Health inspection·February 20, 2026

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure resident care item was cleaned and disinfected (objects treated with chemicals to kill germs, bacteria, and viruses, reducing the risk of infection) according to manufacturer's instructions for one of one sampled resident (Resident 1) when Resident 1's urine collection canister was not fully submerged in a dish soapy solution for cleaning and in 70% isopropyl alcohol (IPA) for disinfection for a minimum of ten minutes.This failure had the potential for Resident 1 to be exposed to infections.During a review of Resident 1's admission Record, dated 2/20/26, the admission Record indicated Resident 1 was admitted to the facility on [DATE] with an admission diagnoses of chronic (a condition or disease that is persistent or otherwise long-lasting in its effects) systolic heart failure (a serious condition that occurs when the left chamber of the heart is unable to pump blood efficiently), acute myocardial infarction (a medical emergency that occurs when blood supply to the heart is blocked), type 2 diabetes mellitus (a chronic condition where the body develops resistance to insulin, a vital hormone produced by the pancreas that regulates blood sugar, causing high blood sugar levels because cells fail to respond to insulin properly).During a record review of Resident 1's Minimum Data Set (MDS, an assessment used to guide plan of care) dated 1/5/26, the MDS indicated Resident 1's Brief Interview for Mental Status (BIMS, is a scoring system used to determine the resident's cognitive status regarding attention, orientation, and ability to register and recall information) score was 15 out of 15, indicating intact cognitive response.During a concurrent observation and interview on 2/20/26 at 10:59 a.m. with Resident 1, in Resident 1's room, Resident 1 was pointing at a clear tubing at the right side of his yellow adult briefs connected into a clear canister with a blue cover on a urine collection system machine. Resident 1 stated, the canister was never once disinfected. Resident 1 stated, the canister had been rinsed with only soap and water.During an interview on 2/20/26 at 11:08 a.m. with Certified Nursing Assistant (CNA) 1, CNA 1 stated Resident 1's urine canister was cleaned with soap and water once or twice a day. CNA 1 stated there was no documentation for the canister cleaning.During a concurrent observation and interview on 2/20/26 at 11:21 a.m. with the Infection Preventionist (IP), in Resident 1's bathroom, an undated document titled, Cleaning Procedure for Purewick Cannister, Tubing, and External Catheter was posted on the wall. The IP stated staff were educated to clean and disinfect the canister with soap and water and to wipe off sediments with a brush. The IP stated there was no documentation for the canister cleaning.During a review of facility provided document titled, Cleaning Procedure for Purewick Cannister, Tubing, and External Catheter, undated, indicated, Disinfecting the Cannister: Will be done daily every shift. 1. Empty urine in the toilet. 2. Clean the canister by scrubbing with soap and water using a brush to remove debris. 3. Dry with a paper towel.During a concurrent interview and record review on 2/20/26 at 12:41 p.m. with the IP, the facility's policy and procedure (P&P) titled, External Catheter for Female Urinary Incontinence Management, dated 3/1/23 was reviewed. The (P&P) indicated, An Residents Affected - Few (continued on next page) 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 Page 1 of 2 Event ID: 056052 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 056052 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/20/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Eden Healthcare Center 27350 Tampa Avenue Hayward, CA 94544 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)