All citations for The Enclave

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to The Enclave

Last standard health inspection on record

August 27, 2025

Showing 1 to 24 of 24 citations

  1. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  2. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  3. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 6, 2025).

  4. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of June 28, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  5. No harm, with potential for more than minimal harm

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  6. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  7. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 25, 2025).

  8. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  9. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  10. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  11. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  12. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  13. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  14. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  15. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  16. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  17. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  18. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  19. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  20. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  21. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  22. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  23. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

  24. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.