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Facility profile · CCN 056157

Alvarado Care Center

62 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $52,457.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
62
Total citations
62
Last 3 years
2
Actual harm+
2
Federal penalties
$52,457
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

62 on record
SurveyF-TagViolationSeveritySource
Jan 23, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 23, 2026F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Jan 23, 2026F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jan 23, 2026F761Ensure 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.EStandard
Jan 23, 2026F760Ensure that residents are free from significant medication errors.EStandard
Jan 23, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 23, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jan 23, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 23, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jan 23, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jan 23, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 23, 2026F641Ensure each resident receives an accurate assessment.EStandard
Jan 23, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard
Jan 23, 2026F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 23, 2026F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Dec 9, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Dec 9, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Sep 5, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 5, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Sep 5, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Sep 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 22, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint
Jul 10, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DComplaint
Jun 27, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 27, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jun 27, 2025F551Give the resident's representative the ability to exercise the resident's rights.DComplaint
Dec 15, 2024F880Provide and implement an infection prevention and control program.DStandard
Dec 15, 2024F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Dec 15, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 15, 2024F761Ensure 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.DStandard
Dec 15, 2024F758Implement 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.EStandard
Dec 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 15, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 15, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 15, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Dec 15, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Dec 15, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Nov 15, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint
Sep 19, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 19, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Sep 19, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
Jul 10, 2024F758Implement 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.DComplaint
Jul 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 10, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 26, 2024F584Honor 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.DComplaint
Jun 26, 2024F551Give the resident's representative the ability to exercise the resident's rights.DComplaint
Mar 26, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Jan 26, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 26, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Jan 26, 2024F758Implement 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.DStandard
Jan 26, 2024F732Post nurse staffing information every day.DStandard
Jan 26, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jan 26, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 26, 2024F685Assist a resident in gaining access to vision and hearing services.DStandard
Jan 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 26, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jan 26, 2024F578Honor 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.EStandard
Jan 26, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
May 3, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 3, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $52,457 .

DateTypeFinePayment denial
Jun 26, 2024Fine$41,400
Apr 9, 2023Fine$11,057
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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