Alhambra Healthcare & Wellness Centre, Lp
Inspection Findings
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
documentation dated 10/21/2025 was reviewed. LVN 1 stated I forgot to write FM 1's name on the verification of informed consent form. LVN 1 stated the consent form was incomplete.During a concurrent
interview and record review on 11/25/2025 at 4:14 PM with the DON, the informed consent dated 10/21/2025 was reviewed. The DON stated the licensed staff should have completed the informed consent
after obtaining the consent with the resident's responsible party /family member over the phone. The DON added that the licensed staff should also have documented the discussion regarding the consent obtained from the resident's responsible party in the nurse's progress notes.During a concurrent interview and
record review on 11/25/2025 at 4:18PM with the DON, the facility's policy and procedure (P&P) titled, Completion & Correction, revised 1/2012 was reviewed. The P&P indicated, entries will be complete, legible, descriptive and accurate. The DON stated if the licensed staff did not have complete and accurate documentation, the licensed staff did not follow the facility's policy.During a record review of the facility's P&P titled, Completion & Correction revised 1/2012, the P &P indicated to ensure that medical records are complete and accurate. The Facility will work to complete and correct medical records in a standardized manner to provide the highest quality and accuracy in documentation.
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ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP in ALHAMBRA, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.