Health inspection·January 22, 2026

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 interviews and record reviews, the facility failed to ensure immediate interventions during a resident-to-resident altercation for two sampled residents (Resident 1 and Resident 2) when a verbal altercation between Resident 1 and Resident 2 escalated into a physical altercation without timely staff separation.This failure placed Resident 1 and Resident 2 at risk for escalation of aggressive behaviors, physical injury, and emotional distress.During a review Resident 1's Face Sheet, printed on 1/22/26, the Face Sheet indicated Resident 1 was admitted to the facility in November 2023 with diagnoses of acute respiratory syndrome (life-threatening lung injury that allows fluid to leak into the lungs) and anxiety disorder (a mental health condition causing excessive and persistent fear or worry).During a review of Resident 1's Brief Interview for Mental Status (BIMS, is a scoring system used to determine the resident's cognitive status in regard to attention, orientation, and ability to register and recall information. A BIMS score of thirteen to fifteen is an indication of intact cognitive status.) dated 9/30/25 showed Resident 1's BIMS score of 15.During a review of Resident 1's Care Plan dated 11/12/24, the Care Plan showed Resident 1 had a history of Aggressive behavior towards other resident with interventions including emphasizing responsibility of physical aggression and description of possible outcome to self and others and neutralize the situation by separating involved parties.During a review of Resident 2's Face Sheet, printed on 1/22/26, the Face Sheet indicated Resident 2 was admitted to the facility in June 2025 with diagnosis of late-onset cerebellar ataxia (gradual loss of muscle coordination).During a review of Resident 2's BIMS record dated 9/26/25, Resident 2's BIMS score of 12. (A BIMS score of eight to twelve is an indication of moderate impairment of cognitive status)During an interview on 1/22/26 at 12:46 p.m. with Resident 2, Resident 2 stated the altercation with Resident 1 happened last November 2025. Resident 2 stated it occurred early in the morning when Resident 2 used the shared bathroom and heard another resident yelling loudly in the adjacent room. Resident 2 stated they entered the room through the shared bathroom door to address the yelling. Resident 2 stated a staff member was present in the room and that Resident 2 told the staff to address the resident's yelling. Resident 2 stated Resident 1 began yelling and instructed Resident 2 to leave the room. Resident 2 stated they approached Resident 1 and a verbal argument occurred. Resident 2 stated they were challenging each other and that the argument escalated to physical altercation when Resident 1 struck Resident 2 on the head with a cane. When asked if the staff who was present in the room intervened during the altercation, Resident 2 stated I don't think so. Resident 2 further stated they were separated from each other only after the physical altercation had occurred by male nursing staff.During an interview on 1/22/26 at 2:05 p.m. with CNA 1, CNA 1 stated she was providing care to Resident 1's roommate in room [ROOM NUMBER] when Resident 2 entered the room through the shared bathroom and told her to make Resident 1's roommate to stop yelling. CNA 1 stated she was unfamiliar with the residents as it was her first time working at the (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: 555533 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 555533 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/22/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Driftwood Healthcare Center - Hayward 19700 Hesperian Boulevard Hayward, CA 94541 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)