Alamitos Belmont Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Alamitos Belmont Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Jan 30, 2026

  Based on interview, and record review, the facility failed to follow it's policy and procedures (P&P) titled Cardiopulmonary Resuscitation ([CPR] an emergency lifesaving procedure performed when the heart stops beating), which indicated the facility will provide CPR, to any resident requiring such care prior to the arrival of the emergency medical personnel, in the absence of an advance directives or a do not resuscitate (DNR) order for one of three sampled Residents (Resident 93).The Facility failed to:Activate the EMS system by paging or yelling loudly for Code Blue ( an emergency alert signaling that a person was experiencing a life-threatening situation, typically cardiac (heart) or respiratory arrest, requiring immediate resuscitation) on [DATE] at 5:00 a.m., when Resident 93 was… […]

• Actual harm, isolatedF697Jan 17, 2024

  Based on interview and record review, the facility failed to ensure a resident, who was in severe back pain and was at the facility for pain management, received Hydrocodone-Acetaminophen ([Norco] a combination medication used to relieve moderate to severe pain) 10/325 milligram ([mg] a unit of weight measurement), for severe pain, for one of three sampled residents (Resident 1). The facility failed to: 1. Ensure licensed nurses ordered a refill of Norco 10/325 mg for Resident 1's moderate to severe pain management before its quantity was depleted, leaving Resident 1 in severe pain. 2. […]

• Actual harm, isolatedF755Jan 17, 2024

  Based on interview and record review, the facility failed to ensure a resident who had a history of back surgery, and was admitted to the facility for pain management with an order for Hydrocodone-Acetaminophen ([Norco] a combination medication used to relieve moderate to severe pain)10-325 milligrams ([mg] a unit of measurement) for severe pain, had the order for Norco refilled in time enough to ensure its availability for 1 of 3 sampled residents (Resident 1). The facility failed to: 1. Ensure licensed nurses ordered a refill of Norco 10/325 mg for Resident 1's moderate to severe pain management before its quantity was depleted, leaving Resident 1 in severe pain. 2. […]

• No harm, potential for more than minimal, widespreadF759Nov 9, 2023

  Based on observation, interview, and record review, the facility failed to ensure that its medication error rate was less than five (5) percent (%) due to four (4) errors observed out of 25 total opportunities (error rate of 16 %). The medication errors were as follows: 1. Resident 44 received both medications carvedilol (a medication that works by slowing down your heart rate and making it easier for your heart to pump blood around your body) 3.125 mg (unit of measurement) one tablet every twelve hours and nifedipine ER (a medication that works by affecting the movement of calcium into the cells of the heart and blood vessels) 90 mg one tablet by mouth daily and Licensed Vocational Nurse (LVN) 6 did not check blood pressure readings and apical pulse (AP- a pulse point on your chest that… […]

• No harm, potential for more than minimal, widespreadF760Nov 9, 2023

  FACILITY 44423 Based on observation, interview, and record review, the facility failed to ensure a. that its medication error rate was less than five (5) percent (%) due to four (4) errors observed out of 25 total opportunities (error rate of 16 %). The medication errors were as follows: 1. Resident 44 received both medications carvedilol (a medication that works by slowing down the heart rate and making it easier for your heart to pump blood around your body) 3.125 milligram (mg a unit of measurement of weight) one tablet every twelve hours and nifedipine extended release (a medication used to treat high blood pressure) 90 mg one tablet by mouth daily and Licensed Vocational Nurse (LVN) 6 did not check blood pressure readings and apical pulse (AP- a pulse point on your chest that gives… […]