A list of the most recent deficiencies for Emmanuel Post Acute Care - Hayward. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-22 | 2023-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-22 | 2023-03-10 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-04 | 2022-04-18 | 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 | 2022-03-04 | 2022-04-18 | 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 | 2022-03-04 | 2022-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-04 | 2022-04-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-04 | 2022-04-18 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-04 | 2022-04-18 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Use approved construction type or materials. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-08 | 2022-03-23 | 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 | 2022-03-08 | 2022-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-08 | 2022-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-18 | 2021-06-08 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-11 | 2019-07-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-09 | 2019-06-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-09 | 2019-06-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-09 | 2019-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-09 | 2019-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-09 | 2019-06-09 | 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 | 2018-05-25 | 2018-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-25 | 2018-06-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-25 | 2018-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-25 | 2018-06-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-25 | 2018-06-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-05-25 | 2018-06-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-25 | 2018-06-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-25 | 2018-06-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-05-25 | 2018-06-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-05 | 2018-05-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-04-05 | 2018-05-05 | 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 | 2018-04-05 | 2018-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-05 | 2018-05-05 | N |
| 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. | Health | 2018-04-05 | 2018-05-05 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-04-05 | 2018-05-05 | 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 | 2018-04-05 | 2018-05-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-04-05 | 2018-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-05 | 2018-05-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-04-05 | 2018-05-05 | N |
