CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Enclave
View the most recent health deficiencies and inspection results for The Enclave. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Enclave. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-02-26 | 2026-02-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-06 | 2026-02-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-06 | 2026-02-07 | Y |
| 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 | 2025-08-27 | 2025-08-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-27 | 2025-08-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-27 | 2025-08-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-08-27 | 2025-08-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-27 | 2025-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-27 | 2025-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-27 | 2025-08-28 | N |
| Post nurse staffing information every day. | Health | 2025-08-27 | 2025-08-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-27 | 2025-08-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-27 | 2025-08-28 | 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 | 2025-08-27 | 2025-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-27 | 2025-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-27 | 2025-08-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-27 | 2025-08-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-08-27 | 2025-08-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-24 | 2025-07-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-05 | 2025-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-28 | 2024-06-29 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-06-28 | 2024-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-28 | 2024-06-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-06-28 | 2024-06-29 | 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 | 2024-06-28 | 2024-06-29 | 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 | 2024-06-28 | 2024-06-29 | N |
| 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 | 2024-06-28 | 2024-06-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-28 | 2024-06-29 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-06-28 | 2024-06-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-28 | 2024-06-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-28 | 2024-06-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-28 | 2024-06-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-28 | 2024-06-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-28 | 2024-06-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-28 | 2024-06-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-28 | 2024-06-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-28 | 2024-06-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-28 | 2024-06-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-28 | 2024-06-29 | 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 | 2024-06-28 | 2024-06-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-28 | 2024-06-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-28 | 2024-06-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-04 | 2024-06-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-07 | 2024-06-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-04 | 2024-05-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-04 | 2024-05-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-04 | 2024-05-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-04 | 2024-05-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-04 | 2024-05-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-29 | 2024-01-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-29 | 2024-01-30 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-19 | 2023-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-19 | 2023-04-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-04-19 | 2023-04-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-19 | 2023-04-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-19 | 2023-04-27 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-04-19 | 2023-04-27 | N |