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Health Inspection Summary

Monterey Park Conv Hosp

416 N Garfield Ave

Monterey Park, CA 91754

(626) 280-0280

Deficiency Category	Inspection Date: 5/26/24 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 10/22/21 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 8/22/19 Complaint Reporting Period: 4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	0	0	0
Quality of Life and Care Deficiencies	3	0	5
Infection Control Deficiencies	1	1	1
Resident Assessment and Care Planning Deficiencies	3	2	0
Nursing and Physician Services Deficiencies	0	0	0
Resident Rights Deficiencies	2	3	2
Nutrition and Dietary Deficiencies	3	1	0
Pharmacy Service Deficiencies	2	1	0
Environmental Deficiencies	2	1	1
Administration Deficiencies	0	0	0

Detailed result for inspection on 5/26/24

Date of last standard health inspection:	5/26/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25	No complaint inspections
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	16
Average number of Health Deficiencies in California:	16.3
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Some
Provide safe, appropriate dialysis care/services for a resident who requires such services.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure services provided by the nursing facility meet professional standards of quality.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Dispose of garbage and refuse properly.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Some
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Some
Provide special eating equipment and utensils for residents who need them and appropriate assistance.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
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.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Some
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	5/26/24	6/20/24	1 - Potential for minimal harm	Some
Make sure that a working call system is available in each resident's bathroom and bathing area.	5/26/24	6/20/24	2 - Minimal harm or potential for actual harm	Few

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 10/22/21

Date of last standard health inspection:	10/22/21Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24	9/26/23Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24	No infection control inspections
Total number of Health Deficiencies for this nursing home:	9
Average number of Health Deficiencies in California:	17.3
Average number of Health Deficiencies in the United States:	9.4

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
No Quality of Life and Care Deficiencies were found during this inspection period.

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	10/22/21	11/17/21	2 - Minimal harm or potential for actual harm	Some

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure services provided by the nursing facility meet professional standards of quality.	10/22/21	11/17/21	2 - Minimal harm or potential for actual harm	Few
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	9/26/23	10/23/23	1 - Potential for minimal harm	Some

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	10/22/21	11/17/21	2 - Minimal harm or potential for actual harm	Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	9/26/23	10/23/23	2 - Minimal harm or potential for actual harm	Few
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	10/22/21	11/17/21	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	10/22/21	11/17/21	2 - Minimal harm or potential for actual harm	Some

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure medication error rates are not 5 percent or greater.	10/22/21	11/17/21	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	10/22/21	11/17/21	1 - Potential for minimal harm	Some

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 8/22/19

Date of last standard health inspection:	8/22/19Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23	3/15/23Read the full report (PDF) 1/24/23Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23	No infection control inspections
Total number of Health Deficiencies for this nursing home:	9
Average number of Health Deficiencies in California:	15.3
Average number of Health Deficiencies in the United States:	8.7

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	3/15/23	3/24/23	2 - Minimal harm or potential for actual harm	Few
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	8/22/19	9/20/19	2 - Minimal harm or potential for actual harm	Few
Provide safe, appropriate pain management for a resident who requires such services.	8/22/19	9/20/19	2 - Minimal harm or potential for actual harm	Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	8/22/19	9/20/19	2 - Minimal harm or potential for actual harm	Few
Provide enough food/fluids to maintain a resident's health.	8/22/19	9/20/19	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	1/24/23	2/24/23	2 - Minimal harm or potential for actual harm	Some

Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	8/22/19	9/20/19	2 - Minimal harm or potential for actual harm	Few
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	8/22/19	9/20/19	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.

Pharmacy Service Deficiencies
No Pharmacy Service Deficiencies were found during this inspection period.

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	8/22/19	9/20/19	1 - Potential for minimal harm	Some

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	9/26/23	10/23/23	1 - Potential for minimal harm	Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	9/26/23	10/23/23	2 - Minimal harm or potential for actual harm	Few
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	3/15/23	3/24/23	2 - Minimal harm or potential for actual harm	Few
Provide and implement an infection prevention and control program.	1/24/23	2/24/23	2 - Minimal harm or potential for actual harm	Some

Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.

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