Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. However, some deficiencies were cited over time, primarily related to case management issues such as failure to provide timely eviction notices and delays in delivering medical records. More serious findings included substantiated failures to ensure adequate care and supervision for a resident with multiple falls in 2024, which posed an immediate safety risk, and an incident in late 2024 where a resident was left in unsanitary conditions, also posing immediate risk. The facility’s most recent report from October 13, 2025, was a complaint investigation with no deficiencies and unsubstantiated allegations regarding food quality and staff treatment, showing improvement in those areas. Overall, while isolated care and administrative issues occurred, recent inspections suggest the facility is maintaining compliance and addressing prior concerns.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 108
Capacity: 140
Deficiencies: 0
Oct 13, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2024-10-31 regarding food quality and staff treatment of residents at the facility.
Findings
The investigation found that the allegations were unsubstantiated. Resident and staff interviews, observations, and record reviews indicated satisfaction with food quality and respectful staff behavior. Past kitchen staff issues were noted but not current. No preponderance of evidence supported the allegations.
Complaint Details
The complaint alleged poor food quality and disrespectful staff treatment. Interviews with 7 residents and 1 staff member did not corroborate these allegations. Observations showed adequate food supply and staff engagement. The complaint was deemed unsubstantiated due to lack of evidence.
Report Facts
Resident interviews: 7
Staff interviews: 1
Facility capacity: 140
Facility census: 108
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Executive Director | Met with during investigation and mentioned in findings |
| Nicole Reyes | Business Office Manager | Met with during investigation and mentioned in findings |
| Celine Rodriguez | Licensing Program Analyst | Conducted the complaint investigation |
| Sheila Santos | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 140
Deficiencies: 0
Oct 13, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility served contaminated food to residents, following a report of a resident testing positive for Salmonella Newport.
Findings
The investigation found insufficient evidence to prove the allegation. Interviews with residents and staff denied the claim, food preparation and handling were observed to be clean and compliant with regulations, and no health or safety violations were noted. The allegation was deemed unsubstantiated.
Complaint Details
The complaint alleged that the facility served contaminated food to residents. The investigation included interviews with residents and staff, observation of food service practices, and consultation with the Orange County Health Care Agency. The allegation was unsubstantiated due to lack of evidence linking the food served at the facility to the resident's illness.
Report Facts
Complaint Control Number: 22
Complaint Control Number Suffix: 20251010101254
Number of residents interviewed: 5
Number of staff interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Samer Haddadin | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Troy Byington | Administrator | Facility administrator who granted access and participated in the investigation |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 140
Deficiencies: 0
Jul 30, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations that staff caused an injury to a resident, failed to seek timely medical attention, and did not prevent a resident from falling during a transfer.
Findings
The investigation found no evidence to support the allegations. Staff and progress notes confirmed no falls or injuries occurred during the resident's stay at the facility. The resident had moved to a skilled nursing facility where a fall and subsequent death occurred. The allegations were deemed unsubstantiated due to lack of evidence.
Complaint Details
The complaint was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 140
Census: 108
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Byington | Administrator | Facility administrator interviewed during investigation |
| Alisa Ortiz | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Annual Inspection
Census: 107
Capacity: 140
Deficiencies: 0
Jul 17, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found the facility to be well-maintained with no deficiencies noted. Safety equipment was current, food supplies were sufficient, and resident rooms were safe and hazard-free. Records and medication logs were complete, and an annual emergency drill was conducted.
Report Facts
Resident rooms: 115
Fire alarm inspection date: Mar 11, 2025
Fire extinguisher service date: Jun 2, 2025
Hot water temperature: 105.9
Annual emergency drill date: Jun 18, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Samer Haddadin | Licensing Program Analyst | Conducted the inspection |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 140
Deficiencies: 0
Jun 3, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-02-19 regarding unlawful eviction and failure to safeguard residents' personal items at Brookdale Anaheim facility.
Findings
The allegation of unlawful eviction was found to be unfounded as the eviction notice complied with required procedures and the resident was in breach of the residency agreement due to unpaid rent. The allegation that the facility failed to safeguard residents' personal items was deemed unsubstantiated due to insufficient evidence to prove the violation occurred.
Complaint Details
Two allegations were investigated: 1) Unlawful eviction, which was found to be unfounded; 2) Facility failed to safeguard residents' personal items, which was found to be unsubstantiated.
Report Facts
Capacity: 140
Census: 101
Number of residents interviewed: 5
Number of staff interviewed: 3
Number of missing cameras: 3
Number of watches observed: 4
Number of residents denying theft: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Cho | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Troy Byrington | Executive Director | Facility representative met during investigation and exit interview |
| Lourdes Montoya | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Census: 85
Capacity: 140
Deficiencies: 1
May 5, 2025
Visit Reason
This unannounced case management deficiency visit was conducted to investigate the facility's eviction procedures, specifically regarding the failure to provide a required 30-day eviction notice to Community Care Licensing for approval before evicting a resident.
Findings
The facility failed to submit a 30-day eviction notice to Community Care Licensing for approval prior to serving it to the resident, resulting in an Unlawful Detainer issued through the Orange County Courts. Deficiencies were cited under Title 22, Division 6 of the California Code of Regulations.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to provide the Department with the 30-day notice for approval which resulted in an Unlawful Detainer issued, posing a potential risk for safety of resident in care. | Type B |
Report Facts
Plan of Correction Due Date: May 12, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Executive Director | Granted entry to Licensing Program Analyst and was involved in the exit interview |
| Samer Haddadin | Licensing Program Analyst | Conducted the inspection visit and authored the report |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the visit |
Inspection Report
Census: 99
Capacity: 140
Deficiencies: 0
Apr 7, 2025
Visit Reason
An unannounced case management visit was conducted to confirm the presence of a 30-day eviction notice for a resident.
Findings
The Licensing Program Analyst found that the resident's file did not contain a 30-day eviction notice and confirmed with the resident that no such notice was given. The facility plans to proceed with the eviction at a later date and was advised to submit the 30-day eviction letter to Community Care Licensing for approval.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Executive Director | Met with Licensing Program Analyst during the visit and was advised regarding the eviction notice. |
| Samer Haddadin | Licensing Program Analyst | Conducted the unannounced case management visit and inspection. |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 140
Deficiencies: 0
Feb 7, 2025
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2025-01-29 regarding staff privacy, hygiene assistance, dignity, and cleanliness at the facility.
Findings
The investigation found the allegations that staff did not give residents privacy while dressing, did not meet residents' hygiene needs, and did not accord residents dignity were unsubstantiated. The allegation that staff did not keep the facility clean and sanitary was determined to be unfounded. No deficiencies were cited.
Complaint Details
The complaint included allegations that staff did not give residents privacy to get dressed, did not ensure residents' hygiene needs were met, did not accord residents dignity in their relationships, and did not keep the facility clean and sanitary. Interviews with staff and residents, as well as observations, led to the determination that the first three allegations were unsubstantiated and the cleanliness allegation was unfounded.
Report Facts
Capacity: 140
Census: 98
Staff interviewed: 5
Residents interviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation |
| Alisa Ortiz | Licensing Program Manager | Oversaw the complaint investigation |
| Troy Byington | Executive Director | Facility representative met during the investigation |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 140
Deficiencies: 0
Jan 22, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-06-15 regarding staff not ensuring bathrooms are kept clean and sanitary, bathroom floor disrepair, and untimely staff response to resident signal systems.
Findings
The investigation found that the facility generally met expectations for call button response times and bathroom cleanliness, with no observed cockroach activity or flooring issues. Based on interviews and documentation review, the allegations were deemed unsubstantiated due to lack of sufficient evidence.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included unclean bathrooms, bathroom floor disrepair, and delayed staff response to call signals. Interviews and record reviews did not corroborate these claims.
Report Facts
Capacity: 140
Census: 110
Call button response time expectation: 10
Call button response time expectation: 15
Extermination documentation period: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Troy Byington | Administrator | Facility administrator met during the investigation |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Follow-Up
Census: 110
Capacity: 140
Deficiencies: 1
Dec 27, 2024
Visit Reason
The visit was an unannounced case management follow-up on an incident report involving a resident who contacted 911 due to severe knee pain and was later found to have a hip fracture after falling from a wheelchair.
Findings
Deficiencies were cited based on the failure to ensure the resident received adequate care and supervision, posing an immediate safety risk. The deficiency was related to basic services and care requirements under Title 22 Division 6 of the California Code of Regulations.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure resident received care and supervision to meet their needs, posing an immediate safety risk. | Type A |
Report Facts
Capacity: 140
Census: 110
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Samer Haddadin | Licensing Program Analyst | Conducted the unannounced case management visit and cited deficiencies |
| Troy Byington | Executive Director | Facility administrator met during the inspection |
| Alisa Ortiz | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 140
Deficiencies: 0
Oct 29, 2024
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that facility staff served contaminated food to residents.
Findings
The investigation found no evidence to support the allegation. The kitchen was clean and organized, food was stored properly, and staff and residents denied any issues with contaminated food. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that facility staff served contaminated food to residents. The allegation was investigated through interviews with residents and staff, kitchen inspection, and observation of food service. The allegation was found unsubstantiated.
Report Facts
Capacity: 140
Census: 103
Number of residents interviewed: 7
Number of staff interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Byington | Executive Director | Facility administrator met during the investigation |
| Sheila Santos | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 102
Capacity: 140
Deficiencies: 1
Oct 18, 2024
Visit Reason
An unannounced complaint investigation was conducted to investigate the allegation that staff did not properly address a resident's multiple falls at the facility.
Findings
The investigation substantiated the allegation that the facility failed to provide adequate care and supervision to Resident #1, who suffered approximately twenty-two falls in 2024, including eight falls between September 1 and October 13, 2024. The facility took several measures to address the falls, but these were ineffective, and one-on-one supervision was refused by the resident's family. The facility did not meet the care needs of the resident, posing an immediate safety risk.
Complaint Details
The complaint alleged that staff did not properly address Resident #1's multiple falls. The allegation was substantiated based on interviews, document reviews, and observations. The resident had dementia, was non-ambulatory, and had multiple falls resulting in injuries. The facility's fall prevention measures were insufficient, and family refusal of one-on-one supervision contributed to the issue.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure Resident #1 received care and supervision to meet their needs in light of their fall risk and approximately twenty-two falls in one year. | Type A |
Report Facts
Resident falls: 22
Resident falls: 8
Resident hospital visits: 9
Deficiency type count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation |
| Armando J Lucero | Licensing Program Manager | Oversaw the complaint investigation |
| Troy Byington | Administrator | Interviewed during investigation and provided information about Resident #1 |
| Mink Medina | Health and Wellness Director | Interviewed during investigation and provided information about Resident #1 |
Inspection Report
Census: 109
Capacity: 140
Deficiencies: 0
Oct 2, 2024
Visit Reason
An unannounced Case Management Visit was conducted to follow-up on a death report received from the facility.
Findings
No deficiencies or imminent health/safety concerns were observed during the visit. The facility maintained a comfortable temperature and had sufficient food supplies. Records and plans were reviewed and an interview was conducted with the Executive Director.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Executive Director | Interviewed during the visit and named in the report. |
| Edward Kim | Licensing Program Analyst | Conducted the inspection visit. |
| Lourdes Montoya | Licensing Program Manager | Named as Licensing Program Manager in the report. |
Inspection Report
Follow-Up
Census: 111
Capacity: 140
Deficiencies: 1
Sep 24, 2024
Visit Reason
The visit was an unannounced follow-up to review documentation paperwork related to a three-day eviction notice issued on 2024-09-23.
Findings
The facility was cited for failing to provide requested resident records in a timely manner, posing a potential health and safety risk. Copies of some documents were eventually provided after the requested timeframe.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility was unable to provide copies of resident records to Licensing in a timely manner as originally requested, posing a potential health and safety risk to residents in care. | Type B |
Report Facts
Capacity: 140
Census: 111
Deficiencies cited: 1
Plan of Correction Due Date: Sep 27, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the inspection and issued citation |
| Troy Byington | Executive Director | Met with Licensing Program Analyst during inspection |
| Lourdes Montoya | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 107
Capacity: 140
Deficiencies: 0
Aug 8, 2024
Visit Reason
This unannounced Case Management – Incident inspection was conducted to follow up on a self-reported incident received on 2024-08-06 regarding Resident #1 (R1).
Findings
The inspection found no health and safety issues; the facility was clean and organized, supplies and medications were properly stored, and residents were confirmed to be doing well. No deficiencies were cited.
Complaint Details
The visit was triggered by a self-reported incident involving Resident #1 (R1) received by the Orange County Regional Office on 2024-08-06. No deficiencies or substantiated issues were found.
Report Facts
Capacity: 140
Census: 107
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Administrator | Met with Licensing Program Analyst during inspection and discussed purpose of inspection |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and follow-up on the incident report |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 108
Capacity: 140
Deficiencies: 0
Jul 31, 2024
Visit Reason
This unannounced inspection was conducted as a Required – 1 Year Inspection to evaluate compliance with licensing regulations.
Findings
The inspection included a tour of the facility, review of infection control requirements, resident and staff file reviews, and medication inspections. No deficiencies were observed or cited during this inspection.
Report Facts
Resident rooms inspected: 12
Resident files reviewed: 6
Staff files reviewed: 6
Residents interviewed: 6
Staff interviewed: 6
Medications inspected: 6
Total resident rooms: 115
Water temperature range: 105-120
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Administrator | Met with Licensing Program Analyst during inspection |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection |
| Armando J Lucero | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 140
Deficiencies: 1
Jun 12, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff did not provide a resident's medical records to an authorized representative.
Findings
The investigation found that the facility provided the resident's medical records approximately one and a half months after the request was received, which was deemed a substantiated violation of confidentiality regulations.
Complaint Details
The complaint alleging that staff did not provide resident's medical records to authorized representative was substantiated based on interviews and document review. The records were eventually sent about one and a half months after the request.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility provided the medical records approximately one and a half months after the request was received, posing a potential risk to persons in care. | Type B |
Report Facts
Capacity: 140
Census: 108
Pages of medical records: 1000
Days delay: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the complaint investigation and exit interview |
| Troy Byington | Administrator | Facility administrator involved in the investigation and interviews |
| Sheila Santos | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 140
Deficiencies: 0
Jun 7, 2024
Visit Reason
The inspection visit was an unannounced complaint investigation initiated due to an allegation that staff stole a resident's medication.
Findings
The investigation included interviews with staff and a resident, and review of relevant documentation. The allegation that staff stole the resident's medication was deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that on May 30, 2024, Staff #1 stole Resident #1's opioid tablets, Hydrocodone-Acetaminophen. Interviews and evidence did not substantiate the allegation.
Report Facts
Capacity: 140
Census: 110
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Cho | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Byington | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Lourdes Montoya | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 140
Deficiencies: 1
Dec 21, 2023
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2023-11-20 regarding pest presence and unauthorized disclosure of resident information.
Findings
The investigation substantiated the complaint that the facility was not free from roaches, with documented pest sightings and observations during the visit. The facility has a pest control contract but roach presence was confirmed. Another complaint alleging unauthorized disclosure of resident information was unsubstantiated based on staff and resident interviews.
Complaint Details
The complaint investigation included two allegations: 1) Licensee does not ensure facility is free from roaches, which was substantiated based on pest sighting logs and observations. 2) Staff disclosed resident information to a third party without authorization, which was unsubstantiated based on interviews with staff and residents.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by facility resident and staff have noted roach sightings on 11/15/2023, 11/24/2023 and 11/25/2023. This poses a potential health risk to persons in care. | Type B |
Report Facts
Capacity: 140
Census: 110
Deficiencies cited: 1
Plan of Correction Due Date: Dec 27, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Executive Director | Met with during inspection and provided information regarding pest control and resident information policies |
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 140
Deficiencies: 1
Dec 18, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained a pressure injury while in care and that staff failed to meet the resident's hygiene needs.
Findings
The investigation found the allegation of a pressure injury sustained while in care to be unsubstantiated due to lack of evidence of neglect by staff. However, the allegation that staff failed to meet the resident's hygiene needs was substantiated, with evidence that the resident was left in a soiled diaper for a prolonged period, posing an immediate risk to resident health and safety.
Complaint Details
The complaint investigation was based on allegations received on 05/17/2021 regarding a resident sustaining a pressure injury and failure of staff to meet hygiene needs. The pressure injury allegation was unsubstantiated, while the hygiene neglect allegation was substantiated.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee failed to ensure that the facility provided care and supervision as defined, evidenced by a resident being left in a soiled diaper for a long period of time with feces under a bandage for a wound on their buttock. | Type A |
Report Facts
Capacity: 140
Census: 110
Plan of Correction Due Date: Dec 19, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Troy Byington | Executive Director | Met with Licensing Program Analyst during investigation |
| Luz Adams | Licensing Program Manager | Oversaw complaint investigation and signed report |
Inspection Report
Complaint Investigation
Census: 108
Capacity: 140
Deficiencies: 0
Nov 9, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to multiple allegations concerning resident care and staff behavior at Brookdale Anaheim.
Findings
All allegations including inappropriate touching of a resident by staff, multiple falls, denial of food, untimely staff checks, and unsafe environment were investigated and deemed unsubstantiated due to lack of preponderance of evidence, despite the possibility that the allegations may have occurred.
Complaint Details
The complaint involved nine allegations including inappropriate touching of a resident by staff, multiple falls while in care, denial of food, untimely staff checks, and unsafe environment. The investigation included interviews with staff, residents, and review of records. The resident involved had passed away and was not interviewed. All allegations were found unsubstantiated due to insufficient evidence to prove or disprove the claims.
Report Facts
Capacity: 140
Census: 108
Special Incident Reports: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Troy Byington | Executive Director/Administrator | Facility administrator interviewed during the investigation |
| Luz Adams | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 140
Deficiencies: 0
Oct 12, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 2020-09-15 regarding inadequate care, lack of dignity in staff-resident relationships, and failure to notify resident's representative of rate increases.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff denied the claims of neglect and inappropriate behavior, and records showed proper notification of rate increases was sent to the resident's responsible party, who did not respond.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not providing necessary care, resident not accorded dignity, and failure to notify resident's representative of rate increases. Evidence did not support these claims.
Report Facts
Capacity: 140
Census: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Mink Medina | Health and Wellness Director | Met with investigator during the complaint investigation |
| Luz Adams | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 103
Capacity: 140
Deficiencies: 1
Oct 12, 2023
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced case management visit to the facility to conduct a case management visit and follow up on complaint #22-AS-20200915080631.
Findings
During the complaint investigation, it was observed that the facility did not have the 'See Something, Say Something' poster (PUB 475) posted in the main entrance way. An advisory note and technical assistance were issued regarding this violation of CCR 87468(c)(2)(A).
Complaint Details
The visit was related to complaint #22-AS-20200915080631. The report does not state substantiation status.
Deficiencies (1)
| Description |
|---|
| Facility did not have the 'See Something, Say Something' poster (PUB 475) posted in the main entrance way. |
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the unannounced case management visit and issued advisory note. |
| Mink Medina | Health and Wellness Director | Met with Licensing Program Analyst during the visit and consulted regarding CCR reporting requirements. |
Inspection Report
Follow-Up
Census: 98
Capacity: 140
Deficiencies: 0
Aug 2, 2023
Visit Reason
The visit was an unannounced follow-up to a Report of Suspected Elder Abuse submitted by the facility on July 31, 2023.
Findings
The Licensing Program Analyst conducted interviews and a tour of the facility, finding no apparent signs of distress or other health and safety concerns. No deficiencies were cited during this visit.
Complaint Details
The visit was triggered by a complaint of suspected elder abuse. The Anaheim Police Department had interviewed the involved residents on July 31, 2023. The complaint was investigated and no deficiencies were found.
Report Facts
Facility capacity: 140
Resident census: 98
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Executive Director | Met with Licensing Program Analyst during the visit and involved in interview regarding the reported incident |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the unannounced follow-up visit and investigation |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 94
Capacity: 140
Deficiencies: 0
Feb 28, 2023
Visit Reason
An unannounced visit was made by Licensing Program Analyst Andrea Mendivil to deliver amended findings for complaint control number #22-AS-20230106134321.
Findings
The Licensing Program Analyst met with Executive Director Troy Byington to discuss the amended findings. An exit interview was conducted and copies of the report and amended findings were provided.
Complaint Details
The visit was related to complaint control number #22-AS-20230106134321. No substantiation status is stated.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Executive Director | Met with Licensing Program Analyst to discuss amended findings. |
| Andrea Mendivil | Licensing Program Analyst | Conducted the unannounced visit and delivered amended findings. |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 94
Capacity: 140
Deficiencies: 0
Feb 16, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2023-01-06 regarding medication errors, attempted sexual assault by staff, and theft of resident's jewelry.
Findings
The investigation included interviews with residents and staff, and review of records. The allegations of medication error, attempted sexual assault by staff, and theft of jewelry were found to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited.
Complaint Details
The complaint involved three allegations: resident was administered medication in error, facility staff attempted to sexually assault a resident, and resident's jewelry was stolen. After investigation, all allegations were unsubstantiated.
Report Facts
Capacity: 140
Census: 94
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Executive Director | Met with during investigation and mentioned in findings |
| Andrea Mendivil | Licensing Program Analyst | Conducted the complaint investigation |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 140
Deficiencies: 2
Feb 8, 2023
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2023-01-30 regarding an allegation that a resident was illegally evicted.
Findings
The investigation found that the facility failed to provide Licensing with a copy of the eviction notice within five days as required by regulation 87224, resulting in the allegation being substantiated.
Complaint Details
The complaint alleged that a resident was illegally evicted. The allegation was substantiated based on evidence that the facility did not notify Licensing within five days of the eviction notice as required.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| A written report of any eviction shall be sent to the licensing agency within five (5) days. This requirement is not being met. | Type B |
| Licensee failed to ensure Licensing was provided a copy of the eviction notice to Resident 1 within five days to ensure a legal eviction, posing a potential health and safety risk to residents in care. | Type B |
Report Facts
Capacity: 140
Census: 95
Plan of Correction Due Date: Feb 22, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Lyman | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Troy Byington | Executive Director | Met with Licensing Program Analyst during the investigation |
| Alisa Ortiz | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Follow-Up
Census: 101
Capacity: 140
Deficiencies: 0
Oct 26, 2022
Visit Reason
This unannounced case management inspection was conducted to follow up on a self-reported incident involving suspicious charges on Resident #1's bank account linked to Staff #1.
Findings
The investigation confirmed that Staff #1 admitted to fraudulent charges on Resident #1's bank account and was terminated. No health or safety issues were observed for Resident #1 during the inspection.
Report Facts
Suspicious transactions amount: 1185.02
Suspicious transactions count: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Administrator | Facility Administrator interviewed regarding the incident and investigation |
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and investigation |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 140
Deficiencies: 0
Sep 22, 2022
Visit Reason
This was an unannounced complaint investigation visit conducted in response to a complaint received on 2022-05-09 regarding multiple allegations about resident care and facility operations at Brookdale Anaheim.
Findings
All allegations investigated, including failure to assist residents with showering, dressing, clean linens, communication with authorized representatives, staffing levels, and notification of rate increases, were found to be unsubstantiated based on observations, interviews, and file reviews.
Complaint Details
The complaint included nine allegations related to staff not bringing changes in resident condition to attention, lack of assistance with showering, dressing, and clean linens, failure to provide itemized statements, poor communication with authorized representatives, insufficient staffing, failure to assist residents in receiving phone calls, and improper notification of rate increases. All allegations were deemed unsubstantiated.
Report Facts
Capacity: 140
Census: 104
Number of allegations: 9
Witnesses interviewed: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Albert Marin | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Troy Byington | Executive Director | Facility representative met during investigation |
Inspection Report
Census: 103
Capacity: 140
Deficiencies: 0
Aug 24, 2022
Visit Reason
This unannounced inspection was conducted as a health and safety check on Resident #1 (R1) who had not paid rent for multiple months and was not cooperating with the facility’s attempts to reassess R1 to ensure their needs were met.
Findings
No deficiencies were cited based on observations made during the inspection. The Licensing Program Analyst conducted interviews and discussed R1’s medical history, care needs, and next steps with facility staff and witnesses.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and health and safety check. |
| Troy Byington | Administrator | Facility administrator met with the Licensing Program Analyst and was involved in discussions regarding Resident #1. |
Inspection Report
Census: 103
Capacity: 140
Deficiencies: 0
Aug 19, 2022
Visit Reason
This unannounced inspection was conducted as a health and safety check on Resident #1 who had not paid rent for multiple months and was not cooperating with the facility's attempts to reassess to ensure the resident's needs were met.
Findings
No deficiencies were cited during the inspection based on observations made, and the report was discussed with and provided to the facility representative.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and authored the report |
| Mink Medina | Wellness Director | Met with Licensing Program Analyst during inspection |
| Troy Byington | Administrator | Facility administrator named in report header |
Inspection Report
Follow-Up
Census: 103
Capacity: 140
Deficiencies: 0
Aug 17, 2022
Visit Reason
The visit was a follow-up meeting to discuss the pending eviction of Resident #1 who has not paid rent for multiple months and is not cooperating with reassessment efforts to ensure their care needs are met.
Findings
The facility is working with the Department, Adult Protective Services, the Long-Term Care Ombudsman, and other stakeholders to reassess Resident #1 and ensure continued care and supervision during the eviction process. Additional time was discussed to complete these steps before eviction is finalized.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Troy Byington | Administrator | Facility representative involved in the follow-up meeting regarding Resident #1 eviction. |
| Mink Medina | Wellness Director | Participant in the follow-up meeting regarding Resident #1 eviction. |
| Armando J Lucero | Licensing Program Manager | Conducted the informal conference via Microsoft Teams. |
| Sean Haddad | Licensing Program Analyst | Conducted the informal conference via Microsoft Teams. |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 140
Deficiencies: 0
Feb 9, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to multiple allegations including facility phone disrepair, inadequate laundry service, laundry machines in disrepair, inadequate transportation, lack of activities, and resident being charged late fees.
Findings
The investigation found no preponderance of evidence to substantiate the allegations regarding phone disrepair, laundry service, laundry machines, transportation, and activities, deeming them unsubstantiated. The allegation of resident being charged late fees was found to be unfounded as late fees were reversed and did not affect the resident's account balance.
Complaint Details
The complaint investigation was unannounced and involved multiple allegations. Reporting parties refused to be interviewed and residents interviewed could not corroborate the allegations. The late fee allegation was reviewed through account history and found to be unfounded.
Report Facts
Capacity: 140
Census: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation |
| Mink Medina | Health and Wellness Director | Met with Licensing Program Analyst during investigation and provided information |
| Troy Byington | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 140
Deficiencies: 0
Oct 18, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not provide adequate supervision.
Findings
The investigation found that on 10/14/2021 a resident suffered an unwitnessed fall and was treated and released from the hospital the same day. Staff reported adequate supervision and staffing levels in memory care. None of the parties interviewed could corroborate the allegation, and the complaint was deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff did not provide adequate supervision. The allegation was unsubstantiated after investigation.
Report Facts
Capacity: 140
Census: 90
Staffing: 3
Residents in memory care: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation |
| Troy Byington | Administrator | Facility Administrator interviewed during investigation |
Inspection Report
Annual Inspection
Census: 88
Capacity: 140
Deficiencies: 0
Jul 21, 2021
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual visit at the facility.
Findings
The facility was toured and inspected including common areas, memory care area, medication room, and outside premises. The Covid-19 mitigation plan was reviewed and found to be in accordance with guidelines. No deficiencies were cited during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the annual inspection visit. |
| Troy Byington | Executive Director | Facility representative who greeted the Licensing Program Analyst and participated in the facility tour. |
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