Inspection Reports for Brookdale Auburn

The inspection was conducted as a required annual unannounced visit to evaluate the facility's compliance with regulations.

The facility was found to be clean, well-maintained, and in substantial compliance with regulations. No deficiencies were cited during this inspection.

The inspection was conducted as a required annual unannounced visit to evaluate the facility's compliance with regulations.

The facility was found to be clean, well-maintained, and in good condition with no deficiencies cited. Residents appeared active and in good spirits, and all safety and medication storage requirements were met.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-08-21 alleging multiple issues including insufficient staffing, poor hygiene care, medication mishandling, and other concerns.

The Licensing Program Analyst investigated all allegations including insufficient staffing, residents being left soiled, unsafe food handling, poor facility maintenance, lack of hygiene products, chemical restraint use, medication mishandling, and staff yelling at residents. All allegations were found to be unfounded based on interviews with residents, staff, and administrator, as well as facility observations and medication reviews.

The complaint investigation was initiated due to multiple allegations including residents being left soiled, insufficient staffing, unsafe food handling, poor facility maintenance, lack of hygiene products, chemical restraint use, medication mishandling, and staff yelling at residents. After interviews with 5 residents, 4 care staff, 1 housekeeper, 1 medication technician, and the administrator, and review of medications and facility conditions, all allegations were found to be unfounded.

The visit was an unannounced case management inspection triggered by a complaint investigation regarding the facility's response to a resident's injury during a walk.

The facility failed to call emergency services immediately after a resident (R1) fell and was injured, which was not related to the expected course of the resident's terminal illness. This failure posed an immediate health, safety, and personal rights risk to residents in care, resulting in cited deficiencies.

During the complaint investigation, it was found that resident R1, who was on hospice services, fell during a walk and was in pain. The facility waited 2 to 3 hours for hospice nurse assessment and did not call emergency services immediately. The next day, the resident was sent to the emergency department and diagnosed with a hip fracture. The facility's failure to call emergency services upon injury was cited.

The inspection was an unannounced annual inspection conducted to evaluate the health and safety of residents in care at the facility.

The Licensing Program Analyst toured various areas of the facility and reviewed resident and staff files, medication records, and safety supplies. No immediate health, safety, or personal rights violations were observed, and no deficiencies were cited as a result of the inspection.

Unannounced investigation of a complaint received on 2023-05-10 regarding failure to adhere to the admission agreement.

The investigation found that the facility continued to charge late payments to residents R1 and R2 despite the admission agreement stating late fees apply only if fees are not paid on time. The allegation was substantiated based on evidence gathered.

The complaint was substantiated. The allegation was that the facility failed to adhere to the admission agreement by charging late fees improperly. The investigation confirmed this finding.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2023-03-03 regarding medication security, staff training, facility cleanliness, food service, smoking, and resident care.

The investigation found most allegations to be unfounded, including medication security, staff training, cleanliness, food service, incontinence care, hygiene, and smoking. However, the allegation that residents did not receive proper medication assistance was substantiated due to medication not being provided as prescribed, posing an immediate health and safety risk.

The complaint investigation was initiated based on multiple allegations including unlocked medications, incomplete staff training, unclean facility, improper food service, staff smoking, accessible nicotine devices, improper medication assistance, and inadequate incontinence care. The medication assistance allegation was substantiated; others were unsubstantiated or unfounded.

The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff were not giving new residents their medications for several days and were not following reporting requirements, as well as allegations that staff leave residents in bed and do not answer call lights promptly.

The investigation substantiated that new residents did not receive medications as prescribed from April 29th through May 2nd due to medication orders being incorrectly entered as self-administered. The physician was notified late and the incident was not reported to the licensing agency as required. Allegations that staff leave residents in bed and do not answer call lights promptly were found to be unfounded.

The complaint investigation was substantiated regarding failure to administer medications to new residents and failure to follow reporting requirements. Allegations about staff leaving residents in bed and not answering call lights were unfounded.

An unannounced complaint investigation was conducted following allegations including staff not following a licensed physician's orders, non-compliance with infection control practices, failure to notify responsible parties of resident illness, and refusal to clean residents' rooms.

The investigation found conflicting information for all allegations, including issues related to COVID-19 positive residents and staff actions. Due to lack of preponderance of evidence, all allegations were determined to be unsubstantiated.

The complaint investigation was triggered by multiple allegations: staff not following physician's orders, infection control non-compliance, failure to notify responsible parties of resident illness, and refusal to clean residents' rooms. The findings were unsubstantiated due to conflicting evidence and lack of proof.

The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 08/15/2022 regarding COVID-19 spread prevention, resident clothing changes, medication ordering and dispensing, and refund issues at the facility.

The investigation found that the facility was routinely screening for COVID-19 and following isolation protocols, but it was not possible to determine if COVID was contracted at the facility; staff addressed resident clothing issues appropriately once aware; medication ordering and dispensing delays were due to issues between the doctor's office and pharmacy, not facility fault; and refund allegations were unfounded based on the facility's admission agreement. All allegations were unsubstantiated or unfounded.

The complaint investigation was unsubstantiated. Allegations included failure to stop COVID-19 spread, failure to routinely change resident's clothes, failure to order and dispense prescribed medication, and failure to provide a refund. Each allegation was investigated and found to be unsubstantiated or unfounded based on evidence and interviews.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2022-11-09 regarding the facility staff not releasing past resident's records.

The investigation found that the facility provided some documentation as requested but failed to furnish several required documents to the POA/Representative, substantiating the allegation of not releasing past resident's records. A deficiency was cited under Title 22, Section 87648.2(a)(19).

The allegation that facility staff are not releasing past resident's records was substantiated based on the preponderance of evidence.

The visit was an unannounced complaint investigation triggered by allegations that staff forced a resident to take medication not prescribed to them, staff did not safeguard residents' personal belongings, and staff did not ensure a resident had a shower curtain.

The allegation that staff forced a resident to take medication not intended for them was substantiated due to a medication being given to the wrong resident. Allegations regarding failure to safeguard personal belongings and failure to provide a shower curtain were found to be unfounded.

The complaint investigation was substantiated for the allegation that staff forced a resident to take medication not intended for them. The other allegations about safeguarding personal belongings and providing a shower curtain were unfounded.

The visit was an unannounced case management inspection related to legal/non-compliance to deliver an immediate exclusion for staff member S1.

An immediate exclusion was delivered to staff S1, prohibiting them from being present in or working with residents of any facility licensed by the Department of Social Services. The exclusion was delivered to the facility Executive Director and read to S1, who then left the facility.

The inspection was an unannounced complaint investigation visit triggered by an allegation that a staff member inappropriately touches female residents in care.

The investigation substantiated the allegation that male staff member S1 inappropriately touched female residents by reaching into their undergarments and smelling the crotch area to check if they were wet. The facility was cited for violating residents' personal rights and required to submit a plan of correction.

The complaint was substantiated based on interviews with witnesses, residents, staff, and the accused staff member. The preponderance of evidence standard was met confirming inappropriate touching by staff member S1.

The visit was conducted to complete a complaint investigation regarding staff behavior and care practices at the facility.

During the investigation, staff reported that an employee acted inappropriately by sniffing residents' undergarments, not wearing gloves during incontinence care, and sitting close to a resident on the toilet. The facility failed to report these incidents to appropriate agencies, resulting in a deficiency for failure to report.

The complaint investigation found substantiated allegations of inappropriate staff conduct and failure to report these incidents to the Department of Social Services or other agencies.

The visit was an unannounced annual inspection conducted to evaluate the facility's infection control practices using the Infection Control Domain of the CARES Tool.

The facility was found to be in overall compliance with no deficiencies cited. The facility was clean, well-furnished, well-stocked with PPE and COVID tests, and residents participated in various activities.

The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 2022-07-07 regarding refund issuance and proper resident assessment.

The allegation that the facility had not issued a refund was found to be unfounded as the refund was in process. The allegation that the facility accepted a client without a proper assessment was substantiated, citing that the initial assessment missed prohibited and restricted health conditions requiring extra care.

Two allegations were investigated: 1) Facility has not issued a refund - found unfounded. 2) Facility accepted a client without a proper assessment - substantiated.

The visit was conducted to follow up on an incident report sent in on 2022-06-14 regarding an allegation that a staff member grabbed a resident's arm roughly, causing bruising.

The facility had thoroughly investigated the incident, took immediate and appropriate action including terminating the staff involved, and reported the incident to relevant authorities. No deficiencies were cited during this visit.

The visit was complaint-related due to an incident report alleging staff misconduct. The staff member admitted to grabbing the resident's arm, was terminated by the staffing agency, and the facility filed reports with the Community Care Licensing, Ombudsman, Placer County Sheriff, and notified the resident's POA.

Unannounced visit/investigation of a complaint received on 03/16/2022 regarding staff speaking rudely to residents.

The investigation found no evidence that the staff member was rude to residents, although the staff may have spoken gruffly with other staff. The complaint was determined to be unsubstantiated due to lack of evidence.

Complaint was unsubstantiated. Although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation occurred.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations including untrained individuals administering medications, failure to report incidents, staff causing injury to a resident, residents not receiving medications as needed, and inadequate staffing.

The investigation substantiated the allegation that untrained agency staff were administering medications without documented training, posing a potential immediate danger. Other allegations regarding failure to report incidents, staff causing injury, residents not receiving medications, and inadequate staffing were found to be unsubstantiated or unfounded.

The complaint investigation was substantiated for the allegation that untrained individuals were administering medications to residents due to lack of documentation of medication training for agency staff. Other allegations including failure to report incidents, staff causing injury, residents not receiving medications, and inadequate staffing were found unsubstantiated or unfounded.

Unannounced visit/investigation of a complaint received on 01/19/2022 regarding the allegation that the facility over charged a resident.

The investigation found that the facility had repaid the responsible party appropriately as per the admission agreement/contract. Therefore, the allegation that the facility over charged the resident was determined to be unfounded.

The complaint alleged that the facility over charged a resident. The allegation was investigated and found to be unfounded.

The inspection was an unannounced Required-1 Year Inspection conducted to assess infection control and overall compliance at the facility.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.

The visit was an unannounced virtual case management incident review conducted to discuss an incident report submitted regarding a resident sustaining a fracture from an un-witnessed fall on 2021-05-14.

The facility staff conducted rounds as scheduled and responded promptly to the resident's call for help, immediately dialing 911 and notifying the responsible party and primary physician. No deficiencies were cited during the visit.

The inspection was an unannounced complaint investigation visit triggered by allegations that the facility failed to follow the admission agreement, failed to answer promptly to communications from resident’s representatives, and did not follow reappraisal procedures.

The complaint that the facility failed to follow the admission agreement was substantiated due to the facility increasing a resident's monthly fee without properly discussing the cost changes with the Durable Power of Attorney (DPOA). The allegations that the facility failed to answer promptly to communications and did not follow reappraisal procedures were found to be unfounded after investigation.

The complaint investigation was substantiated for the allegation that the facility failed to follow the admission agreement, specifically regarding failure to communicate cost changes to the DPOA. The other allegations regarding communication delays and reappraisal procedures were unsubstantiated.

The inspection visit was an unannounced complaint investigation triggered by a complaint received on 07/20/2020 regarding staff failing to follow licensed physician's orders for a resident while in care.

The investigation found that while the facility was following the physician's medication orders, they were not following the PRN authorization form which required physician authorization prior to each PRN medication dose. The complaint was substantiated and a deficiency was cited.

The complaint was substantiated based on the preponderance of evidence standard. The allegation was that staff failed to follow licensed physician's orders for a resident while in care.

The inspection was an unannounced complaint investigation triggered by an allegation that staff failed to ensure a resident was properly transported to the hospital.

Based on interviews and documentation review, the allegation was found to be unfounded as the preponderance of evidence standard was not met. The complaint was determined to be false or without reasonable basis.

The complaint was investigated and found to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis.