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Alhambra Hospital Med Ctr Dp-snf

Inspection Results


Nursing Homes California Alhambra Alhambra Hospital Med Ctr Dp-snf

Alhambra Hospital Med Ctr Dp-snf has been cited for a total of 24 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Alhambra Hospital Med Ctr Dp-snf.

There are 1181 nursing homes in California with a total of 57,802 deficiencies resulting in an average of 48.94 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
08-28-2019

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.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
08-28-2019

Provide safe and appropriate respiratory care for a resident when needed.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-28-2019

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.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
08-28-2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
08-28-2019

Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
08-28-2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
08-16-2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
08-16-2018

Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
08-16-2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-16-2018

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
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
08-16-2018

Ensure each resident?s drug regimen must be free from unnecessary drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
08-16-2018

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.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
E
Corrected:
08-07-2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
08-07-2017

Provide necessary care and services to maintain or improve the highest well being of each resident .
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-07-2017

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.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-07-2017

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
08-07-2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
08-07-2017

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.
Category:
Pharmacy Service Deficiencies
Scope:
E
Corrected:
08-07-2017

Post nurse staffing information/data on a daily basis.
Category:
Nursing and Physician Services Deficiencies
Scope:
B
Corrected:
08-07-2017

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
08-07-2017

Have a program that investigates, controls and keeps infection from spreading.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
08-07-2017

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
09-16-2019

Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
09-16-2019



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