Deficiency Records for Alhambra Rehab and Healthcare
Updated as of April 01, 2018
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? |
|---|---|---|---|---|
| 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 | 2017-12-18 | 2018-01-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-18 | 2018-01-10 | 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 | 2017-12-18 | 2018-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-18 | 2018-01-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-12 | 2017-09-17 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-23 | 2017-01-12 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-11-23 | 2017-01-12 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-11-23 | 2016-12-16 | 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 | 2016-11-23 | 2016-12-16 | 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 | 2016-11-23 | 2016-12-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-11-23 | 2016-12-16 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-11-23 | 2016-12-16 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-11-23 | 2016-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-23 | 2016-12-16 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-11-23 | 2016-12-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-11-23 | 2016-12-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-11-23 | 2016-12-16 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-09 | 2016-12-02 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-11-09 | 2016-12-02 | Y |
| Provide food in a way that meets a resident's needs. | Health | 2016-11-09 | 2016-12-02 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-09 | 2016-12-02 | 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 |
| 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 |
| 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 |
