A list of the most recent deficiencies for Alhambra Hospital Med Ctr Dp/snf. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | 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 |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-08-03 | 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 | 2023-07-19 | 2023-08-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-19 | 2023-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-19 | 2023-08-02 | 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 | 2019-08-06 | 2019-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-06 | 2019-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-01 | 2019-08-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-08-01 | 2019-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-01 | 2019-08-28 | N |
| 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 | 2019-08-01 | 2019-08-28 | 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 | 2019-08-01 | 2019-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-24 | 2018-08-16 | 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 | 2018-07-24 | 2018-08-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-24 | 2018-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-24 | 2018-08-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-07-24 | 2018-08-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-24 | 2018-08-16 | N |
