The Enclave

    18803 Hardy Oak, San Antonio, TX 78258
    • Skilled Nursing

    Friendly staff, excellent dementia care

    I placed my loved one here and I'm very pleased - the staff are friendly, attentive and professional, and the dementia care is excellent. The building is clean and welcoming, rooms are comfortable, and therapy/rehab (kudos to Scott, Isabella, Niesha and Caniesha - and therapy dog Bentley) is outstanding. Communication is clear, administrators are caring, and I would recommend this facility.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.71·(35)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.4
    • Meals

      2.2
    • Amenities

      3.9
    • Value

      3.7

    Pros

    • Compassionate, attentive direct-care staff
    • Dedicated and skilled CNAs
    • Knowledgeable and effective rehabilitation and therapy team
    • Engaging, well-run activities program
    • Clean, welcoming common areas
    • Private, spacious resident rooms with temperature control
    • Strong housekeeping leadership
    • Professional administrative and front-line staff
    • On-site amenities (salon, therapy gym)
    • Personalized care and regular progress updates when provided
    • High-quality meals reported by some families
    • Therapy-supportive features (large bathrooms, roomy layouts)

    Cons

    • Inconsistent clinical responsiveness and delayed emergency assessment
    • Medication administration errors and delays
    • Understaffing and staff retention challenges
    • Inconsistent meal-service continuity and special-diet accommodation
    • Irregular meal timing and service delays
    • Inconsistent cleanliness and supply availability in resident rooms
    • Gaps in family communication and discharge planning
    • Safety-monitoring and fall-prevention inconsistencies
    • Inconsistent adherence to individualized care plans and therapy schedules
    • Weak management oversight and accountability
    • Equipment maintenance and operational reliability issues
    • Inflexible visitation and policy enforcement

    Summary of reviews

    Reviews of The Enclave present a mixed picture: many families praise individual caregivers, therapy staff and activities, while others describe recurring operational problems that affected clinical care, communication and daily living for residents. Strengths most frequently cited include a compassionate front-line staff—particularly CNAs and several individual nurses and therapists—an active activities program, a well-equipped therapy gym, and private, spacious rooms with amenities such as large bathrooms and in-room temperature control. Housekeeping leadership and the appearance of common areas are often highlighted as positive aspects.

    Care quality and staffing emerge as a polarizing area. Several families described meaningful clinical progress under the facility’s rehabilitation team and named therapists who provided attentive, effective care. At the same time, a number of accounts describe delays in clinical assessment, delayed or missed medication administration, and slow responses to call lights and alerts. These issues are frequently tied to understaffing, high turnover, or distractions among staff. The pattern suggests variability in day-to-day responsiveness: when staffing and workflow function well, care is described as attentive and personalized; when staffing is stretched, families describe lapses in timely assistance and clinical follow-up.

    Dining and activities show a similar split. The activities program and therapy offerings receive consistent praise for engagement and organization. Meal quality descriptions are mixed: some families reported excellent meals and attentive dining service, while others noted inconsistent preparation, inadequate accommodation of special diets, cold or delayed meals, and long waits. Meal timing and continuity appear to be operational pain points that families sometimes address directly.

    Facility features and safety considerations are likewise mixed. Many reviewers praise the facility’s cleanliness, layout, and on-site amenities. Conversely, others cite room-level cleanliness issues, occasional shortages of basic supplies, broken equipment, and variability in fall-prevention measures (for example, inconsistent use of bed rails or monitoring). A small number of accounts reference significant clinical incidents that raised concerns about how the facility handles emergent injuries and transitions to higher levels of care, indicating that emergency assessment and transfer procedures may be an area for closer scrutiny.

    Management, communication and care planning are recurring themes. Positive experiences describe clear progress updates and organized care coordination. Negative experiences cite poor follow-through on follow-up care, unclear discharge decisions, limited flexibility in visitation policies, and a perception of weak oversight. Taken together, the reviews suggest that leadership effectiveness and accountability vary depending on staffing stability and internal processes.

    For prospective residents and families: The Enclave offers clear strengths in rehabilitation, activities, and several dedicated caregivers, along with comfortable private rooms and on-site amenities. However, reviewers also describe operational inconsistencies—particularly around clinical responsiveness, medication administration, meal-service continuity, cleanliness at the room level, and management follow-through. When evaluating the facility, consider asking about current staffing levels and turnover, emergency-assessment and transfer protocols, medication-safety procedures, how special diets are handled, frequency of family updates, and recent cleanliness and maintenance audits to assess whether the facility’s operational practices align with your expectations.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of The Enclave

    The Enclave is located at 18803 Hardy Oak, San Antonio, TX, 78258.

    About The Enclave

    The Enclave offers memory care, skilled nursing, long-term care, respite care, and rehabilitation therapy under one roof, which means people can stay for short-term recovery or for longer periods when they need more help, and it's important to know that certified beds number 142 while the average daily residents come out to about 120, and the nurse staffing sits just above the state's average, coming in at 3.48 nurse hours per resident per day. There's studio and suite room choices, and a lot of rooms come with private bathrooms, large beds, and flat-screen TVs, plus some let you control the temperature, which helps people stay comfortable, and you'll find Wi-Fi throughout the building, as well as an internet café, so residents can keep in touch or browse online as they like. The dining options include daily gourmet meals, a home-cooked menu made by a registered dietitian, room service, or meals in the dining room depending on what someone wants that day, and there are also onsite salon services, a chapel for spiritual needs, and plenty of daily cleaning and linen services, which do help with keeping things tidy. For activities, there's an activity director, so you'll usually find art, gardening, outings, games, and music, all aimed at keeping people mentally and socially engaged, and they do therapy and rehabilitation in a modern gym with special pathways for physical therapy work. Security monitoring and transportation to doctors' appointments add to the overall safety and convenience for people living there, especially when families can't always make the trip, and touchstone's had managerial control since March 2023, aiming to prioritize family partnerships and faith within their care, trying to meet everyone's unique needs through personalized care plans. Along with support services like hospice, home care, and home health, The Enclave stands ready to help people bridge that gap between the hospital and home via short-term rehab, but it's also wise to note that inspection reports over the years show 37 deficiencies, including three for infection control, some for food safety and visitor food policies, as well as one about medication management, so there are areas needing improvement, even as staff work toward keeping up with regulations and caring for the residents as best as possible. Services extend to social media platforms, and a virtual tour's available for those who want a look without visiting, and for those needing help with discharge planning, that's part of the package, too. All in all, The Enclave brings together a lot of different services and amenities for people who need varied types of support, but, as with many places, it's important to look at all the facts, including the inspection reports, so families can decide if it suits their needs.

    People often ask...

    The Enclave offers skilled nursing.

    The full address for this community is 18803 Hardy Oak, San Antonio, TX 78258.

    No, The Enclave does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Enclave. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Enclave directly. There is no cost for this service. We are compensated by the community you select.

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