ALHAMBRA CONVALESCENT HOSPITAL

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Alhambra Convalescent Hospital. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/14/2011.

Administration

Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/14/2011 Correction Date: 05/14/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/28/2009 Correction Date: 02/23/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/14/2011 Correction Date: 05/14/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/14/2011 Correction Date: 05/14/2011
Provide Rooms That Are Big Enough for Each Resident. Inspection Date: 04/14/2011 Correction Date: 05/14/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 04/14/2011 Correction Date: 05/14/2011

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 01/28/2009 Correction Date: 02/23/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 01/14/2010 Correction Date: 02/14/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 01/28/2009 Correction Date: 02/23/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/28/2009 Correction Date: 02/23/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/14/2010 Correction Date: 02/14/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/28/2009 Correction Date: 02/23/2009
Make Sure That a Resident Does Not Become Withdrawn, Angry or Depressed if These Problems Did Not Exist Before. Inspection Date: 01/28/2009 Correction Date: 02/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/14/2010 Correction Date: 02/14/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/14/2011 Correction Date: 05/14/2011
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 04/14/2011 Correction Date: 05/14/2011

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 01/28/2009 Correction Date: 02/23/2009
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 01/28/2009 Correction Date: 02/23/2009
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 01/14/2010 Correction Date: 02/14/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/14/2011 Correction Date: 05/14/2011
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 04/14/2011 Correction Date: 05/14/2011

The table below lists incident reports by the nursing staff or administration for Alhambra Convalescent Hospital, as well as complaints by residents or their family in the previous three years.

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 05/28/2008 Correction Date: 06/30/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 01/14/2010 Correction Date: 02/14/2010
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Complaint Filed: 01/14/2010 Correction Date: 02/14/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 05/28/2008 Correction Date: 06/30/2008

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 05/28/2008 Correction Date: 06/30/2008

Resident Rights

Tell the Resident Completely About His or Her Health Status. Complaint Filed: 05/28/2008 Correction Date: 06/30/2008

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Alhambra Convalescent Hospital had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/21/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/01/2010 Correction Date: 04/16/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/21/2011 Correction Date: 06/20/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/05/2009 Correction Date: 03/03/2009
Approved Construction Type or Materials. Inspection Date: 04/01/2010 Correction Date: 04/16/2010
Approved Construction Type or Materials. Inspection Date: 04/21/2011 Correction Date: 06/20/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 04/21/2011 Correction Date: 06/20/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/21/2011 Correction Date: 06/20/2011
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 04/21/2011 Correction Date: 06/20/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/01/2010 Correction Date: 04/16/2010
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/21/2011 Correction Date: 06/20/2011
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/21/2011 Correction Date: 06/20/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 04/21/2011 Correction Date: 06/20/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/05/2009 Correction Date: 03/03/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 02/05/2009 Correction Date: 03/03/2009
Exit Stairways and Towers That Are Smoke Proof. Inspection Date: 04/21/2011 Correction Date: 06/20/2011
Exits That Are Accessible at All Times. Inspection Date: 04/21/2011 Correction Date: 06/20/2011

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 04/21/2011 Correction Date: 06/20/2011

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles. Inspection Date: 04/21/2011 Correction Date: 06/20/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/21/2011 Correction Date: 06/20/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/05/2009 Correction Date: 03/03/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 02/05/2009 Correction Date: 03/03/2009