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Health Inspection

Alhambra Healthcare & Wellness Centre, Lp

June 28, 2024 · Alhambra, CA · 415 South Garfield
Citations 2
CMS Rating 2/5
Beds 97
Provider ID 055760
Healthcare Facility
Alhambra Healthcare & Wellness Centre, Lp
Alhambra, CA  ·  View full profile →
Inspection Summary

ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP in ALHAMBRA, CA — inspection on June 28, 2024.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF656
Minimal harm or indicate Resident 26 having a pressure injury. The ADON stated there was no order for Resident 26 to have Few affected

During an interview on 6/26/2024 at 10:08 AM, Treatment Nurse 1 (TN 1) stated Resident 26 initially had MASD on the sacrum area which has now developed into a stage 2 pressure injury since 6/21/2024. TN 1 stated the doctor was not notified of Resident 26's pressure injury, therefore there was no wound treatment orders to care for Resident 26's stage 2 pressure injury. TN 1 also stated there was no Change of Condition (COC; a sudden deviation from the resident's baseline in physical, cognitive, behavioral, or functional domains) form completed for Resident 26's progression of wound to a stage 2 pressure injury.

055760

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055760 B.

Wing 06/28/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Alhambra Healthcare & Wellness Centre, LP 415 South Garfield Alhambra, CA 91801

During an interview on 6/25/2024 at 9:28 AM, Certified Nursing Assistant 3 (CNA 3) stated she observed Resident 26's pressure injury on the sacrum area during the week of 6/17/2024-6/21/2024.

During an interview on 6/26/2024 at 10:08 AM, Treatment Nurse 1 (TN 1) stated Resident 46 initially had an identified skin wound that started as a Moisture-Associated Skin Damage (MASD; inflammation or skin erosion caused by prolonged exposure to a source of moisture such as urine stool, sweat, wound drainage, saliva, or mucus) wound. TN1 stated, currently, Resident 46's wound was now classified as a stage 2 (the skin breaks open; it can look like an abrasion, blister, or a shallow crater of the skin) pressure injury. TN 1 also stated the pressure injury started since 6/21/2024, but there were no orders for treatment of Resident 26's pressure injury.

During an interview on 6/27/2024 at 11:01 AM, DON stated the facility did not have care plan indicating Resident 26's pressure injury which progressed to a stage 2 pressure injury.

055760

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055760 B.

Wing 06/28/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Alhambra Healthcare & Wellness Centre, LP 415 South Garfield Alhambra, CA 91801

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ALHAMBRA, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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