Alhambra Hospital Med CTR Dp/Snf

In the surveyor’s words

From the most serious findings on record at Alhambra Hospital Med CTR Dp/Snf, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF583Jul 17, 2026

  Based on observation, interview, and record review, the facility staff failed to provide privacy and confidentiality (safeguarding the content of information including video, audio, or other computer stored information from unauthorized disclosure without the consent of the resident and/or the individual's surrogate or representative) of the resident's medical records for four (4) of 4 sampled residents (Residents 6, 10, 14, and 21) observed for medication administration by not locking the screen prior to walking away from the computer. This deficient practice had the potential to expose Residents 6, 10, 14, and 21's medical records to others and violated the residents' right for privacy and confidentiality. Findings: 1. […]

• No harm, potential for more than minimal, patternF677Jul 17, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living (ADL) receive the necessary services to maintain good personal and oral hygiene for two (2) of 2 sampled residents (Residents 7 and 12) reviewed for ADLs to ensure:Resident 7's oral hygiene was maintained when resident's tongue was observed dry with white coating and red spots on the tongue bed. Resident 12 did not have dry nasal mucus outside the left nostril (outer opening of the nose). This deficient practice had the potential to result in a decrease in quality of life, oral health, and higher risk or oral infections for Resident 7 and had the potential to result in a negative impact on Resident 12's self-esteem. Findings: 1. […]

• No harm, potential for more than minimal, patternF695Jul 17, 2026

  Based on observation, interview, and record review, the facility failed to provide necessary respiratory care services for four (4) or eight (8) sampled residents (Residents 1, 3, 8, and 14) reviewed under respiratory in accordance with the facility policy by:Failing to ensure Resident 1 [NAME] Suction Catheter (t-piece- used to deliver oxygen therapy and suction in an intubated resident) was changed when there were dry blood and mucus- build up on 7/14/2026.Failing to ensure Resident 3 t- piece was connected to the cool aerosol to administer oxygen to the resident per physician's (MD) order.Failing to ensure Resident 8's did not have mucus flowing out of the t-piece onto a towel. […]

• No harm, potential for more than minimal, patternF693Jul 3, 2025

  Based on observation, interview and record review, the facility failed to cap the purple cone tip of the gastronomy tube feeding (g-tube; a tube inserted through the belly that brings nutrition directly to the stomach) when not connected to resident for two (2) of 2 sampled residents (Resident 17 and 22). This deficient practice had the potential to result in complications including infections and stomach discomfort. Findings: 1.During a record review of Resident 17's admission record indicated the facility originally admitted Resident 17 on 5/6/2025. […]

• No harm, potential for more than minimal, patternF880Jul 3, 2025

  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 four (4) of four sampled residents (Residents 5, 11, 21, and 6) in accordance with the facility's policy and procedure (P&P) by failing to: 1. and 2. Sanitize (make clean and hygienic) the pulse oximetry (pulse ox- a non-invasive method used to measure the oxygen saturation [the percentage of hemoglobin in the blood that is carrying oxygen] level in a resident's blood) monitor before and after each resident's use for Resident 5 and Resident 11. 3. […]