Inspection Reports for
MorningStar of Hayward

The visit was triggered by complaints including an incident where Resident R1 was found outside the community lobby, a death report for Resident R2, and a report of missing cash by Resident R3.

The inspection found that Resident R1 was able to leave the facility unnoticed due to the front exit door lacking an auditory signal, and R1's assessment was not consistent with current care needs. Deficiencies were cited related to care of persons with dementia and reappraisals of residents' conditions.

The inspection included a tour of the facility and review of various areas including resident apartments, common areas, and safety equipment. Two Type A deficiencies were cited related to unsafe storage of a razor in a memory care unit apartment and improper storage of Tylenol medication for a resident who cannot self-administer medications.

The complaint investigation was substantiated based on interviews, records review, and incident reports. The resident sustained a fracture and multiple falls due to inadequate assistance during transfers. Staff admitted inability to provide required care. A $1,000 civil penalty was assessed for a repeat violation within 12 months, with ongoing penalties until correction.

The investigation substantiated all allegations, finding that resident R1, who required two-person assistance during transfers, was frequently transferred by only one staff member, resulting in multiple falls and a displaced femur fracture. Facility staff admitted they could not provide the required level of care, and the wheelchair provided did not fit through R1's bedroom or bathroom doors, causing unsafe transfers and constant falls.

Complaint was substantiated. The allegation was that the facility was not responding to the resident's responsible person regarding refund issues. Evidence showed ongoing lack of communication from May 2024 through January 2025.

The investigation found that the facility did not respond promptly to the resident's responsible person as required. The Interim Executive Director was aware of the refund issues but did not communicate with the family member. The allegation was substantiated and a deficiency was cited.

Complaint investigation related to failure to check blood pressure as ordered and resident having overgrown toenails. Licensing Program Analyst was unable to obtain explanation for missed blood pressure checks. Podiatrist confirmed resident was seen in April 2024.

The facility failed to comply with medical orders to check resident R1's blood pressure on specified dates, and resident R1 was found to have discolored overgrown toenails posing a personal rights risk. Deficiencies were cited under Title 22 California Code of Regulations.

The complaint was substantiated based on interviews with residents and staff, and review of resident records. The allegation was that non-medical staff members were administering injections, which was confirmed during the investigation.

The investigation substantiated the allegation that non-medical staff administered insulin injections to residents. Interviews and records review confirmed that some residents received insulin injections from med-techs who are not licensed medical professionals.

The inspection identified multiple deficiencies including unsafe storage of hazardous materials accessible to residents, medications stored improperly in resident rooms, stained and soiled carpet flooring, incomplete staff training hours, and lack of physician orders for postural supports for some residents. Plans of correction were requested with due dates.

The complaint investigation was substantiated for the allegation that the facility failed to supervise resident (R1) resulting in intoxication. The allegation that staff did not assist resident (R1) with hydration was unsubstantiated.

The allegation regarding failure to supervise resident (R1) resulting in intoxication was substantiated based on evidence including hospital records, staff interviews, and facility alcohol intake records showing the resident was given more alcohol than permitted. The allegation regarding failure to assist resident (R1) with hydration was unsubstantiated due to lack of sufficient evidence.

The complaint investigation was substantiated for unsafe storage of hazardous materials and food service sanitation violations. A $250 civil penalty was assessed for repeat violation of Regulation section 87309(a). Other allegations including presence of roaches, inappropriate alcohol serving, staff drinking alcohol, and obstruction in passageways were unsubstantiated or unfounded.

The investigation substantiated two allegations: unsafe storage of hazardous materials posing immediate risk and kitchen staff not observing proper food sanitation practices, resulting in a $250 civil penalty for repeat violations. The allegations regarding roaches, inappropriate alcohol serving, staff drinking alcohol, and obstruction in passageways were unsubstantiated or unfounded.

The inspection found deficiencies related to failure to update resident re-appraisals and failure to submit incident reports for a resident, posing potential health and safety risks. Two resident deaths and two unusual incidents involving falls and injuries were reported and reviewed.

The inspection found several deficiencies including unlocked hazardous items in resident-accessible areas, staff lacking required first aid certification and medication training, and outdated infection control plans. A $250 civil penalty was assessed for a repeat violation related to storage of dangerous items.

The visit was triggered by a priority 1 complaint (Complaint # 15-AS-20230801150316).

The inspection found multiple safety and documentation deficiencies including unsecured cleaning, salon, and art supplies posing immediate safety risks, missing medical assessments and pre-admission appraisals for residents, inconsistent medical documentation regarding residents' medication administration abilities, and missing required 'Oxygen in Use' signage on resident doors.

The inspection found that the facility failed to maintain a working auditory device at the front door and did not prevent a resident with dementia from leaving the facility unnoticed, posing immediate safety risks. Deficiencies were cited related to care of persons with dementia and safety monitoring devices.

The inspection found missing signage related to mask-wearing, hand washing, and physical distancing, as well as construction equipment and chemicals stored in an unlocked room posing a safety risk. The facility was also missing updated infection control plans and other required documents.

The facility had an approved COVID-19 mitigation plan and generally maintained infection control practices, but deficiencies were noted including expired food items, lack of handwashing signage, missing visitor and cough etiquette posters, and trash cans without lids in resident rooms.

Inspection was triggered by a complaint (Control # 15-AS-20210901144412).

The inspection found multiple deficiencies including the presence of insect killers in the patio area, uneven pavement by the dining room exit door, pieces of construction metal in the patio, frayed carpet flooring by the entrance door in a resident's room, and bathroom doors removed from a resident's room. These conditions posed immediate health and safety risks.

The facility was found non-compliant with supervision requirements as resident R1 was able to leave the facility unnoticed, posing immediate health and safety risks. A deficiency was cited for failure to submit proof of correction by the due date.