Alhambra Healthcare & Wellness Centre, LP

In the surveyor’s words

From the most serious findings on record at Alhambra Healthcare & Wellness Centre, LP, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Apr 19, 2024

  Based on interview and record review, the facility failed to ensure one (1) of 1 sampled resident (Resident 1) was provided with cardiopulmonary resuscitation (CPR-a lifesaving emergency procedure for a victim who has signs of cardiac arrest [a situation when a victim becomes unresponsive, no normal breathing, and no pulse]), in accordance with the standard of practice on basic life support and the facility's cardiopulmonary resuscitation policy by failing to: 1. Ensure facility staff immediately start CPR when Resident 1 was found unresponsive (no movement or response to stimuli and no pulse or respirations). […]

• Immediate jeopardy, isolatedF803Apr 19, 2024

  Based on interview and record review, the facility failed to follow the physician's order to give mechanical soft texture (food item that has been blended, mashed, mixed, or processed into a smooth and uniform texture) diet for one (1) of three (3) sampled residents (Resident 1) in accordance with the facility's policy on nutrition management of dysphagia (difficulty swallowing) by facility staff failing to : 1. Ensure Certified Nursing Assistant (CNA 1) did not instruct Uncertified Assistive Personnel 1 (UAP 1) to obtain a sandwich from the facility's refrigerator for Resident 1 to consume on [DATE]. 2. […]

• No harm, potential for more than minimal, patternF880Aug 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure standard infection prevention control practices (a set of practices that prevent or stop the spread of infections and or diseases in the healthcare setting) were followed for two (2) of three (3) sampled residents (Residents 2 and 3) in accordance with the facility's policy and procedure (P&P) by failing to ensure: Licensed Vocational Nurse 1 (LVN 1) perform hand hygiene /change gloves before administering medications to Resident 2 and in between tasks. 2. […]

• No harm, potential for more than minimal, patternF700Jul 24, 2026

  Based on observation, interview, and record review, the facility failed to ensure a bed rail (side rails - metal or plastic bars attached to the sides of a bed to help prevent falls, provide support and assist patients with moving or getting out of bed) assessment was completed to assess for risk for entrapment (an event in which a resident is caught, trapped, or entangled in the space in or about) for three (3) of 3 sampled Residents (Residents 7, 59 and 104) reviewed for accidents as indicated on the facility policy and procedure (P&P). This failure had the potential to result in the inappropriate use of bed rails for Residents 7, 59 and 104, which could pose a safety risk and result in injury or harm. Findings: 1. […]

• No harm, potential for more than minimal, patternF812Jul 24, 2026

  Based on observation, interview, and record review, the facility failed to follow proper food handling practices in accordance with the facility's policy and procedure titled Food Storage and Handling by failing to ensure:1. The chopped lettuce salad in a small styrofoam container was prepared fresh on the same day and labeled with the resident's name.2. Dietary staff washed her hands prior to touching clean food containers and plate covers after touching the floor. 3. A tray with three (3) small cups of watermelon and 3 cups of Jell-O pudding with strawberry sauce inside walk-in refrigerator was labeled with its preparation date. […]