, part of Touchstone Communities. In the CMS August 2026 release it reported 2.08 nurse aide hours per resident per day, 4% above the Texas average of 2.00, and 60.9% nursing staff turnover (Texas average 55.3%).
The Enclave
18803 Hardy OakSan Antonio, TX 78258
Bexar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Enclave, nurse aides logged 2.08 hours per resident per day, 4% above the Texas average. With about 120 residents a day, that works out to roughly 249 aide hours a day, or about 31 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.08 | 2.00 | 2.32 |
| Licensed practical nurses | 1.22 | 0.95 | 0.86 |
| Registered nurses | 0.33 | 0.43 | 0.69 |
| All nursing staff | 3.63 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.09 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
60.9% of nursing staff at The Enclave left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 45.5%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 27, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $10,039 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 4, 2024 | Fine | $10,039 |
| May 4, 2024 | Payment Denial | 28 days from Jun 1, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Enclave holds 1 of 5 overall; the Texas average is 2.6.
About The Enclave
- Ownership: For profit - Corporation
- Chain: Touchstone Communities, 25 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Apr 27, 2017
- Councils: resident and family councils
- Area: urban
Nursing homes near The Enclave
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Stone Oak Care Center San Antonio | 1.1 | 152 | 1.84 | 2.88 | 59.8% | 2 | $9,087 |
| Sonterra Health Center San Antonio | 1.2 | 124 | 1.94 | 3.53 | 54.6% | 1 | $80,964 |
| Coronado at Stone Oak San Antonio | 1.6 | 112 | 1.58 | 3.38 | 27.0% | 5 | None |
| Castle Hills Rehabilitation and Care Center San Antonio | 5.9 | 143 | 1.71 | 2.96 | — | 1 | $112,386 |
| Estates at Shavano Park Shavano Park | 6.0 | 112 | 2.18 | 3.67 | 63.4% | 3 | None |
| San Antonio Wellness & Rehabilitation San Antonio | 6.2 | 154 | 2.05 | 3.45 | 35.4% | 2 | $104,627 |
| Broadway Nursing & Rehabilitation San Antonio | 7.3 | 237 | 2.29 | 3.65 | 51.4% | 1 | $84,129 |
| Sage Park San Antonio San Antonio | 8.2 | 46 | 2.11 | 4.32 | — | 3 | $121,976 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.