Alameda Hospital D/P SNF

In the surveyor’s words

From the most serious findings on record at Alameda Hospital D/P SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF755Sep 19, 2024

  Based on observation, interview and record review, the facility failed to ensure discontinued medications were discarded when they were kept with ready to use medications in medication refrigerator. This failure had the potential to result in residents receiving the medication erroneously, which could lead to new health problems or adverse reactions. Findings: During an observation and interview on 09/18/24, at 11:47 a.m., with Registered Nurse (RN) 1, in the Nursing Station, the medication refrigerator was observed to have the following discontinued medications: -Admelog 100 unit (u)/milliliter (ml) (medication used for high blood sugar) for Resident 29. -Lantus 100 u/ml (medication used for high blood sugar) for Resident 100. […]

• No harm, potential for more than minimal, patternF912Sep 19, 2024

  Based on observation, interview and record review, the facility had 11 resident rooms (Rooms 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11) with multiple beds that provide less than 80 square feet (sq. ft.) per resident who occupy these rooms. This failure had the potential to result in inadequate space for the delivery of care to each of the residents in each room or for storage of the residents' belongings. Findings: During observations of care and services from 9/16/24 through 9/19/24, the following rooms and corresponding square footage per bed were identified: 1. room [ROOM NUMBER] had two beds, total sq. ft. is 154 and 77 sq. ft. per bed. 2. room [ROOM NUMBER] had two beds, total sq. ft. is 154 and 77 sq. ft. per bed. 3. room [ROOM NUMBER] had two beds, total sq. ft. is 154 and 77 sq. ft. […]

• No harm, potential for more than minimal, patternF812Aug 25, 2022

  Based on observation, interview and record review, the facility failed to ensure food was stored and prepared in accordance with professional standards of food and safety when: 1. The food preparation area was adjacent to the hand wash station/sink with inadequate protection from potential splashes of contaminated water and soap from handwashing. 2. The ready-to-use pans stored above the food preparation area were wet. 3. Dietary Clerk (DC) did not cover hair completely while in the kitchen and during tray-line. These failures had the potential to result in food-borne illnesses. Findings: 1. […]

• No harm, potential for more than minimal, isolatedF558May 21, 2026

  Based on observation, interview, and record review, the facility failed to ensure one of two sampled residents (Resident 1) received services in the facility with reasonable accommodation of resident needs when Resident 1's Active Order for skin care precautions indicating foot cradle (a supportive frame placed at the end or side of a mattress to elevate bed linens and to keep blankets/bedclothes away from the feet or legs of the user) use was not put in place. This deficient practice resulted in Resident 1 not receiving the needed care, assistive device, and/or service as ordered.A review of Resident 1's Inpatient Information, printed on 5/19/26, indicated Resident 1 was admitted to the facility on [DATE] with multiple diagnoses that included dementia (memory loss), Cerebrovascular… […]

• No harm, potential for more than minimal, isolatedF600Nov 25, 2025

  Based on observation, interview and record review the facility failed to protect one of three sampled residents, (Resident 1), from physical and emotional abuse when Resident 2 punched Resident 1 in the face twice with his fist and put him in a choke hold.This failure resulted in Resident 1 having a contusion (an area of skin discoloration caused by broken blood vessels under the skin, which happens when soft tissue is damaged by an impact), on Resident 1's face requiring transfer to an acute care hospital. […]