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Deficiency Records for Alhambra Healthcare and Rehabilitation Center
View the most recent health deficiencies and inspection results for Alhambra Healthcare and Rehabilitation Center . Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Alhambra Healthcare and Rehabilitation Center . Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-03-03 | 2026-04-03 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2026-03-03 | 2026-04-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-03 | 2026-04-03 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-12-03 | 2026-01-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-12-03 | 2026-01-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-03 | 2026-01-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-03 | 2026-01-03 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-10-15 | 2025-11-17 | Y |
| 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 | 2025-07-21 | 2025-08-21 | Y |
| Meet other general requirements. | Fire Safety | 2025-03-26 | 2025-04-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-03-26 | 2025-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-26 | 2025-04-30 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-03-26 | 2025-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-26 | 2025-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-26 | 2025-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-26 | 2025-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-26 | 2025-04-30 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2025-03-26 | 2025-04-30 | 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 | 2025-03-26 | 2025-04-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-03-26 | 2025-04-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-03-26 | 2025-04-25 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-03-26 | 2025-04-25 | N |
| Post nurse staffing information every day. | Health | 2025-03-26 | 2025-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-26 | 2025-04-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-01-05 | 2023-02-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-05 | 2023-02-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-05 | 2023-02-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-05 | 2023-02-05 | 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 | 2023-01-05 | 2023-02-05 | 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 | 2023-01-05 | 2023-02-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-05 | 2023-01-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-05 | 2023-01-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-05 | 2023-01-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-05 | 2023-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-05 | 2023-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-10-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-07-15 | 2021-10-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-15 | 2021-08-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-07-15 | 2021-08-12 | N |