Alamitos West Health & Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 14, 2021

  Based on observation, interview, medical record review, facility P&P review, and facility document review, the facility failed to ensure one of two sampled residents (Resident 1) remained free from accident hazards. * The CNA improperly positioned Resident 1 on the side of the bed with a low air loss mattress (LALM, a mattress used for prevention or treatment of skin breakdown) while independently providing incontinence care to Resident 1. Resident 1 subsequently fell off the LALM onto the floor and sustained a cervical fracture (a bone is broken in the neck of the spine). * Resident 1's Fall Risk care plan showed an intervention for the implementation of bilateral floor mats. […]

• No harm, potential for more than minimal, patternF812Sep 27, 2024

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the sanitary requirements in the kitchen were followed. * The facility failed to ensure the dietary staff and non-dietary staff inside the kitchen wore hair restraints. * The facility failed to ensure proper labeling and dating of food items in the kitchen. * The facility failed to ensure kitchen equipment and plates were clean. The facility failed to ensure the microwave utilized to warm up the residents' food was in sanitary condition and the plates used in trayline were free of food residue. * The facility failed to ensure pan and cutting boards were in sanitary condition. * The facility failed to air dry plates and insulated domes for plates. […]

• No harm, potential for more than minimal, patternF880Sep 27, 2024

  Based on observation, interview, medical record review, facility P&P review, and facility document review, the facility failed to maintain the infection control practices to help prevent the development and transmission of diseases and infections. * The facility failed to show documentation of the Legionella (a bacteria that can cause a serious type of lung infection) facility risk assessment, control measures, and Legionella testing protocols. * CNAs 11 and 12 failed to wear proper PPE before providing care to Resident 34 in his room who was in EBP. In addition, CNAs 11 and 12 failed to perform hand hygiene before providing care to Resident 34. […]

• No harm, potential for more than minimal, patternF880Feb 22, 2022

  Based on interview, facility document review, and facility P&P review, the facility failed to implement their infection control program to include identifying, monitoring, tracking and reporting of facility infections. These failures had the potential to delay identifying trends in the facility infections. Findings: Review of the facility's P&P titled Infection Control Program dated 10/22/21, showed the following: * A system of surveillance is utilized for prevention, identifying, reporting, investigating and controlling infections. for all residents. […]

• No harm, potential for more than minimal, patternF881Feb 22, 2022

  Based on interview, facility document review, and facility P&P review, the facility failed to implement the antibiotic stewardship program. * The facility failed to ensure the residents placed on antibiotics were accurately and timely reviewed for the appropriate use of antibiotics. This failure had the potential for inappropriate antibiotic use and increased risk of drug resistant organisms. Findings: Review of the facility's P&P titled Antimicrobial Stewardship reviewed on 10/25/21, showed the antimicrobial stewardship promotes the appropriate use of antimocribials (including antibiotics), improves resident outcomes, reduces microbial resistance and decreases the spread of infections caused by drug-resistant organisms. […]