THE ENCLAVE

Bexar · TX · For profit - Corporation · TOUCHSTONE COMMUNITIES chain · 142 certified beds · CCN 676425 · WEST WHARTON COUNTY HOSPITAL DISTRICT


THE ENCLAVE operates 142 certified beds in SAN ANTONIO, Texas. Its Medicare and Medicaid certification dates to 2017-04-27. It averages 119.5 residents a day.

What harm was found in the violations cited at THE ENCLAVE?

CMS lists 46 health-inspection deficiencies for THE ENCLAVE since 2023-04-19, 41 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-02-26.

Survey dateTagDeficiencySeverity
2026-02-26F0761Ensure 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
2026-02-06F0600, F0609Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-08-27F0641, F0656, F0755, F0812, F0880Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2025-08-27F0550, F0558, F0690, F0695, F0759, F0761Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / 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
2025-08-27F0732Post nurse staffing information every day.C
2025-08-27F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B
2025-07-24F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-05-05F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-06-28F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-06-28F0760, F0813Ensure that residents are free from significant medication errors. / Have a policy regarding use and storage of foods brought to residents by family and other visitors.E
2024-06-28F0558, F0641, F0645, F0677, F0693, F0695, F0700, F0761, F0803, F0806, F0880Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / 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. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program.D
2024-06-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-05-04F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-05-04F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-05-04F0550, F0609, F0760, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program.D
2024-01-29F0755, F0880Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.D
2023-04-19F0656, F0757, F0812, F0850Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Hire a qualified full-time social worker in a facility with more than 120 beds.E
2023-04-19F0685Assist a resident in gaining access to vision and hearing services.D

Why was THE ENCLAVE fined?

DateTypeAmount
2024-05-04Fine$10,039

Has THE ENCLAVE had payment denied by Medicare?

Payment denial startLength in days
2024-06-0128

How is THE ENCLAVE staffed?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.631213.38539
Total nursing staff turnover (%)60.955.3
Average number of residents per day119.575.8

Who owns THE ENCLAVE, and what chain is it in?

THE ENCLAVE is registered with CMS as For profit - Corporation, operates under the legal business name WEST WHARTON COUNTY HOSPITAL DISTRICT and belongs to the TOUCHSTONE COMMUNITIES chain.

RoleOwnerAssociation date
5% OR GREATER SECURITY INTERESTINTERNATIONAL BANK OF COMMERCEsince 04/28/2021
CORPORATE OFFICERTHOMPSON, JOHNNYsince 11/01/2023
OPERATIONAL/MANAGERIAL CONTROLTOUCHSTONE STRATEGIES - STONE OAK2 LLC, CAMPBELL, LESLIE, CASTILLO, LYNNEA, CLAYTON, JONATHON, COLLINGWOOD, YING, CRUZ, ELIZABETH, SEHLKE, BRYON, ZUROVEC, DARRELLsince 03/01/2023
ADP OF THE SNFAEGIS THERAPIES, INC., CARVAJAL PHARMACY LTC, NUTRITIOUS LIFESTYLES, INC., PLANTE & MORAN PLLC, TOUCHSTONE COMMUNITIES INC, TOUCHSTONE REALTY - STONE OAK2 LLC, TOUCHSTONE STRATEGIES - STONE OAK2 LLC, TRIDENT HEALTH SERVICES INC, CAMPBELL, LESLIE, CASTILLO, LYNNEA, CLAYTON, JONATHON, COLLINGWOOD, YING, CRUZ, ELIZABETH, FELLBAUM, ERNEST, SEHLKE, BRYON, STUDER, STANLEY, ZUROVEC, DARRELLsince 03/01/2023

Were you or a family member harmed at THE ENCLAVE?