Inspection Reports for
Marina Garden Nursing Center

3201 Fernside Blvd., Alameda, CA 94501, Alameda, CA, 94501

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

Same as California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2023
2024

Census

Latest occupancy rate 29 residents

Based on a November 2024 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

24 28 32 36 40 Oct 2023 Nov 2024

Inspection Report

Annual Inspection
Census: 29 Deficiencies: 5 Date: Nov 21, 2024

Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home operations, including staffing, medication management, food safety, infection control, and resident room space.

Findings
The facility was found deficient in several areas including failure to ensure registered nurse coverage for eight hours daily over five days, medication administration errors due to unavailable medication, unsafe food storage and preparation practices, inadequate infection control practices such as improper mask use and hand hygiene, and resident rooms with less than the required square footage per resident in multiple-bed rooms.

Deficiencies (5)
Failure to ensure registered nurse coverage eight hours a day, seven days a week for five days.
Medication (Jardiance) was not available and not administered as ordered for one resident.
Failure to store, prepare, and distribute food in a safe and sanitary manner including no air gap for food preparation sink, dirty toaster, scoop stored inside rice container, unsealed powdered potatoes, and freezer burn in chest freezers.
Failure to maintain and observe infection control practices including staff wearing face masks below the nose and failure to perform hand hygiene before and after glove use during linen handling.
Resident rooms with multiple beds provided less than 80 square feet per resident, below regulatory standards.
Report Facts
Residents affected: 28 Residents affected: 9 Residents affected: 15 Facility census: 29 Days without RN coverage 8 hours/day: 5

Employees mentioned
NameTitleContext
AdministratorInterviewed regarding RN coverage and facility operations
Director of NursingInterviewed regarding RN coverage and infection control practices
LVN 1Licensed Vocational NurseObserved and interviewed regarding medication administration and missing medication
Dietary ManagerInterviewed regarding food safety deficiencies
Maintenance SupervisorInterviewed regarding food preparation sink plumbing
Kitchen Staff 1Interviewed regarding cleaning of kitchen equipment
Registered DieticianInterviewed regarding food safety and storage practices
CNA 1Certified Nursing AssistantObserved and interviewed regarding improper mask use
LS 1Laundry StaffObserved and interviewed regarding improper mask use and hand hygiene

Inspection Report

Routine
Census: 32 Deficiencies: 3 Date: Oct 5, 2023

Visit Reason
The inspection was conducted to evaluate the facility's compliance with food service management, sanitation, room size requirements, and proper dietary portion control for residents.

Findings
The facility failed to follow correct serving sizes for seven residents, resulting in inadequate diet portions. Additionally, food preparation and storage conditions were unsanitary, including rusty utensils and a contaminated ice machine. Multiple resident rooms with multiple beds provided less than the required square footage per resident, though no adverse effects were noted.

Deficiencies (3)
Failed to follow correct serving sizes for seven residents, resulting in inappropriate diet portions.
Food was stored, prepared, and served under unsanitary conditions including rusty utensils, contaminated ice machine, and rusty can opener.
Fifteen resident rooms with multiple beds provided less than 80 square feet per resident, below regulatory requirements.
Report Facts
Residents affected: 7 Census: 32 Rooms with less than 80 sq ft per resident: 15 Beds per room: 2

Employees mentioned
NameTitleContext
Dietary Service Supervisor (DSS)Observed and acknowledged rusty utensils and improper portion control
Registered Dietitian (RD)Provided expert opinion on dietary needs and risks of unsanitary conditions
CK 1Observed using incorrect scoop sizes for serving food

Inspection Report

Annual Inspection
Deficiencies: 4 Date: Apr 22, 2021

Visit Reason
The inspection was conducted to evaluate the facility's compliance with infection prevention and control policies and to assess room size adequacy for residents.

Findings
The facility failed to implement proper infection prevention practices, including hand hygiene and proper handling of soiled linens, which had the potential to spread infection among residents. Additionally, multiple resident rooms with multiple beds provided less than the required 80 square feet per resident, though no negative consequences or complaints were noted and a room waiver was recommended.

Deficiencies (4)
CNA 1 did not perform hand hygiene when donning and doffing gloves.
CNA 2 improperly transported soiled linens with bare hands.
RNA 1 did not perform hand hygiene when assisting multiple residents and handling food.
Resident rooms with multiple beds provided less than 80 square feet per resident.
Report Facts
Number of rooms with less than 80 sq. ft per resident: 15

Employees mentioned
NameTitleContext
CNA 1Certified Nursing AssistantObserved not performing hand hygiene when donning and doffing gloves
CNA 2Certified Nursing AssistantObserved improperly transporting soiled linens with bare hands
RNA 1Restorative Nursing AssistantObserved not performing hand hygiene when assisting multiple residents and handling food
Director of NursingDirector of NursingInterviewed regarding proper handling of soiled linens

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