CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Enclave at Cambridge
View the most recent health deficiencies and inspection results for The Enclave at Cambridge. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Enclave at Cambridge. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2025-12-18 | 2026-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-18 | 2026-01-21 | Y |
| Provide or obtain dental services for each resident. | Health | 2025-12-18 | 2026-01-21 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-12-18 | 2026-01-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-18 | 2026-01-21 | 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 | 2025-12-18 | 2026-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-18 | 2026-01-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-18 | 2026-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-18 | 2026-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-18 | 2026-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-18 | 2026-01-21 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-18 | 2026-01-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-18 | 2026-01-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-12-18 | 2026-01-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-18 | 2026-01-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-18 | 2026-01-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-18 | 2026-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-18 | 2026-01-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-18 | 2026-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-18 | 2026-01-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-08 | 2024-09-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-08 | 2024-09-24 | 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 | 2024-08-08 | 2024-09-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-08 | 2024-09-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-08 | 2024-09-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-08 | 2024-09-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-08 | 2024-09-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-08 | 2024-09-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-08 | 2024-09-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-08 | 2024-09-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-08 | 2024-09-24 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-08 | 2024-09-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-08 | 2024-09-24 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-03-11 | 2024-04-12 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-03-18 | 2024-04-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-11 | 2024-04-12 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-03-11 | 2024-04-12 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-01-31 | 2024-04-12 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-01-31 | 2024-04-12 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-01-31 | 2024-04-12 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-31 | 2024-04-12 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-12-04 | 2024-01-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-04 | 2024-01-05 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-12-04 | 2024-01-05 | Y |
| Keep all essential equipment working safely. | Health | 2023-12-04 | 2024-01-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-02 | 2023-08-11 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-07-14 | 2022-07-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-14 | 2022-07-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-14 | 2022-07-27 | 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 | 2022-07-14 | 2022-07-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-14 | 2022-07-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-07-14 | 2022-07-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-14 | 2022-07-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-14 | 2022-07-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-14 | 2022-07-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-07-14 | 2022-07-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-14 | 2022-07-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-14 | 2022-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-14 | 2022-07-27 | N |