Starfile / Texas

THE ENCLAVE

18803 HARDY OAK, SAN ANTONIO, TX 78258 · CCN 676425

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$10,039

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

TOUCHSTONE COMMUNITIES

Facilities in chain

28

Chain avg overall

2.80 / 5

Inspection citations (44)1 immediate jeopardy

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-27 · Health · corrected 2025-08-28

   Potential for more than minimal harm

2. DF0558Reasonably accommodate the needs and preferences of each resident.2025-08-27 · Health · corrected 2025-08-28

   Potential for more than minimal harm

3. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-08-27 · Health · corrected 2025-08-28

   Potential for minimal harm

4. EF0641Ensure each resident receives an accurate assessment.2025-08-27 · Health · corrected 2025-08-28

   Potential for more than minimal harm

5. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-27 · Health · corrected 2025-08-28

   Potential for more than minimal harm

6. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-27 · Health · corrected 2025-08-28

   Potential for more than minimal harm

7. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-27 · Health · corrected 2025-08-28

   Potential for more than minimal harm

8. CF0732Post nurse staffing information every day.2025-08-27 · Health · corrected 2025-08-28

   Potential for minimal harm

9. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-27 · Health · corrected 2025-08-28

   Potential for more than minimal harm

10. DF0759Ensure medication error rates are not 5 percent or greater.2025-08-27 · Health · corrected 2025-08-28

    Potential for more than minimal harm

11. DF0761Ensure 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.2025-08-27 · Health · corrected 2025-08-28

    Potential for more than minimal harm

12. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-27 · Health · corrected 2025-08-28

    Potential for more than minimal harm

13. EF0880Provide and implement an infection prevention and control program.2025-08-27 · Health · corrected 2025-08-28

    Potential for more than minimal harm

14. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-24 · Health · corrected 2025-07-25

    Potential for more than minimal harm

15. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-05 · Health · corrected 2025-05-06

    Potential for more than minimal harm

16. DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

17. DF0641Ensure each resident receives an accurate assessment.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

18. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

19. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

20. DF0693Ensure 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.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

21. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

22. DF0700Try 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.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

23. EF0760Ensure that residents are free from significant medication errors.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

24. DF0761Ensure 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.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

25. DF0803Ensure 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.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

26. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

27. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

28. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

29. DF0880Provide and implement an infection prevention and control program.2024-06-28 · Health · corrected 2024-06-29

    Potential for more than minimal harm

30. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-07 · Health · corrected 2024-06-08

    Potential for more than minimal harm

31. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-04 · Health · corrected 2024-05-05

    Potential for more than minimal harm

32. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-04 · Health · corrected 2024-05-05

    Potential for more than minimal harm

33. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-04 · Health · corrected 2024-06-08

    Immediate jeopardy

34. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-04 · Health · corrected 2024-05-05

    Potential for more than minimal harm

35. DF0760Ensure that residents are free from significant medication errors.2024-05-04 · Health · corrected 2024-05-05

    Potential for more than minimal harm

36. DF0880Provide and implement an infection prevention and control program.2024-05-04 · Health · corrected 2024-05-05

    Potential for more than minimal harm

37. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-29 · Health · corrected 2024-01-30

    Potential for more than minimal harm

38. DF0880Provide and implement an infection prevention and control program.2024-01-29 · Health · corrected 2024-01-30

    Potential for more than minimal harm

39. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-19 · Health · corrected 2023-04-27

    Potential for more than minimal harm

40. DF0685Assist a resident in gaining access to vision and hearing services.2023-04-19 · Health · corrected 2023-04-27

    Potential for more than minimal harm

41. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-04-19 · Health · corrected 2023-04-27

    Potential for more than minimal harm

42. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-19 · Health · corrected 2023-04-27

    Potential for more than minimal harm

43. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2023-04-19 · Health · corrected 2023-04-27

    Potential for more than minimal harm

44. DF0761Ensure 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.2023-03-24 · Health · corrected 2023-04-21

    Potential for more than minimal harm

Ownership

Other facilities in SAN ANTONIO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.