Eden Healthcare Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record, the facility failed to ensure two out of six sampled Residents (Resident 2 and 4), were free from abuse, when Residents 2 and 4 had a physical altercation. Resident 2 had multiple skin tears with bleeding and Resident 4's right index finger was bitten. This failure resulted in pain and injuries on residents.During a review of facility's admission Record (AR) indicated Resident 2 was admitted to the facility on [DATE REDACTED], with diagnoses that included dementia with other behavioral disturbance. Resident 2's Minimum Data Set (MDS - resident assessment tool) dated 05/28/25, the MDS indicated a Brief Interview for Mental Status (BIMS, a scoring system used to determine the resident's cognitive status regarding attention, orientation, and ability to register and recall information) score of 05, (BIMS score of 0 - 7, suggest severe cognitive impairment).During a review of facility's AR indicated Resident 4 was admitted to
the facility on [DATE REDACTED], with multiple diagnoses that included unspecified osteomyelitis (infection in the bone).
Resident 4's MDS dated [DATE REDACTED], the MDS indicated a BIMS score of 10, (BIMS score of 8 - 12, suggest moderate cognitive impairment).During a review of facility's Resident 2's eInteract Change in Condition dated 04/20/25 indicated, Patient was noted with multiple scratches on front of face and right arm scratches, minimal bleeding, with skin tear. Charge nurse immediately separated the patients and render a treatment to affected skin. Resident 2's Skin Status Evaluation indicated Multiple scratches on face and right arm area with skin tear.During a review of facility's Resident 4's eInteract Change in Condition dated 04/20/25 indicated, Resident 4 stated I was upset because [Resident 2] is using my wheelchair, she doesn't want to listen, so I scratch her, and [Resident 2] bite her right pointing finger. Resident 4's Skin Status Evaluation noted Skin tear on right point finger.During an interview on 08/14/25 at 04:21 p.m., with Registered Nurse (RN) 1, RN 1 started on 04/20/25, he was doing his rounds, RN 1 was in the area near Residents 2 and 4's shared room. RN 1 stated he heard a commotion in Resident 2 and 4's room. RN 1 when he went to the room, Resident 2 was sitting in her wheelchair, and she was near Resident 4's bed.
RN 1 stated that Resident 4 was in her bed, and she was swinging her arms towards Resident 2, and Resident 2 had her arms up trying to defend herself from Resident 4. RN 1 stated other staff came in to help, and RN 1 stated by the time he was able to take Resident 2 away from Resident 4's reach, Resident 2 had a lot of skin tears and had blood on her. RN 1 stated that Resident 2 had multiple skin tears.During a
review of facility's policy and procedure titled Abuse Prevention Policy dated 03/17/2025 indicated Resident have the right to be free from all forms of abuse. This includes but is not limited to freedom from physical abuse, verbal abuse, mental abuse, neglect, sexual abuse, misappropriation of property, involuntary seclusion, and financial abuse. The facility prohibits and prevents the forms of abuse, involuntary seclusion, neglect, and misappropriation of property.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
EDEN HEALTHCARE CENTER in HAYWARD, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HAYWARD, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EDEN HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.