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Deficiency Records for Enterprise Estates Nuring Center
View the most recent health deficiencies and inspection results for Enterprise Estates Nuring Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Enterprise Estates Nuring Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-17 | 2026-03-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-11-17 | 2026-02-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-11-17 | 2026-02-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-11-17 | 2026-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-17 | 2026-02-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-11-17 | 2026-02-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-11-17 | 2026-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-17 | 2026-01-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-11-17 | 2026-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-17 | 2025-12-17 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-11-17 | 2025-12-17 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-11-17 | 2025-12-17 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-11-17 | 2025-12-17 | Y |
| 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. | Health | 2025-11-17 | 2025-12-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-11-17 | 2025-12-17 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-17 | 2025-12-17 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-11-17 | 2025-12-17 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-11-17 | 2025-12-17 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-11-17 | 2025-12-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-11-17 | 2025-12-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-17 | 2024-07-26 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-06-05 | 2024-06-21 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-17 | 2024-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-17 | 2024-02-16 | N |
| 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. | Health | 2024-01-17 | 2024-02-16 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-17 | 2024-02-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-17 | 2024-02-16 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-17 | 2024-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-17 | 2024-02-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-17 | 2024-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-17 | 2024-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-17 | 2024-02-16 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-17 | 2023-08-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-17 | 2023-08-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-17 | 2023-08-14 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-07 | 2022-08-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-07 | 2022-08-26 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-07 | 2022-08-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-06-07 | 2022-08-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-07 | 2022-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-07 | 2022-08-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-07 | 2022-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-07 | 2022-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-07 | 2022-08-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-06-07 | 2022-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-07 | 2022-08-09 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-06-07 | 2022-07-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-07 | 2022-07-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-06-07 | 2022-07-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-07 | 2022-07-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-06-07 | 2022-07-07 | N |
| Post nurse staffing information every day. | Health | 2022-06-07 | 2022-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-07 | 2022-07-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-07 | 2022-07-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-07 | 2022-07-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-07 | 2022-07-07 | N |