Alhambra Post Acute Complaints, Violations and Inspection Records

June 3, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

April 23, 2026, standard inspection

8 deficiencies cited. Surveyors cited the facility for ensure medication error rates are not 5 percent or greater, ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors. (scope and severity E)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (scope and severity D)
• F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. (scope and severity D)
• F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)

March 9, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice and provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

• F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (scope and severity D)
• F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (scope and severity D)

November 21, 2024, standard inspection

11 deficiencies cited. Surveyors cited the facility for honor the resident's right to organize and participate in resident/family groups in the facility, implement gradual dose reductions(gdr) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and prn orders for psychotropic medications are only used when the medication is necessary and prn use is limited, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• F0565Honor the resident's right to organize and participate in resident/family groups in the facility. (scope and severity E)
• F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0814Dispose of garbage and refuse properly. (scope and severity E)
• F0920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. (scope and severity E)
• F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
• F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (scope and severity D)
• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity D)

• F0880Provide and implement an infection prevention and control program. (scope and severity D)
• F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)

May 3, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for plan the resident's discharge to meet the resident's goals and needs.

• F0660Plan the resident's discharge to meet the resident's goals and needs. (scope and severity D)

April 16, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide care and assistance to perform activities of daily living for any resident who is unable.

• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)

December 1, 2023, standard inspection

20 deficiencies cited. Surveyors cited the facility for ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs, have a policy regarding use and storage of foods brought to residents by family and other visitors, and provide and implement an infection prevention and control program.

• F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity F)
• F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors. (scope and severity F)
• F0880Provide and implement an infection prevention and control program. (scope and severity F)
• F0576Ensure residents have reasonable access to and privacy in their use of communication methods. (scope and severity E)
• F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity E)
• F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (scope and severity E)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
• F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (scope and severity E)
• F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
• F0883Develop and implement policies and procedures for flu and pneumonia vaccinations. (scope and severity E)
• F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity D)
• F0602Protect each resident from the wrongful use of the resident's belongings or money. (scope and severity D)
• F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (scope and severity D)
• F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (scope and severity D)
• F0641Ensure each resident receives an accurate assessment. (scope and severity D)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)

• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
• F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity D)
• F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity C)

November 7, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for let each resident or the resident's legal representative access or purchase copies of all the resident's records.

• F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (scope and severity D)