Driftwood Healthcare Center - Hayward

In the surveyor’s words

From the most serious findings on record at Driftwood Healthcare Center - Hayward, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 23, 2024

  Based on interview and record review, the facility failed to provide pressure ulcer (a tissue injury resulting from unrelieved pressure over an area of the body) prevention and treatment for one of two sampled residents (Resident 1) when the facility failed to: develop a care plan for Resident 1 ' s pressure ulcer upon discovery, monitor Resident 1 ' s pressure ulcer, provide a pressure reducing mattress, and reposition Resident 1 off the pressure ulcer. This failure resulted in Resident 1 developing a 1 cm (centimeter, a unit of measurement) x 1cm stage 2 (a classification of the severity of the pressure ulcer, stage 1 being a reddened area with intact skin, stage 2 indicating broken skin, stage 3 indicating an injury extending into tissue under the skin, and stage 4 indicating an… […]

• No harm, potential for more than minimal, widespreadF812Sep 2, 2022

  Based on observation, interview, and facility document review, the facility failed to store, prepare, and distribute food in a safe and sanitary manner when: 1. Expired food items were found in the dry storage rack in kitchen; 2. Freezer 1 temperature was not reaching Zero (0) degree Fahrenheit and lower; 3. There was no air gap (a gap of air between the floor and a drainpipe to prevent backflow of sewage into the equipment) for food preparation sink; 4. There was no proper air gap in the ice machine; 5. Microwave was not cleaned and had food residue on the top inside surface; and 6. Kitchen counter under the steamer was sticky and dusty. […]

• No harm, potential for more than minimal, widespreadF880Sep 2, 2022

  Based on observation, interview, and record review, the facility failed to ensure staff followed proper standard and transmission-based precautions to prevent the spread of infection when: 1. Laundry Staff (LS 1) stored personal items in the clean linen/laundry area; 2. Oxygen (O2) tubing was not labeled and dated for Residents 34, 39, and 57; 3. Licensed Vocation Nurse (LVN) 2 did not perform hand hygiene during medication administration; and 4. LVN 2 did not clean/disinfect the shared blood pressure (BP) machine and medication tray in between residents; and These failures had the potential to result in cross contamination and spread of infections for Residents 34, 39, 57 and other residents in the facility. Findings: 1. […]

• No harm, potential for more than minimal, patternF695Jun 16, 2026

  Based on observation, interview, and record review, for nine of 22 residents (Resident 2, 3, 4, 5, 6, 7, 8, 9 and 10) who had tracheostomy (a surgically created opening [stoma] in the front of the neck and directly into the windpipe [trachea]), the facility failed to ensure that sufficient tracheostomy inner cannula (easily removable tube inside the tracheostomy's outer tube, which catches mucus, can be cleaned or disposed of without removing the entire tracheostomy tube. This prevents airway blockages) supplies were available and immediately accessible as required for safe and effective respiratory care.This failure had the potential to place the residents at risk for infection, airway obstruction and inadequate ventilation, and delayed emergency response.During a review of facility's… […]

• No harm, potential for more than minimal, patternF880Jun 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure staff adherence to its infection control policies and Centers for Disease Control and Prevention recommended (CDC, lead federal agency responsible for protecting public health and safety) transmission based precautions when a Certified Nursing Assistant (CNA) 1 entered Residents 13, 14, 15, 16, 9, 8, 7, and 17's room requiring contact precautions without donning the required personal protective equipment (PPE, is equipment worn to minimize exposure to hazards that cause serious workplace injuries and illnesses). […]