Inspection Results » Alhambra Convalescent Hospital

  1. Health Inspection on November 8, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2018-12-08)
      • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2018-12-08)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-08)
      • Keep all essential equipment working safely. (Corrected 2018-12-08)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure that residents are free from significant medication errors. (Corrected 2018-12-08)
      • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-12-08)
      • 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. (Corrected 2018-12-08)
      • Provide and implement an infection prevention and control program. (Corrected 2018-12-08)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-12-08)
      • Keep residents' personal and medical records private and confidential. (Corrected 2018-12-08)
      • 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 (Corrected 2018-12-08)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html