General Information: ALHAMBRA HOSPITAL MED CTR DP/SNF
Nursing home name ALHAMBRA HOSPITAL MED CTR DP/SNF
Address100 S RAYMOND AVE
ALHAMBRA, CA 91801
Phone number (626) 570-1606
Located within a hospital No
Type of ownership For profit - Partnership
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Both
Certified number of beds 26
Total number of residents 25
Perc of occupied beds 96
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: ALHAMBRA HOSPITAL MED CTR DP/SNF
Overall rating 3
3
Nursing Home Staffing Not available.
Registered Nurses only Not available.
Health Inspections 3
3
Quality Measures Not available.
Nursing Home Staffing Info: ALHAMBRA HOSPITAL MED CTR DP/SNF
National AverageCalifornia AverageALHAMBRA HOSPITAL MED CTR DP/SNF
Overall staff rating NA NA Not available.
Registered Nurses only rating NANA Not available.
Total Number of Residents NA NA 25
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.49 hours 7.22 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.8 hours 4.36 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.88 hours 2.33 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 2.04 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.69 hours 2.85 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.04 hours
Health Survey: ALHAMBRA HOSPITAL MED CTR DP/SNF
Heath Survey Summary on 2014-02-02
Total Number of Health Deficiencies 7
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-10-27
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-04-13
Total Number of Health Deficiencies 16
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: ALHAMBRA HOSPITAL MED CTR DP/SNF
Inspection Results: 02/02/2014
Corrected Deficiency Scope and Severity
03/05/2014 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
03/05/2014 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
03/05/2014 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern/Minimal harm or potential for actual harm
03/05/2014 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
03/05/2014 Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
03/05/2014 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
03/05/2014 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Minimal harm or potential for actual harm
Inspection Results: 10/27/2012
Corrected Deficiency Scope and Severity
11/30/2012 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
11/30/2012 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
11/30/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
11/30/2012 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. Pattern/Minimal harm or potential for actual harm
11/30/2012 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern/Minimal harm or potential for actual harm
Inspection Results: 04/13/2012
Corrected Deficiency Scope and Severity
06/25/2012 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. Isolated/Minimal harm or potential for actual harm
06/25/2012 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
06/25/2012 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated/Minimal harm or potential for actual harm
06/25/2012 Keep each resident free from drugs that restrain them, unless needed for medical treatment. Pattern/Minimal harm or potential for actual harm
06/25/2012 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern/Minimal harm or potential for actual harm
06/25/2012 Review or revise the resident's care plan after any major change in physical or mental health. Isolated/Minimal harm or potential for actual harm
06/25/2012 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
06/25/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
06/25/2012 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
06/25/2012 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. Isolated/Minimal harm or potential for actual harm
06/25/2012 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
06/25/2012 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
06/25/2012 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
06/25/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
06/25/2012 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
06/25/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: ALHAMBRA HOSPITAL MED CTR DP/SNF
Fire Safety Survey Summary on 2014-02-05
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-10-27
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-04-16
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: ALHAMBRA HOSPITAL MED CTR DP/SNF
Fire Safety Survey Results: 02/05/2014
Corrected Deficiency Severity
02/28/2014 Other fire safety features required by fire safety codes. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 10/27/2012
Corrected Deficiency Severity
12/04/2012 Corridors or aisles that are unobstructed and are at least 8 feet in width. Isolated/Minimal harm or potential for actual harm
12/04/2012 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
12/04/2012 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm

Resident Complaints: ALHAMBRA HOSPITAL MED CTR DP/SNF
Not available

Quality Measures: ALHAMBRA HOSPITAL MED CTR DP/SNF
Quality Measures National Average California Average ALHAMBRA HOSPITAL MED CTR DP/SNF
Overall quality rating NA NA Not available.
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 11.7% %
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 5.9% %
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.2% %
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% %
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 45.3% %
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.3% %
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.3% %
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 1.8% %
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 2.1% %
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 1.6% %
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.3% %
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.6% %
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% %
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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