Deficiency Records for Alhambra Rehab and Healthcare
Updated as of October 01, 2016
This is not the most recent data for Alhambra Rehab and Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Alhambra Rehab and Healthcare. 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? |
|---|---|---|---|---|
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2016-08-05 | 2016-09-19 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-08-05 | 2016-09-19 | Y |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2016-08-05 | 2016-09-19 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-08-05 | 2016-09-19 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-10-21 | 2016-01-12 | N |
| Approved construction type or materials. | Fire Safety | 2015-10-21 | 2016-01-12 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-10-21 | 2016-01-12 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-10-21 | 2016-01-12 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-10-21 | 2016-01-12 | N |
| Approved construction type or materials. | Fire Safety | 2015-10-21 | 2016-01-12 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-10-21 | 2016-01-12 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-10-21 | 2016-01-12 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-11-19 | 2015-11-27 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-11-19 | 2015-11-27 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-11-19 | 2015-11-27 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-11-19 | 2015-11-27 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-10-22 | 2015-11-21 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-10-22 | 2015-11-21 | N |
| Provide housekeeping and maintenance services. | Health | 2015-10-22 | 2015-11-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-22 | 2015-11-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-22 | 2015-11-21 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-10-22 | 2015-11-21 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-10-22 | 2015-11-21 | N |
| Provide housekeeping and maintenance services. | Health | 2015-10-22 | 2015-11-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-22 | 2015-11-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-22 | 2015-11-21 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-10-21 | 2015-11-21 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-09-11 | 2014-10-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-09-11 | 2014-10-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-09-11 | 2014-10-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-09-11 | 2014-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-09-11 | 2014-10-03 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-09-11 | 2014-10-03 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2014-09-11 | 2014-10-03 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-09-11 | 2014-10-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-11 | 2014-10-03 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-09-10 | 2014-10-03 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-09-10 | 2014-10-03 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-09-10 | 2014-10-03 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-09-11 | 2014-10-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-09-11 | 2014-10-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-09-11 | 2014-10-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-09-11 | 2014-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-09-11 | 2014-10-03 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-09-11 | 2014-10-03 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2014-09-11 | 2014-10-03 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-09-11 | 2014-10-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-11 | 2014-10-03 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-09-10 | 2014-10-03 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-09-10 | 2014-10-03 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-09-10 | 2014-10-03 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-11-12 | 2014-01-02 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-11-12 | 2014-01-02 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2013-11-18 | 2013-12-04 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-11-18 | 2013-12-04 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2013-11-18 | 2013-12-04 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-11-18 | 2013-12-04 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2013-11-18 | 2013-12-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-11-18 | 2013-12-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-11-18 | 2013-12-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-11-18 | 2013-12-04 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2013-11-18 | 2013-12-04 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-11-18 | 2013-12-04 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2013-11-18 | 2013-12-04 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-11-18 | 2013-12-04 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2013-11-18 | 2013-12-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-11-18 | 2013-12-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-11-18 | 2013-12-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-11-18 | 2013-12-04 | N |
