Deficiency Index

The Enclave at Cambridge

Cambridge, Ohio · CCN 366273

23 surveys since 2011, 4 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
97
Surveys
23
Harm or worse
4
Immediate jeopardy
2
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file15/23

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
78
Ownership
For profit - Limited Liability company
Chain
Independent
County
Guernsey · rural
Medicare-certified since
2003

CMS ratings

Overall
1
Health inspection
1
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 391 for-profit facilities of 66–99 beds in Ohio.

Last survey on record

Dec 18, 2025

326 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.633.47
Registered-nurse hours per resident day1.29—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$194,587 across 2 penalties
Payment denials
2

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L25.6%
Actual harmG—H—I—
No harm, potential for more than minimalD2363.9%E25.6%F925.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 36 of the 97 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8373×

    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.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F5822×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F8652×

    Have a plan that describes the process for conducting QAPI and QAA activities.

In the surveyor’s words

From the most serious findings on record at The Enclave at Cambridge, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF600Mar 11, 2024

    Based on record review, including review of the facility payroll records, review of facility billing/financial information, review of email communication, review of the employee handbook, review of the facility Abuse/Neglect policy and procedure and interviews, the facility neglected to meet financial obligations for the delivery of care and maintenance and to operate in a manner to ensure all bills were being paid timely to prevent potential interruption in services and to meet the total care needs of all residents admitted to and/or retained in the facility. The facility also failed to have an effective system in place to ensure staff were compensated via payroll benefits based on their hired agreement and payroll schedule. […]

  • Immediate jeopardy, widespreadF600Dec 4, 2023

    Based on observation, record review including review of facility payroll records, review of facility billing/financial information, review of the [NAME] County Auditor website, review of the facility assessment, review of the employee handbook, review of the facility admission agreement, review of the facility Abuse/Neglect policy and procedure and interviews, the facility neglected to meet financial obligations for the delivery of care and maintenance and to operate in a manner to ensure all bills were being paid timely to prevent potential interruption in services and to meet the total care needs of all residents admitted to and/or retained in the facility and failed to have adequate and effective systems in place to ensure staff were compensated via payroll benefits based on their hired… […]

  • No harm, potential for more than minimal, widespreadF802Mar 18, 2024

    Based on observation, dietary staffing and schedule review and staff interview, the facility failed to employ and maintain sufficient staffing in the kitchen to ensure resident meal service was provided as planned and without potential interruption. This had the potential to affect all 29 residents residing in the facility. Findings include: Review of the facility meal schedule revealed breakfast service was scheduled for 7:30 A.M. and 8:10 A.M. and lunch service was scheduled for 11:10 A.M. and 12:10 P.M. The second time noted was to finish the delivery of resident hall trays (for those residents who ate in their rooms) Upon entrance to the kitchen, on 03/15/24 at 8:30 A.M. […]

  • No harm, potential for more than minimal, widespreadF837Mar 11, 2024

    Based on record review, facility policy review, facility assessment review, and interviews, the facility failed to ensure an effective governing body, legally responsible to establish and implement policies regarding the management and operation of the facility, including but not limited to compliance with all financial obligations for the delivery of care. This had the potential to affect all 32 residents in the facility. Findings include: Review of the facility survey history revealed on 12/04/23 a complaint survey was completed which resulted in concerns related to financial solvency. An issue identified at that time was related to employee payroll. […]

  • No harm, potential for more than minimal, widespreadF865Mar 11, 2024

    Based on record review, staff interview and policy review, the facility failed to ensure continuous evaluations were in place to verify financial obligations were met as planned to prevent a potential disruption in resident care and services through the Quality Assurance Performance Improvement (QAPI) program committee. This had the potential to affect all facility residents. The facility census was 32. Findings include: Review of the facility survey history revealed on 12/04/23 a complaint survey was completed which resulted in concerns related to financial solvency. An issue identified at that time was related to employee payroll. […]

Read 23 findings in full →The most serious and the most recent: 23 of 97 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 18, 2025Standard and complaint15 findings
  • Aug 8, 2024Standard3 findings
  • Mar 18, 2024Complaint1 finding
  • Mar 11, 2024Complaint3 findings · 1 harm
  • Jan 31, 2024Complaint4 findings
  • Dec 4, 2023Complaint4 findings · 1 harm
  • Aug 2, 2023Complaint1 finding
  • Jul 14, 2022Standard5 findings
Show the 15 earlier surveys
  • Dec 6, 2021Complaint1 finding
  • Nov 2, 2021Complaint1 finding
  • Dec 9, 2020Infection control1 finding
  • Oct 10, 2019Standard16 findings
  • Sep 6, 2018Standard4 findings
  • Jul 7, 2017Standard10 findings
  • May 12, 2016Standard3 findings
  • Mar 23, 2016Complaint2 findings
  • Feb 26, 2015Standard4 findings
  • May 8, 2014Standard1 finding
  • Feb 15, 2013—4 findings
  • Aug 9, 2012—4 findings
  • Oct 28, 2011—4 findings
  • Aug 27, 2011—5 findings · 1 harm
  • Feb 28, 2011—1 finding · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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