Alhambra Post Acute

In the surveyor’s words

From the most serious findings on record at Alhambra Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF760Feb 3, 2022

  Based on interview and record review, the facility failed to provide necessary medications for one of four sampled residents (Resident 1). Resident 1's Milk of Magnesia (medication used to treat constipation) was not administered after Resident 1 did not have a bowel movement for eight days. Resident 1 developed fecal impaction (inability to evacuate large, hard stool), urinary tract infection and sepsis (sepsis: a life-threatening complication of an infection) and was subsequently admitted to the hospital. Findings: Review of the document Admission Record, showed the facility admitted Resident 1, who was [AGE] year-old on 6/30/2021. Resident 1's diagnoses included constipation and retention of urine (urine retention: when the bladder fails to empty completely). Record review at 2:59 p.m. […]

• No harm, potential for more than minimal, widespreadF755Jul 8, 2026

  Based on observation, interview and record review, the facility failed to ensure it kept accurate records of controlled medications (medication with a potential for abuse) as evidenced by: 1. The facility failed to ensure, for Residents 1-3, the scheduled (controlled medication, narcotic) medication system was complete (all documents available) and accurate (information matched). The record system included Shipping Manifests (pharmacy delivery receipt), Controlled Substance Accountability Sheets (CDR, Controlled Drug Record), Medication Administration Records (MAR, record of medication administration) and destruction logs. The facility records were incomplete. The facility records were inaccurate. […]

• No harm, potential for more than minimal, widespreadF836Jul 8, 2026

  Based on observation, interview and record review, the facility failed to follow state Title 22 regulations and ensure the social services department was staffed and supervised by a qualified social worker which affected all 20 residents for at least 3 months.This failure resulted in all residents receiving social services from unqualified staff.During an interview on 2/4/26 at 2:48 p.m., with social services director (SSD), SSD stated they had been in the position since December 2025. […]

• No harm, potential for more than minimal, widespreadF761Dec 1, 2023

  Based on observation, interview, and record review, the facility failed to store medications appropriately when the following were noted: 1. Resident 5's Lotemax eye drops bottle was not labeled with open date. 2. Facility did not dispose or destroy medications for discharged residents and/or expired 11 of 11 sampled residents (Residents 37, 40, 33, 20, 301, 302, 303, 32, 99, 21, 304). 3. Facility did not dispose of expired over the counter (OTC) medications and stored open bottles of OTC medications mixed with ready-to-use medication in the medication storage room. 4. […]

• No harm, potential for more than minimal, widespreadF813Dec 1, 2023

  Based on observation, staff interview, and record review, the facility failed to follow their policy for the Use and Storage of Food & beverages Brought in for Resident and provide safe and sanitary storage, handling, and consumption of food brought to residents by family and visitors for two of 44 residents, when: 1.The staff refrigerator contained Resident 198's food that was not dated and stored with other unlabeled and undated staff food. This had the potential for cross contamination. 2. […]