Emmanuel Post Acute Care - Hayward

In the surveyor’s words

From the most serious findings on record at Emmanuel Post Acute Care - Hayward, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 6, 2026

  Based on interview and record review, the facility failed to protect one of five sampled residents(Resident 1), from abuse when Resident 2 hit Resident 1 on the head with a folding chair. This failure resulted in Resident 1 sustaining a laceration, (traumatic injury that involves rips or tears to body tissue), to the forehead requiring sutures, (medical thread that holds the edges of wounds together after injury), and a broken neck bone.During a review of admission Record for Resident 1, undated, the record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses including candidal sepsis, (a life-threatening medical emergency that happens when the body has an extreme, harmful response to an infection), diabetes, (a long-term illness in which the body cannot regulate the… […]

• Actual harm, isolatedF686Feb 19, 2025

  Based on interview and record review, the facility failed to provide pressure ulcer (localized damage to the skin and/or underlying soft tissue usually over a bony prominence) care for one of three sampled residents (Resident 1), when staff: 1. did not notify the provider to obtain wound treatments for nine days, 2. did not provide Resident 1 with a low air loss mattress (LAL mattress, pressure relieving device to prevent skin and tissue breakdown) for four days and, 3. did not complete a care plan for Resident 1 ' s sacral pressure ulcer. This failure resulted in Resident 1 ' s sacral pressure ulcer growing from one by 1.5 centimeters (cm, a unit of measurement) to seven by six cm over nine days. […]

• No harm, potential for more than minimal, widespreadF727Feb 29, 2024

  Based on interview and record review the facility failed to schedule a registered nurse (RN) for 8 hours a day, 7 days a week. This failure had the potential to place residents at risk to receive inaccurate assessments and incorrect care. Findings: During a concurrent interview and record review on 2/28/24, at 1:38 p.m., with Payroll Director (PD), Payroll Based Staffing (PBJ) Reports for quarter 2 2023 (January 1 - March 31) were reviewed. The PBJ Report indicated there was no RN hours on 2/20/23 and on 3/4/23. […]

• No harm, potential for more than minimal, widespreadF812Feb 29, 2024

  Based on observation, staff interview, and record review, the facility failed to store and prepare food in accordance with professional standards for safety when: 1. A dry food bin lid was unclean; 2. A frozen food bag was open to air; 3. A can with a large dent was available for use These failures had the potential for contamination of food resulting in food-borne illness for 88 residents who received food from the kitchen. 1. During an initial walkthrough observation of the kitchen on 2/26/24, at 10:00 a.m., there were bins stored on shelves in the dry food storage area. A bin containing flour had a fine dusting of white powder all over the top of the lid. […]

• No harm, potential for more than minimal, widespreadF851Feb 29, 2024

  Based on Interview and record review the facility failed to electronically submit complete and accurate direct care staffing information based on payroll data to Centers for Medicare and Medicaid (CMS). This failure had the potential to result in the facility's staffing to be unavailable for audit by CMS. Findings: During a concurrent interview and record review on 2/28/24, at 12:39 p.m., with Payroll Director (PD), Payroll Based Staffing (PBJ) Reports for quarter 4 2022 (July 1 - September 30) and quarter 1 2023 (October 1 - December 31) were reviewed. PBJ Report for quarter 4 2022 indicated it was not submitted. PBJ Report for quarter 1 2023 indicated it was not submitted. PD stated PBJ Reports for quarters 4 2022 and 1 2023 were not submitted. […]