Mercy Retirement & Care Center
MERCY RETIREMENT & CARE CENTER in OAKLAND, CA — inspection on August 26, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an observation and interview on 8/26/25 at 12:56 p.m. with Resident 2 in room [ROOM NUMBER], Resident 2 was sitting in her bed, awake and alert. Resident 2 stated she had been admitted to the facility since July
- Resident 2 stated she had not been transferred to any other rooms. Resident 2 stated she had no
issues with the current room and the roommate. Resident 2 further stated she and roommate get along well just fine. Resident 2 further stated there had been no incident of any sort of altercations between her roommate or any other residents.
During a concurrent record review and interview on 8/26/25 at 1:30 p.m. with Medical Records Director (MDR), the facility's census dated 8/23/25 through 8/26/25 were reviewed.
The MDR stated the Admissions Director (AD) was primarily responsible for updating and maintaining the facility's daily census records.
During a concurrent record review and interview on 8/26/25 at 1:32 p.m. with AD, the facility's census dated 8/25/25 and 8/26/25 were reviewed.
The AD stated she was not responsible for updating the facility's daily census records. AD stated she only updated the census when there were pending admissions.
During a follow-up interview on 8/26/25 at 2:47 p.m. with CNA 1, CNA 1 confirmed Resident 2 did not have any altercations with Resident 2's roommate or any other residents.
During an interview on 8/26/25 at 4:11 p.m. with the ADM, the ADM stated Resident 2 had asked the Social Worker for a room change.
The ADM stated CNA 1 was instructed to move Resident 2 to room [ROOM NUMBER]; however, CNA 1 did not do the room change as directed.
The ADM further stated she was not sure why Resident 2 wanted to change rooms.
The ADM stated when room changes happen, the facility typically just moved the residents around without any supporting paperwork to document the transfer.
The ADM stated the census records from 8/22/25 through 8/26/25 were not updated because neither the MRD nor AD knew that the room change for Resident 2 did not happen.
The ADM stated it was an error, and the census should have been updated to reflect correct information.During a record review of the facility's document, titled, Facility Assessment, dated July 2025, the Facility Assessment indicated, The purpose of the Facility Assessment is to determine what resources are necessary to care for the residents completely during both day-to-day operations and emergencies.The Facility Assessment is organized in three parts: 1.Resident profile including numbers, diseases/conditions.factors that impact care.2.
Services and care offered based on resident needs.3.
Facility resources needed to provide competent care for residents.Sources of this assessment include, but are not limited to.Resident Census and Condition of Residents.and/or Roster/Sample Matrix form.and in-house designed reports.
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