Deficiency Records for Alamitos West Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Alamitos West Health and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-23 | 2022-03-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-23 | 2022-03-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-02-23 | 2022-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-23 | 2022-03-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-02-23 | 2022-03-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-02-22 | 2022-03-17 | N |
| Provide appropriate foot care. | Health | 2022-02-22 | 2022-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-22 | 2022-03-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-02-22 | 2022-03-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-02-22 | 2022-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-22 | 2022-03-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-22 | 2022-03-17 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-02-22 | 2022-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-22 | 2022-03-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-02-22 | 2022-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-14 | 2021-09-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-01 | 2021-07-31 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-26 | 2021-06-14 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-10 | 2019-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-10 | 2019-12-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-15 | 2019-12-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-11-15 | 2019-12-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-11-15 | 2019-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-15 | 2019-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-15 | 2019-12-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-11-15 | 2019-12-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-15 | 2019-12-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-15 | 2019-12-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-15 | 2019-12-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-11-15 | 2019-12-15 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-11-15 | 2019-12-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-11-15 | 2019-12-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-15 | 2019-12-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-11-15 | 2019-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-15 | 2019-12-15 | N |
| Dispose of garbage and refuse properly. | Health | 2019-11-15 | 2019-12-15 | N |
| Keep all essential equipment working safely. | Health | 2019-11-15 | 2019-12-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-12 | 2018-12-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-12-12 | 2018-12-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-12 | 2018-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-12 | 2018-12-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-12 | 2018-12-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-12-12 | 2018-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-12 | 2018-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-12 | 2018-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-12 | 2018-12-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-08 | 2018-12-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-11-08 | 2018-12-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-11-08 | 2018-12-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-11-08 | 2018-12-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-11-08 | 2018-12-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-08 | 2018-12-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-08 | 2018-12-17 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-08 | 2018-12-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-08 | 2018-12-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-11-08 | 2018-12-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-08 | 2018-12-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-08 | 2018-12-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-11-08 | 2018-12-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-08 | 2018-12-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-11-08 | 2018-12-17 | N |
| Keep all essential equipment working safely. | Health | 2018-11-08 | 2018-12-17 | N |
