Deficiency Records for San Leandro Healthcare Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for San Leandro Healthcare Center. 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?
Prepare residents for a safe transfer or discharge from the nursing home. Health 2023-09-12 2023-09-28 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-02-23 2023-03-10 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-17 2022-12-20 N
Keep residents' personal and medical records private and confidential. Health 2022-11-17 2022-12-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-11-17 2022-12-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-17 2022-12-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-11-17 2022-12-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-17 2022-12-20 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-11-17 2022-12-20 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-11-17 2022-12-20 N
Provide and implement an infection prevention and control program. Health 2022-11-17 2022-12-20 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-11-17 2022-12-20 N
Provide primary/alternate means for communication. Fire Safety 2022-12-01 2022-12-15 N
Use approved construction type or materials. Fire Safety 2022-12-01 2022-12-15 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-12-01 2022-12-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-12-01 2022-12-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-14 2021-08-16 Y
Address patient/client population and determine types of services needed. Fire Safety 2019-06-05 2019-06-24 N
Address subsistence needs for staff and patients. Fire Safety 2019-06-05 2019-06-24 N
Establish policies and procedures for volunteers. Fire Safety 2019-06-05 2019-06-24 N
Establish roles under a Waiver declared by secretary. Fire Safety 2019-06-05 2019-06-24 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2019-06-05 2019-06-24 N
Provide family notifications of emergency plan. Fire Safety 2019-06-05 2019-06-24 N
Conduct testing and exercise requirements. Fire Safety 2019-06-05 2019-06-24 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-06-05 2019-06-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-05 2019-06-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-06-05 2019-06-24 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-06-05 2019-06-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-06-05 2019-06-24 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-06-05 2019-06-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-06-05 2019-06-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-06-05 2019-06-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-06-05 2019-06-24 N
Have proper medical gas storage and administration areas. Fire Safety 2019-06-05 2019-06-24 N
Keep residents' personal and medical records private and confidential. Health 2019-03-28 2019-04-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-03-28 2019-04-10 N
Provide and implement an infection prevention and control program. Health 2019-03-28 2019-04-10 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-03-28 2019-04-10 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2018-05-03 2018-05-14 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2018-05-03 2018-05-14 N
Develop a communication plan. Fire Safety 2018-05-03 2018-05-14 N
Establish emergency prep training and testing. Fire Safety 2018-05-03 2018-05-14 N
Use approved construction type or materials. Fire Safety 2018-05-03 2018-05-14 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-05-03 2018-05-14 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-05-03 2018-05-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-05-03 2018-05-14 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2018-05-03 2018-05-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-05-03 2018-05-14 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2018-05-03 2018-05-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-05-03 2018-05-14 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2018-05-03 2018-05-14 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-05-03 2018-05-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-05-03 2018-05-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-05-03 2018-05-14 N
Have proper medical gas storage and administration areas. Fire Safety 2018-05-03 2018-05-14 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2018-02-23 2018-03-23 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2018-02-23 2018-03-23 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-02-23 2018-03-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-02-23 2018-03-23 N
Provide and implement an infection prevention and control program. Health 2018-02-23 2018-03-23 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2018-02-23 2018-03-23 N