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Deficiency Records for Alhambra Hospital Med Ctr Dp/snf
View the most recent health deficiencies and inspection results for Alhambra Hospital Med Ctr Dp/snf. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Alhambra Hospital Med Ctr Dp/snf. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-03 | 2025-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-03 | 2025-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-03 | 2025-07-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-07-03 | 2025-07-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-03 | 2025-07-18 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-07-03 | 2025-07-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-07-03 | 2025-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-07-03 | 2025-07-18 | 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 | 2025-07-03 | 2025-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-30 | 2024-07-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-30 | 2024-07-05 | 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 | 2024-06-30 | 2024-07-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-30 | 2024-07-03 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-06-30 | 2024-07-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-30 | 2024-07-03 | 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 | 2024-06-30 | 2024-07-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-06-30 | 2024-07-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-30 | 2024-07-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-30 | 2024-07-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-06-30 | 2024-07-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-30 | 2024-07-03 | 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 | 2024-06-30 | 2024-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-08-03 | N |
| Post nurse staffing information every day. | Health | 2023-07-14 | 2023-08-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-08-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-07-14 | 2023-08-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-14 | 2023-08-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-14 | 2023-08-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-14 | 2023-08-02 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-07-14 | 2023-08-02 | N |