General Information: ALHAMBRA CONVALESCENT HOSPITAL
Nursing home name ALHAMBRA CONVALESCENT HOSPITAL
Address331 ILENE STREET
MARTINEZ, CA 94553
Phone number (925) 228-2020
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 44
Total number of residents 42
Perc of occupied beds 95
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties1
Total Number of Penalties1
Ratings Summary: ALHAMBRA CONVALESCENT HOSPITAL
Overall rating 3
3
Nursing Home Staffing 3
3
Registered Nurses only 1
1
Health Inspections 3
3
Quality Measures 4
4
Nursing Home Staffing Info: ALHAMBRA CONVALESCENT HOSPITAL
National AverageCalifornia AverageALHAMBRA CONVALESCENT HOSPITAL
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 42
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 4.07 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.8 hours 1.26 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.88 hours 0.28 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.98 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 2.81 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.03 hours
Health Survey: ALHAMBRA CONVALESCENT HOSPITAL
Heath Survey Summary on 2013-06-07
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-06-29
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-04-14
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: ALHAMBRA CONVALESCENT HOSPITAL
Inspection Results: 06/07/2013
Corrected Deficiency Scope and Severity
07/07/2013 Provide written records when a resident is transferred or discharged. Isolated/Minimal harm or potential for actual harm
07/07/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
07/07/2013 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
07/07/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
07/07/2013 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. Isolated/Minimal harm or potential for actual harm
07/07/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
07/07/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
07/07/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
07/07/2013 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern/Minimal harm or potential for actual harm
07/07/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated/Minimal harm or potential for actual harm
Inspection Results: 06/29/2012
Corrected Deficiency Scope and Severity
07/29/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
07/29/2012 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
07/29/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
07/29/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
07/29/2012 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
07/29/2012 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern/Minimal harm or potential for actual harm
Inspection Results: 04/14/2011
Corrected Deficiency Scope and Severity
05/14/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
05/14/2011 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. Pattern/Minimal harm or potential for actual harm
05/14/2011 Reasonably accommodate the needs and preferences of each resident. Isolated/Minimal harm or potential for actual harm
05/14/2011 Provide housekeeping and maintenance services. Pattern/Potential for minimal harm
05/14/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
05/14/2011 Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Isolated/Minimal harm or potential for actual harm
05/14/2011 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
05/14/2011 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Pattern/Minimal harm or potential for actual harm
05/14/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: ALHAMBRA CONVALESCENT HOSPITAL
Fire Safety Survey Summary on 2013-06-12
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-07-06
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-04-21
Total Number of Fire SafetyDeficiencies 13
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: ALHAMBRA CONVALESCENT HOSPITAL
Fire Safety Survey Results: 06/12/2013
Corrected Deficiency Severity
07/08/2013 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
07/08/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
07/08/2013 An approved installation, maintenance and testing program for fire alarm systems. Pattern/Minimal harm or potential for actual harm
07/08/2013 Automatic sprinkler systems that have been maintained in working order. Isolated/Minimal harm or potential for actual harm
07/08/2013 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Isolated/Minimal harm or potential for actual harm
07/08/2013 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
07/08/2013 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 07/06/2012
Corrected Deficiency Severity
07/27/2012 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
07/27/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
07/27/2012 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
07/27/2012 Record of quarterly fire drills for each shift under varying conditions. Isolated/Minimal harm or potential for actual harm
07/27/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
07/27/2012 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/21/2011
Corrected Deficiency Severity
06/20/2011 Approved construction type or materials. Isolated/Minimal harm or potential for actual harm
06/20/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
06/20/2011 Signs that state that exit doors are to be kept closed. Isolated/Minimal harm or potential for actual harm
06/20/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
06/20/2011 Exit stairways and towers that are smoke proof. Isolated/Minimal harm or potential for actual harm
06/20/2011 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
06/20/2011 Record of quarterly fire drills for each shift under varying conditions. Pattern/Minimal harm or potential for actual harm
06/20/2011 Properly maintained smoke detectors. Widespread /Minimal harm or potential for actual harm
06/20/2011 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
06/20/2011 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Pattern/Minimal harm or potential for actual harm
06/20/2011 Properly sized and located linen or trash receptacles. Isolated/Minimal harm or potential for actual harm
06/20/2011 Weekly inspections and monthly testing of generators. Pattern/Minimal harm or potential for actual harm
06/20/2011 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm

Resident Complaints: ALHAMBRA CONVALESCENT HOSPITAL
Date Complaint Substantiated: 03/26/2013
CorrectedCategoryDeficiencySeverity
04/12/2013Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
Date Complaint Substantiated: 01/24/2012
CorrectedCategoryDeficiencySeverity
02/24/2012Store, cook, and serve food in a safe and clean way. E
02/24/2012Keep all essential equipment working safely. D

Quality Measures: ALHAMBRA CONVALESCENT HOSPITAL
Quality Measures National Average California Average ALHAMBRA CONVALESCENT HOSPITAL
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 11.7% 22.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% 10.9%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% 3.6%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 7.4%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.3% 56.8%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% 0.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% 4.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 1.8% 0.8%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 1.6% 4.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% 92.6%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.6% 99.2%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 17.4%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 16.9% %
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.9% %
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.1% %
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 79.8% %
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% %

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