Inspection Reports for Belmar Oakland

The inspection was conducted in response to a complaint alleging that Resident A was improperly admitted to the facility without proper guardianship and was not receiving proper supervision, including an incident where Resident A eloped by jumping out of a second-floor window.

The investigation found that Resident A was admitted without proper legal guardianship authorization, was improperly supervised as evidenced by his ability to elope from the facility, and did not have a timely developed service plan in place at the time of inspection.

The complaint alleged that Resident A was improperly admitted without guardianship, was at the facility against his will, and was improperly supervised, including elopement by jumping out a second-floor window. The violations were substantiated.

The inspection was conducted as a renewal licensing study to evaluate compliance with regulatory requirements and determine if the facility's license should be renewed.

The facility was found to be non-compliant with multiple rules including failure to provide documentation of quarterly fire drills, incomplete resident service plans, untimely tuberculosis screenings for residents and employees, lack of annual TB risk assessments, inadequate quality review program documentation, failure to maintain meal census and food records, lack of water temperature monitoring, and improper storage of oxygen tanks.

The investigation was initiated due to a complaint alleging residents lacked wound care, bathing, and their clothing was not changed properly.

The investigation substantiated that while residents appeared to receive care, documentation for showers and ADL logs was incomplete, indicating a lack of an organized program of documentation. Some residents lacked licensed healthcare professional orders for wound dressing changes, and shower and ADL care documentation was inconsistent.

The complaint alleged staff were not changing residents' wound dressings properly, residents had open wounds with dressings only changed during weekly nurse visits, residents were not bathed, and clothes were not changed for one week. The allegation was substantiated.

The facility requested a decrease in licensed capacity from 92 to 69 beds to convert the first-floor east unit into a licensed hospice residence.

The request to lower the capacity by de-licensing 23 beds in the first-floor east unit poses no conflicts with statute or rule. It is recommended that the bed capacity be decreased accordingly.

The visit was conducted to review and approve a temporary reduction in licensed bed capacity for the home for the aged facility to convert space to support emergency nursing home beds during the COVID-19 crisis.

The department approved the temporary reduction of licensed beds from 92 to 69 to accommodate emergency nursing home care, with the understanding that the full licensed capacity will resume after the crisis. The emergency nursing home area will be physically separate with distinct staffing and no risk of infection to the existing home for the aged program.

The document serves as an addendum to the original licensing study report to notify and approve the facility name change from Windemere Park of Oakland to Belmar Oakland, effective 12/7/2018.

The department reviewed the submitted documentation and approved the facility name change. The status of the license remains unchanged.

The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Windemere Park of Oakland.

The study determined substantial compliance with licensing statutes and administrative rules. The facility is newly constructed with 92 licensed beds, including private and semi-private rooms, and is designed to serve aged and Alzheimer's populations with appropriate safety and program features.