The Enclave

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

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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

    3.79·(39)

    Overall rating

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

      3.1
    • Staff

      3.4
    • Meals

      2.4
    • Amenities

      4.0
    • Value

      3.8

    Pros

    • Friendly, courteous, and compassionate staff
    • Skilled rehabilitation with reported functional progress
    • Spacious private rooms with adjustable temperature and large bathrooms
    • Clean, bright, and welcoming common areas
    • Professional and attentive therapists, nurses, and physicians
    • Helpful admission support and clear family updates
    • Engaging activities and therapy-dog visits
    • Positive food-service experiences
    • Convenient parking and accessible facility layout

    Cons

    • Staffing shortages, uneven coverage, and staff-retention concerns
    • Delayed responses to call lights and resident requests
    • Inconsistent adherence to care plans and personal-care schedules
    • Gaps in fall-risk monitoring and timely provision of safety equipment
    • Medication delivery and administration-control concerns
    • Delayed clinical escalation and uneven physician follow-up and family communication
    • Variable rehabilitation frequency and continuity, particularly in long-term care
    • Inconsistent meal timing, food quality, and accommodation of therapeutic diets and texture needs
    • Shortages of basic care supplies and inconsistent room cleanliness

    Summary of reviews

    Experiences at The Enclave vary considerably. Families describing short rehabilitation stays often praise the therapy team, staff kindness, and progress toward mobility goals. Other accounts raise concerns about day-to-day nursing coverage and follow-through, especially in long-term care. Reported issues include delayed responses to call lights and requests, inconsistent personal-care schedules, and gaps in carrying out care plans. Some families also questioned the timeliness of clinical assessment, physician follow-up, and decisions about hospital evaluation when a resident's condition changed. Positive accounts, by contrast, describe attentive nurses and physicians, respectful care, and helpful updates to families.

    Rehabilitation is a notable strength for some residents: families describe meaningful therapy, supportive therapists, and improved function. However, other accounts characterize therapy as brief or inconsistent, including concerns about continuity for residents requiring longer-term support. This difference suggests that families may wish to ask about expected therapy frequency, how goals are tracked, and how care is coordinated across rehabilitation and long-term-care units.

    Dining feedback is mixed. Some families describe the food favorably, while others cite inconsistent preparation, meal timing, and difficulty accommodating special diets or modified food textures. Reviews also mention delays in delivering meals to residents eating in their rooms. Concerns about basic supplies, including linens and personal-care items, and occasional room-cleanliness issues appear alongside positive comments about clean floors, well-kept rooms, and the overall appearance of the facility.

    The building is frequently described as clean, bright, welcoming, and easy to access, with spacious rooms, private layouts, and convenient parking. Amenities and activities noted include a beauty salon, varied programming, and a therapy dog. Staff and administrators receive strong praise in several accounts for friendliness, professionalism, and support, while other accounts raise questions about staffing levels, retention, and frontline support. Overall, the reviews present a mixed picture: positive experiences with the environment and rehabilitation coexist with meaningful concerns about staffing consistency, responsiveness, clinical follow-through, and reliable delivery of daily care.

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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

    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.

    There are 18 photos of The Enclave on Mirador.

    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.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RpsMAAAZ
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity142 residents
    LicenseeWest Wharton County Hospital District
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    3

    Reports

    24

    Citations

    0

    Complaints

    1

    Years

    30 Oct 2026Inspection
    Identified deficiencies regarding food brought by visitors and inadequate accommodation of residents' dietary needs and allergies.
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    27 Aug 2025Inspection
    Found deficiencies across resident rights, care planning, infection control, medication management, food service, and safety, with corrections completed by 2025-08-28.
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    26 Aug 2025Life Safety
    Identified deficiencies in generator operation documentation, automatic door closures, and NEC electrical compliance.
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    • —Life Safety Code

    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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