Deficiency Records for The Enclave at Rye Rehab and Nursing Ctr
Updated as of April 01, 2024
A list of the most recent deficiencies for The Enclave at Rye Rehab and Nursing Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-23 | 2022-10-31 | Y |
| Meet other general requirements. | Fire Safety | 2020-02-14 | 2020-03-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-14 | 2020-03-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-29 | 2020-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-29 | 2020-03-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-31 | 2018-08-02 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-05-31 | 2018-08-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-31 | 2018-08-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-31 | 2018-08-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-31 | 2018-08-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-05-31 | 2018-08-02 | 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 | 2018-05-31 | 2018-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-31 | 2018-08-02 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-05-31 | 2018-08-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-05-31 | 2018-08-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-31 | 2018-08-02 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-05-31 | 2018-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-31 | 2018-07-30 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-05-31 | 2018-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-31 | 2018-07-30 | 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 | 2018-05-31 | 2018-07-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-09 | 2017-02-27 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-09 | 2017-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-09 | 2017-02-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-01-09 | 2017-02-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-01-09 | 2017-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-13 | Not Fixed | Y |
