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πŸ₯ The Enclave in San Antonio, TX


βœ… Facility Quality Snapshot

Compare The Nursing Home Site's proprietary rating against official government data.

πŸ… Trusted Care Index Rating

⭐⭐⭐

Score: 60.89 / 100

How We Calculate the TCI, Get your badge

⭐⭐ CMS Overall Rating

2/5

The Federal Government's official score.

See Full Breakdown

πŸ›οΈ Capacity & Size

Size: Larger Sized

Total Beds: 142

Availability: Limited


Nursing Home Activities Image 2

The Enclave is a Larger Sized nursing home facility in San Antonio, Texas (Bexar county).

The Nursing Home Site profile for The Enclave includes: Ratings, Activities, Comparisons, Rehab Ratings, Directions, Surveys, and CMS Reviews.

They have 142 beds and a daily average of 125. residents. The Enclave participates in Medicare and Medicaid and are classified as a Government - Hospital district ownership. They offer both family and residential councils. They are not located inside a hospital. They do not belong to a continuing care community.



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Quick Jump Links

⭐ Resident Ratings πŸ“š Facility Types (SNF, ALF) πŸ“ Map & Contact πŸ‘¨β€βš•οΈ Staffing CMS Star Ratings βš–οΈ Comparison

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Compare The Enclave side-by-side with other Skilled Nursing Facilities in San Antonio, TX.


Inspection Magnifying Glass Icon Resident, Visitor, CMS Ratings
How would you rate your overall experience with:

The Enclave?

Select a star to leave your infrormed review and rating

CMS Logo Overall Rating: 2/5 (Full Ratings Below)



Additional Pages about The Enclave:
Inspections Penalties Directions

πŸ”Ž View State Inspection & Licensing Data

Access official inspection reports for Texas or select another state's health data below:

πŸ‘€ The Enclave Profile Overview

General Contact Information

Nursing Home: The Enclave

Business Name: West Wharton County Hospital District

CMS ID: 676425

Street Address: 18803 Hardy Oak

City/State/Zip: San Antonio, Texas 78258

Phone #: (210) 982-4600

Regulatory & Operational Status

Sprinklers: Yes

Participation: Medicare and Medicaid

Ownership: Government - Hospital district

In a Hospital: No

Councils: Both Family And Residential Councils

Special Focus:

Continuing Care: No

✨ Additional Care Home Services & Info

This facility's Medicare and Medicaid participation began on Apr 27, 2017.

Specialized Care and Accommodation

Services Provided by The Enclave include:

πŸ”¬ Clinical Labs, 🦷 Dental Care, 🍽️ Dietary, 🧹 Housekeeping, 🧠 Mental Health, 🩺 Nursing, πŸ–οΈ Occupational Therapy, πŸ’Š Pharmacy, βš•οΈ Physician, 🩺 Physician Extender, 🦢 Podiatry, 🚢 Physical Therapy, 🀝 Social Work, πŸ’¬ Speech Pathology, πŸ’Ό Vocational Services, πŸ“· X-rays.


Ownership Changes: 0
Medicaid ID: 106631
Financial Year End: 12-31
Medicare Administrative Contractor (MAC): NOVITAS (TEXAS)
CMS Regional Office: Dallas
Area: Urban
Dually Certified Beds: 60
Multi-Facility Name: Touchstone Communities

General Information Icon πŸ‘¨β€βš•οΈ Staffing & Turnover

πŸ”„ Staff Turnover Rates

Annual rates of personnel leaving the facility, reported as a percentage:

Total Nurse Turnover
63.3%
Registered Nurse (RN) Turnover
63.6%
Admin Staff Turnover
0

The Enclave provides (per day, per resident) an average of:

Registered Nurse
23 minutes
LPN / LVN
80 minutes
CNA
85 minutes
Physical Therapist (PT)
3 minutes

Weekend Staffing

Total RN Weekend Hours:
N/A hours
Total Weekend Nursing:
N/A hours

Total Licensed Nursing Hours (Registered Nurses + Licensed Practical Nurses + Licensed Vocational Nurses) averages 1.72 hours per day per resident (the national average is 1.4 hours).


Additional Staffing (FTEs) - FTE stand for full-time employee (40+ hours per week)

🏒 Administration
4.07
🩺 CNAs
4.26
🍎 Dietitians
0.11
🍽️ Food Service
4.11
🧹 Housekeeping
4.37
πŸ’‰ LPN / LVN
3.21
βš•οΈ Medical Director
0.14
🧠 Mental Health
0.01
πŸ“‹ Nurse Admin
2.21
πŸ‘‘ Nursing Director
1.4
πŸ–οΈ Occ. Therapist
1.14
β„ž Pharmacist
0.09
🦢 Podiatrist
0.01
πŸ‘©β€βš•οΈ RNs
2.26
πŸ—£οΈ Social Worker
1.19
Review Icon Prices and Length of Stay

Average Daily Cost Overview

The average daily amount billed by The Enclave is:

$390.82

Compare to Average Daily Charges:

Texas Average:

$313.90

Financial and Operational Snapshot

Occupancy Rate

86.9%

Net Income from Services

$-1,894,681

Avg. Length of Stay (SNF)

65 Days

Total Reported Assets

$17,157,062

Total Annual Discharges

693

Total SNF Days

45,033

⚠️ Important Financial Note: The pricing shown is the average amount billed to Medicare (when available). Medicare, Coinsurance, and other insurances can typically help cover much of this total.

It is worth mentioning that Medicare pays only for services it deems 'medically necessary' skilled nursing care. You can learn more about Medicare coverage on the official Medicare site.


πŸ’‘ Understanding This Facility's Charges

The monthly charge of ($390.82 per day) is generally within the normal expected range for a Skilled Nursing Facility (SNF) due to the intensity of care provided. Here's what that charge covers:

  • Comprehensive Services: The charge covers more than just room and board; it includes 24/7 skilled nursing, medications, supplies, and intensive therapies (PT, OT, ST).
  • Standard Industry Rate: Gross daily rates typically range between $350 and $1,000+ across the U.S.

Your Out-of-Pocket Cost (Not the Same as the amount Charged):

  • For qualifying Medicare patients (Days 1–20), the cost is $0.
  • For long-term care, costs are paid by Medicaid, supplemental insurance, or private funds, which averages $8,000–$12,000 per month nationwide.

Get Exact Pricing

Each person and case is unique. For exact pricing and to discuss all options, please contact The Enclave directly.

Contact The Enclave Now

β“˜ Understanding These Financial Reports

The large negative values for Net Income and Assets reflect common industry financial practices, particularly those involving:

  • Net Income (Loss): The facility reports a loss because operational costs and high management fees are paid to affiliated (related-party) companies, which often legally shifts profits to reduce taxes. This is not uncommon in the industry.

Crucially: These financial reports are generally not an indicator of imminent failure or poor service quality. For actual stability and care quality, families should primarily rely on the Occupancy Rate, TCI Index Score, and the CMS Star Ratings.

Contact Info Icon Phone, Directions, and Map

They are located at the following address: 18803 Hardy Oak in San Antonio Texas 78258.
Looking for directions or wish to see the surrounding area? Follow this link: Maps and Directions.
They can be reached by phone at (210) 982-4600.



Quality of care, CMS Ratings, Services, Staffing, and Top-rated Facilities can be viewed below.

Click for Directions including Mobile Contact Info Icon CMS Quality Reporting This section offers a snapshot of key quality measures for skilled nursing facilities, highlighting care effectiveness, readmission rates, and resident well-being to help you make informed decisions about nursing care.

πŸ“ˆ Raw Readmission Rate: The simple count of patients who went back to the hospital unnecessarily.

Observed Score
11.43
Status Indicator
Average

πŸ“ˆ Adjusted Readmission Rate: The hospital return rate, adjusted for patient health risks.

Observed Score
10.90
Status Indicator
Average

πŸ“ˆ Raw Discharged Home Rate: The simple percentage of patients who successfully return home.

Observed Score
44.50%
Status Indicator
Low Rate (still monitor)

πŸ“ˆ Adjusted Discharged Home Rate: The percentage of patients who go home, adjusted for health complexity.

Observed Score
50.15%
Status Indicator
Average

πŸ“ˆ Cost Efficiency: How much Medicare spends on a patient’s care compared to the national average (lower is better).

Observed Score
1.31
Status Indicator
Average

πŸ“ˆ Medication Safety: How often the facility checks and follows up on a patient's medication list.

Observed Score
98.70%
Status Indicator
High Rate (Good)

πŸ“ˆ Major Falls: How often patients fall and suffer a serious injury (like a broken bone).

Observed Score
0.00%
Status Indicator
Low Rate (still monitor)

πŸ“ˆ Bed Sore Prevention: How often patients develop new bed sores or have existing ones worsen.

Observed Score
3.60%
Status Indicator
Low Rate (still monitor)

πŸ“ˆ Infections: The rate at which patients get a serious infection requiring hospitalization.

Observed Score
9.30%
Status Indicator
Average

πŸ“ˆ Staff Flu Shot Rate: The percentage of staff members who receive their annual flu vaccination.

Observed Score
62.80%
Status Indicator
Average
Resident details and Quality of Care

πŸ“‰ Percentage of short-stay residents who were rehospitalized after a nursing home admission

The rate of short-stay patients sent back to the hospital unnecessarily within 30 days of leaving this facility. Lower is better.

Observed Score
28.74
Expected Score
23.15
Comparison
Worse ⬇️

πŸ“‰ Percentage of short-stay residents who had an outpatient emergency department visit

The rate of short-stay patients requiring an emergency room visit within 30 days. Lower is better.

Observed Score
9.20
Expected Score
10.17
Comparison
Better ⬆️

πŸ“‰ Number of hospitalizations per 1000 long-stay resident days

The frequency of long-term residents requiring hospitalization. Lower is better.

Observed Score
2.95
Expected Score
3.41
Comparison
Better ⬆️

πŸ“‰ Number of outpatient emergency department visits per 1000 long-stay resident days

The frequency of long-term residents requiring a visit to the emergency room. Lower is better.

Observed Score
1.18
Expected Score
3.71
Comparison
Better ⬆️
Ratings Icon Medicare and Medicaid Ratings

The Centers for Medicare & Medicaid Services (CMS) does their best to provide a fair assessment of every Nursing Home, but please note these ratings are a snapshot in time.

Star ratings are often best used for basic comparisons and when deciding which facilities to visit. However, nothing beats actually visiting the nursing home yourself when possible.

Overall Rating: 2 stars 2 star overall rating

Health Inspection Rating: 2 stars 2 star health inspection rating

Staff Rating: 1 stars 1 star nurse staffing rating

Quality Measures Rating: 5 stars 5 star quality measures rating

Long Term Stay Rating: 5 stars 5 star rn staff rating

Short Term Stay Rating: 4 stars 4 star rn staff rating


Compare these ratings with one of the highest rated nursing homes in San Antonio:
Coronado At Stone Oak


Ratings are out of 5 with 5 being the best and 1 being the worst.

See How the Overall Rating is CalculatedView Texas's Top Lists View All San Antonio Nursing Homes Review Icon Ratings and SNF Comparisons

Compare San Antonio Texas Facilities

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There are 9 Cities within 30 miles of 78258 San Antonio, TX with Skilled Nursing Facilities

Boerne Castroville Converse Floresville La Vernia Lytle New Braunfels San Antonio Schertz

Search Nursing Homes and SNFs by State

Click to Browse by State or View Nursing Homes in Texas


Learn more about The Enclave

Inspection Results Penalty Enforcements Maps and Directions


Still looking for the right senior care match? Please consider trying our custom search box below. Search by city, zip code, services, required care (alzheimer's, hospice, dialysis, etc) or any other key term you are interested in. Thanks for stopping by!

You may also be interested in seeing how their inspections and penalties (fines and payment denials) match up with others at the following links:

Inspection Results Penalty Enforcements

Question Mark Icon Ownership, Operational, and Management for The Enclave
OrganizationRole
West Wharton County Hospital District5% Or Greater Direct Ownership Interest
Touchstone Strategies - Stone Oak2 LlcOperational/managerial Control
Anderson, MalcolmCorporate Director
Cisneros, AlfredCorporate Director
Cobb, TravisCorporate Director
Cooper, StephenCorporate Director
Kerzee, RichardCorporate Director
Korenek, PatriciaCorporate Director
Rod, CobyCorporate Director
Strack, JoeCorporate Director
Mak, DavidCorporate Officer
Tudor, NathanCorporate Officer
Menchaca, MickeyContracted Managing Employee

πŸ“‹ Regulatory & Certification Details

Key dates and regulatory statuses indicating the facility's standing with Medicare and Medicaid.

Initial Certification Date
Apr 27, 2017
Accreditation Start Date
N/A
Medicare Eligibility
βœ… Yes
Psychiatric Unit on Site?
N/A

Hospital Icon Hospitals near The Enclave
Baptist Medical Center
111 Dallas Street
San Antonio, TX 78205
(210) 297-1020
Acute Care Hospitals
Nix Health Care System
414 Navarro, Suite 600
San Antonio, TX 78205
(210) 271-1800
Acute Care Hospitals
University Health System
4502 Medical Dr
San Antonio, TX 78229
(210) 358-4000
Acute Care Hospitals
Christus Santa Rosa Hospital
333 N Santa Rosa Street
San Antonio, TX 78207
(210) 704-2011
Acute Care Hospitals
Area Map Staffing Medicare Ratings Comparison


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