A list of the most recent deficiencies for Hayward Gardens Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-09 | 2023-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-09 | 2023-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-05 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-06-09 | 2023-09-05 | 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 | 2023-06-09 | 2023-08-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-14 | 2023-07-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-14 | 2023-07-21 | 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 | 2023-06-14 | 2023-07-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-14 | 2023-07-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-14 | 2023-07-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-14 | 2023-07-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-14 | 2023-07-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-14 | 2023-07-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-09 | 2023-07-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-06-09 | 2023-07-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-09 | 2023-07-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-09 | 2023-07-09 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-06-09 | 2023-07-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-09 | 2023-07-09 | 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 | 2023-06-09 | 2023-07-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-09 | 2023-07-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-09 | 2023-07-09 | 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 | 2023-06-09 | 2023-07-09 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-06-09 | 2023-07-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-09 | 2023-07-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-06-09 | 2023-07-09 | N |
| Keep all essential equipment working safely. | Health | 2023-06-09 | 2023-07-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-06 | 2021-07-16 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-15 | 2019-09-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-15 | 2019-09-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-15 | 2019-09-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-05-30 | 2019-07-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-10-04 | 2018-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-04 | 2018-10-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-12 | 2018-08-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-12 | 2018-08-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-07-12 | 2018-08-12 | N |
