Facility profile · CCN 676425
The Enclave
44 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $10,039.
Record summary
Federal record · Q1 202644
Total citations
38
Last 3 years
1
Actual harm+
2
Federal penalties
$10,039
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
44 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 27, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 27, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 27, 2025 | F761 | 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. | D | Standard |
| Aug 27, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Aug 27, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Aug 27, 2025 | F732 | Post nurse staffing information every day. | C | Standard |
| Aug 27, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 27, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Aug 27, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Aug 27, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Aug 27, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard |
| Aug 27, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Aug 27, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jul 24, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| May 5, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Jun 28, 2024 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Jun 28, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 28, 2024 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard |
| Jun 28, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jun 28, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Jun 28, 2024 | F803 | 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. | D | Standard |
| Jun 28, 2024 | F761 | 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. | D | Standard |
| Jun 28, 2024 | F700 | 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. | D | Standard |
| Jun 28, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jun 28, 2024 | F693 | 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. | D | Standard |
| Jun 28, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jun 28, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jun 28, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jun 28, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Jun 7, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 4, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| May 4, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| May 4, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| May 4, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| May 4, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 4, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jan 29, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jan 29, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Apr 19, 2023 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard |
| Apr 19, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Apr 19, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Apr 19, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Apr 19, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 24, 2023 | F761 | 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. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $10,039 and 1 payment-denial actions spanning 28 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 4, 2024 | Fine | $10,039 | — |
| May 4, 2024 | Payment Denial | — | Jun 1, 2024 · 28 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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