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The Enclave

  • Nursing Home
  • Memory Care

Updated Sep 1, 2022 by Nick Reese

Historical Rating
Grade: D
Oct 18: BNov 18: BDec 18: BJan 19: BFeb 19: BMay 19: DJun 19: DJul 19: FAug 19: FSep 19: FJan 20: FMar 20: FApr 20: FMay 20: FJun 20: FJul 20: FAug 20: FSep 20: FOct 20: FJan 21: FFeb 21: DMar 21: FApr 21: DMay 21: DJun 21: DJul 21: DAug 21: DSep 21: DOct 21: FNov 21: FJan 22: FFeb 22: FMar 22: FApr 22: BMay 22: BJun 22: BAug 22: DSep 22: D
See Rating Overview
The Enclave's website

18803 Hardy Oak,
San Antonio TX 78258

(512) 438-2630

88.16% estimated occupancy 1

The Enclave is a large nursing home located in San Antonio, Texas. This is a subpar facility, with an overall grade of D. Although this grade isn't too far off the city grade in San Antonio which is a C, you still ought to be able to do better. If you aren't deterred by this nursing home's report card, feel free to continue reading to find out about its category scores. Inspection grades are discussed in the next paragraph.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Limited Liability company
  • Offers Hospice
  • Offers Respite Care
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Home Making
  • Transportation
  • Speech Therapy
  • Stroke Recovery
  • IV Antibiotic Therapy
  • Occupational Therapy
  • Cardiac Therapy
  • Diabetes Management
  • Physical Therapy
  • Respiratory Therapy
  • Nutritional Counseling
  • Recreational Therapy
  • Orthopedic Rehabilitation

Registered Staff Hours

Medical Staff Hours Per Patient (2021)
Less:
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April
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May
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October
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December
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January
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February
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Facility Inspections

Grade: B-plus

While we didn't give this place a good overall score, we actually gave it a strong grade in the area of inspections, where it earned a B+. These inspection scores weigh several factors, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. Fortunately, although this facility had some minor dings on its report, it had no severe deficiencies. Severe deficiencies are ones found in categories G through L. This means that the government inspectors did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A few minor deficiencies aren't necessarily the end of the world.

Nurse Quality

Grade: C

We also ended up giving this facility a fairly respectable grade in the area of nursing, where it received a grade of C. Our nursing rating is largely tied to a nursing home's level of nurse staffing. This nursing home provided just 0.3 hours of nursing care per patient daily. This figure is far below average. Lastly, while this nursing home got docked a bit for its nursing hours per resident, it excelled in some of our quality-based metrics. With fewer than five percent of its residents suffering from pressure ulcers, it performed very well in this area.

Short-term Care Quality

Grade: C

This facilities third most favorable area is short-term care. We gave it a grade of C in this area. This is basically a middle of the pack grade in this area. In computing our short-term care ratings, we analyze the nursing home's skilled nursing services, including those performed by registered nurses, respiratory therapists, physical therapists and other types of therapists. The purpose is to create a measure for sizing up the rehabilitation services of nursing homes. In this nursing home's case, we were surprised to learn that it actually provides less registered nurse and physical therapist hours per resident than a typical facility. The hope is always that this does not adversely affect the quality of care. The final measure we looked at in this area is the percentage of patients that who were able to eventually return home from the nursing home. We found that just 5.6 percent of this facility's patients returned home.

Long-term Care Quality

Grade: F

The final area we assessed is long-term care. Unfortunately, we gave it an F for this category, which is a rock bottom score. When facilities receive a grade in this range in long-term care it generally means the facility did not perform well in our measures relating to patient care. After considering the quantity of care provided by nurses, we next considered the facility's vaccination record. This nursing home vaccinated 91.17647 percent of its residents against pneumonia. Surprisingly, this place actually fared well at keeping its residents out of the hospital. In fact, it had just 0.02 hospitalizations per 1,000 long-term resident days. This was its best feature in this category.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

The Enclave Quality Metrics

Minimizes Pressure Ulcers

Grade: A-minus

In The Enclave, 7.79% of Patients had Pressure Ulcers

This indicates the percent of residents that have had a pressure ulcer. Pressure ulcers are damage to the skin due to staying in the same position for an excessive period of time.

Minimizes Serious Falls

Grade: B-plus

In The Enclave, 3.33% of Patients had Serious Falls

This figure gauges the percentage of long-term stay residents that had a fall which resulted in serious injury. We use this statistic in determining our nursing scores.

Minimizes Urinary Tract Infections

Grade: A

In The Enclave, 1.51% of Patients had UTIs

This indicates the percentage of residents who have had a urinary tract infection. These infections may be linked to poor hygiene.

Appropriately Uses Anti-Psychotic Medication

Grade: A

In The Enclave, 11.48% of Patients use Anti-Psychotic Medication

This indicates the percent of long-term stay patients who are given antipsychotic drugs. High levels of antipsychotic drug use may indicate that a facility is using these medications to control patient behavior in situations where such drugs aren't medically indicated. However, some facilities may need to rely on these medications due to having more patients suffering from Alzheimer's or other dementias.

Appropriately Uses Anti-Anxiety Medication

Grade: A-minus

In The Enclave, 22.56% of Patients use Anti-Anxiety Medication

This metric gauges the percentage of long-term patients who were administered antianxiety medication. These drugs are prescribed to residents suffering from depression and anxiety.

Managing Depression Among Residents

Grade: D

In The Enclave, 4.81% of Patients

This tells you the percentage of patients who are exhibiting depressive symptoms. Higher rates of depression may reveal a lower level of care.

Appropriate Vaccine Usage

Grade: D

In The Enclave, 94.64% of Patients

This is the percent of patients that were administered the flu and pneumonia vaccines. High vaccination rates should be standard at this point.

Residents Maintain Autonomy

Grade: C

In The Enclave, 17.1% Percentage of Patients

This datapoint measures the percentage of long-term residents who needed additional assistance with activities of daily living over time. ADL's include activities such as getting dressed and eating. Many argue this is a reasonable measure of a patient's well-being.

Ability to Keep Residents Mobile

Grade: B-minus

In The Enclave, 16.36% Percentage of Residents

This is the percentage of patients who maintained mobility over time. Optimizing mobility is usually a great sign for residents' well-being.

Hospitalizations

Grade: A-minus

In The Enclave, 1.67 Hospitalizations per 1,000 resident days

This is a measure of the number of hospitalizations per thousand days of patient care. Minimizing hospitalizations is important to maintaining the physical health of patients.

Short-term Care: Rehospitalizations

Grade: B-plus

In The Enclave, 16.36 Percentage of Residents Rehospitalized

This indicates the number of rehospitalizations per 1,000 days of short-term patient care. There is a correlation between reduced hospitalizations and a nursing home's quality of short-term rehabilitation.

Short-term Care: ER Visits

Grade: C

In The Enclave, 11.4 Percentage of Patients

This metric measures the number of emergency room visits per 1,000 days of short-term care. Avoiding medical emergencies is one way to gauge the well-being of patients during rehabilitation.

Short-term Care: Facilitates Functional Improvement

Grade: A

In The Enclave, 66.86% Percentage of Resident

Measures the percent of short-term care residents that experienced functional improvements, such as enhanced ability to perform activities of daily living. Many argue this is a measure of a nursing home's rehabilitation services.

Scores for San Antonio, TX

  • Overall Rating has a grade of C
  • Nurse Rating has a grade of C
  • Long-term Care Rating has a grade of B-minus
  • Short-term Care Rating has a grade of C
  • Inspection Rating has a grade of B-plus

Looking for more options? San Antonio, Texas has 61 other nursing homes

Nearby Hospitals

  • Methodist Stone Oak HospitalAcute Care Hospitals 0.28 miles away1139 E Sonterra Blvd, Ste 535 San Antonio Texas 78258Proprietary(210) 638-2100
  • South Texas Spine and Surgical HospitalAcute Care Hospitals 0.3 miles away18600 North Hardy Oak Blvd San Antonio Texas 78258Government - Hospital District or Authority(210) 404-0800
  • Baptist Emergency HospitalAcute Care Hospitals 2.04 miles away16088 San Pedro San Antonio Texas 78232Proprietary(210) 402-4092
  • Legent Orthopedic + SpineAcute Care Hospitals 7.02 miles away5330 North Loop 1604 West San Antonio Texas 78249Proprietary(717) 620-2424
  • Foundation Surgical Hospital of San AntonioAcute Care Hospitals 9.12 miles away9522 Huebner Road San Antonio Texas 78240Proprietary(210) 478-5400
  • Methodist Ambulatory Surgery Hospital NwAcute Care Hospitals 9.43 miles away9150 Huebner Rd Suite 100 San Antonio Texas 78240Proprietary(210) 575-5000
  • Methodist HospitalAcute Care Hospitals 9.52 miles away7700 Floyd Curl Dr San Antonio Texas 78229Proprietary(210) 575-4000
  • University Health SystemAcute Care Hospitals 9.53 miles away4502 Medical Dr San Antonio Texas 78229Government - Hospital District or Authority(210) 358-2637

Nearby Dialysis

  • Stone Oak Dialysis0.24 miles away731 Carnoustie Drive #101 San Antonio Texas 78258CMS Rating: 3 stars Dialysis Stations: 20 (210) 403-2162
  • North Central Kidney Disease Center0.86 miles away116 Gallery Circle #102 San Antonio Texas 78258Dialysis Stations: 16 (210) 499-4003
  • Broadway Kidney Disease Center6.77 miles away8840 Tradeway San Antonio Texas 78217CMS Rating: 3 stars Dialysis Stations: 20 (210) 805-9880
  • Sakdc Davita Dialysis Partners Lp7.03 miles away15619 Nacogdoches Rd San Antonio Texas 78247Dialysis Stations: 24 (210) 653-9579
  • Fmc San Antonio, LLC7.11 miles away5418 N Loop 1604 W Ste 120 San Antonio Texas 78249Dialysis Stations: 13 (210) 561-7879
  • Marymount Dialysis Center7.71 miles away2391 Ne Loop 410 Suite #211 San Antonio Texas 78217CMS Rating: 4 stars Dialysis Stations: 24 (210) 646-8788
  • Kidney Treatment Center Northwest Pa8.35 miles away3939 Medical Drive Suite 110 San Antonio Texas 78229Dialysis Stations: 24 (210) 692-3075
  • Innovative Dialysis Solutions at Home, Pllc8.45 miles away2795 Bulverde Rd Suite B Bulverde Texas 78163Dialysis Stations: 2 (830) 428-0524