Name at time: A & C Convalescent Hospital of Millbrae
During an investigation by Social Services as to why one of the facility's residents had not been paying the required share of cost it was discovered that the resident had written two checks, each in the amount of $300, to a former Social Service Assistant who no longer worked there. It was determined that this had come to the attention of the facility around 8/4/09, but the facility never investigated this. The facility was cited for failure to establish a system to prevent financial abuse and for failure to report this incident. Citation # 220006516.

Name at time: A & C Convalescent Hospital of Millbrae
On 12/12/07 during an interview with a resident, a state official was told a CNA had been yelling and had tossed the resident's personal belongings around the room and told her not to tell the charge nurse. The resident also said when she asked the CNA to empty her bedpan, the CNA replied, "I'll be back," but never returned. The resident stated the CNA handled her roommate roughly while transferring her, and when she tried to intervene she was told, "It's none of our business." The facility was fined for failing to treat the resident with dignity and respect and for subjecting her to verbal abuse. Citation # 220004632.

Name at time: Emmanuel Convalescent Hospital of Millbrae
At 8:15 p.m on 6/11/06. police found a male resident in his wheelchair along a busy two lane street one block from the facility. The facility was cited for failure to monitor a resident who had a history of leaving the facility and removing his wander guard device. Citation # 220003599.

Name at time: Emmanuel Convalescent Hospital of Millbrae
An 80 year old female resident with moderately impaired cognition reported to her son on 6/17/01 that a staff member had hit her, resulting in a small cut on her forearm. The facility was cited for failing to ensure the resident was free from physical abuse. Citation # 220001534.

Name at time: Emmanuel Convalescent Hospital of Millbrae
In November 2000 an 81 year-old resident reported to staff that the night CNA had punched him in the abdomen causing a bruise. Nurses' notes document and confirm the appearance of a bruise. The CNA was not put on suspension until three days following the report of the incident and continued to provide care to the resident. The resident's physician and responsible party were not notified. The facility was cited for failure to ensure each resident is free from abuse of any kind, failure to notify the physician of a change in condition, and failure to implement the facility's policy and procedure for allegations of abuse. Citation # 220001490.

Name at time: Emmanuel Convalescent Hospital of Millbrae
A 101 year old male resident was subjected to neglect and undignified treatment when his penis was tied to a urinal with a towel and left for 2 hours because he was incontinent of urine functions. Facility cited for failure to provide services his care and services required for his incontinence, and to provide self-respect and dignity to resident. Citation # 220001009.

Name at time: Emmanuel Convalescent Hospital of Millbrae
Resident with severe Alzheimer's disease wandered away from facility in his wheelchair and was found by a family member -- facility cited for failure to monitor the resident and failure to notify resident's wife about the incident Citation # 220000987.