Hayward Healthcare & Wellness Center

In the surveyor’s words

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

• Actual harm, isolatedF689Apr 14, 2026

  Based on interview and record review the facility failed to provide adequate supervision and interventions to prevent elopement (leaving a facility or safe area unnoticed often due to confusion), for one of three sampled residents (Resident 1), with cognitive impairment (difficulties in one or more mental abilities such as memory, learning, language, attention, problem-solving, or decision-making that are more pronounced than expected for a person's age or education level) when Resident 1 was sent to a doctor's appointment without an escort despite needing an escort.This failure resulted in Resident 1 wandering off to the streets alone in cold and rainy weather for approximately three hours. […]

• No harm, potential for more than minimal, widespreadF802Jul 21, 2023

  Based on observation, interview and record review, the facility failed to ensure staff were competent in appropriately testing and recording the surface sanitizer. This failure put 95 residents who received food from the kitchen at risk for illness from potentially ineffective sanitizing solution not being identified. Findings: During a concurrent observation, interview, and document review on 7/18/23 at 9:21 a.m. with DA 1 in the kitchen, stated she was responsible for filling the red buckets with sanitizer solution and recording the solution strength on the log. DA 1 filled a red bucket with a quaternary ammonia sanitizer solution from a hose located above the 2-compartment sink. She stated the solution was very hot. […]

• No harm, potential for more than minimal, widespreadF812Jul 21, 2023

  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 resident food refrigerator was dirty, food was not labeled and dated, and the refrigerator temperatures were not monitored appropriately to keep food safe. 2. Staff did not follow appropriate hand hygiene procedures. 3. Stored equipment and utensils were dirty and ready for use. 4. The inside surface of the ice machine bin door was dirty. 5. Dry food storage bins were dirty and cracked. 6. Food storage areas were dirty. 7. Eggs and chicken were not stored appropriately. 8. A reach-in freezer door was in poor condition. 9. […]

• No harm, potential for more than minimal, widespreadF813Jul 21, 2023

  Based on observation, interview and record review, the facility failed to ensure staff followed the facility policy for food brought into the facility for residents by family and/or visitors and stored for residents up to 48 hours. This failure had the potential for a decreased consumption of food, as well as create an environment that was not home-like for 95 residents out of a facility census of 95. Findings: In an interview on 7/17/23 at 12:06 p.m., Licensed Vocational Nurse 2 (LVN 2) stated when food was brought in from a family or visitor, the facility could store the food up to 24 hours then discard the food. During an interview on 7/17/23 at 12:09 p.m. […]

• No harm, potential for more than minimal, widespreadF880Jul 21, 2023

  Based on interview and record review the facility failed to a water management program to help reduce the risk for legionella and prevent spread of water borne pathogen growth. This failure had the potential to cause spread of water borne pathogen growth in the facility. Findings: During an interview on 7/19/23 at 11:06 a.m., with Administrator (Admin), Admin stated, facility had no water treatment program at this time. Admin could not provide documentation for facility's water treatment program to prevent legionalle and spread of water pathogen. […]