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Deficiency Records for Emmanuel Post Acute Care - Hayward
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.
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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-30 | 2024-10-24 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-02-29 | 2024-03-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-02-29 | 2024-03-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-29 | 2024-03-29 | 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 | 2024-02-29 | 2024-03-29 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-29 | 2024-03-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-29 | 2024-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-03-29 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-03-29 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-06 | 2024-03-22 | 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 | 2024-03-06 | 2024-03-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-06 | 2024-03-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-21 | 2024-03-21 | Y |
| 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 |
| 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 |
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