ALAMITOS WEST HEALTH & REHABILITATION

CCN 056169 · MALCOLM HEALTHCARE, INC. · Orange · CA · For profit - Individual · THE ENSIGN GROUP chain · 150 certified beds


ALAMITOS WEST HEALTH & REHABILITATION, in LOS ALAMITOS, California, holds 150 certified beds and has been certified for Medicare and Medicaid since 1978-05-01, averaging 138.3 residents a day.

Has ALAMITOS WEST HEALTH & REHABILITATION been cited for violations?

CMS lists 82 health-inspection deficiencies for ALAMITOS WEST HEALTH & REHABILITATION since 2022-02-22, 72 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2026-06-10.

Survey dateTagDeficiencySeverity
2026-06-10F0580, F0607, F0710, F0791Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Provide or obtain dental services for each resident.D
2026-05-21F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2026-04-30F0880Provide and implement an infection prevention and control program.D
2026-03-20F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D
2026-02-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-02-03F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2025-11-19F0558, F0605, F0684, F0686, F0689, F0698, F0755, F0757, F0759, F0761, F0803, F0812, F0813, F0880Reasonably accommodate the needs and preferences of each resident. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program.D
2025-11-19F0557, F0578, F0641, F0645, F0695, F0842, F0847Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Honor 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. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.B
2025-08-22F0684, F0842, F0880, F0921Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.B
2025-07-09F0686, F0880Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide and implement an infection prevention and control program.D
2025-04-03F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.D
2025-04-03F0557, F0803Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Ensure 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.B
2025-01-24F0580, F0689Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-01-24F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.B
2024-12-12F0690, F0757Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2024-12-12F0558, F0656, F0755, F0842Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2024-11-06F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-11-06F0558Reasonably accommodate the needs and preferences of each resident.B
2024-09-27F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2024-09-27F0558, F0578, F0656, F0695, F0698, F0755, F0756, F0757, F0758, F0759, F0761, F0803, F0813, F0849, F0881, F0883, F0908Reasonably accommodate the needs and preferences of each resident. / Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / 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. / Ensure 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Keep all essential equipment working safely.D
2024-09-27F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.C
2024-09-27F0814, F0842Dispose of garbage and refuse properly. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2022-02-22F0880, F0881Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.E
2022-02-22F0578, F0687, F0689, F0690, F0761, F0812, F0849Honor 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. / Provide appropriate foot care. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2022-02-22F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B

How is ALAMITOS WEST HEALTH & REHABILITATION staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.204204.51570
Average number of residents per day138.387.9

Who owns ALAMITOS WEST HEALTH & REHABILITATION, and what chain is it in?

ALAMITOS WEST HEALTH & REHABILITATION is registered with CMS as For profit - Individual, operates under the legal business name MALCOLM HEALTHCARE, INC. and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYCLUFF, CASEYsince 04/01/2025
CORPORATE DIRECTORWILLITS, ADAMsince 04/25/2024
CORPORATE OFFICERBURNAM, SOON, LOOPER, WILLIAM, SATO, AMI, WILLITS, ADAMsince 04/25/2024
OPERATIONAL/MANAGERIAL CONTROLAYELE, ETSEGENET, CLUFF, CASEYsince 04/01/2025
ADP OF THE SNFAYELE, ETSEGENET, CLUFF, CASEYsince 04/01/2025

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