Inspection Reports for Brookdale Corona

CA, 92879

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Inspection Report Summary

Most inspections found no deficiencies, with the facility generally maintaining safe, clean conditions and adequate staffing. Several complaint investigations were unsubstantiated, including allegations about food service, resident records access, and staff neglect leading to resident death. Some deficiencies were cited in earlier reports, primarily related to resident care documentation, medication administration, and safety features like a non-functioning call cord and exit monitoring. The most recent inspection on August 1, 2025, was clean with no deficiencies noted, showing improvement since the last annual inspection in August 2024 that included medication and equipment issues. Isolated findings related to staff conduct and reporting were addressed, including suspension and termination of a staff member for improper treatment of a resident.

Deficiencies (last 6 years)

Deficiencies (over 6 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

50% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 80% occupied

Based on a August 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

20 40 60 80 100 Dec 2020 Jun 2022 May 2023 Feb 2024 Mar 2025 Aug 2025

Inspection Report

Annual Inspection
Census: 48 Capacity: 60 Deficiencies: 0 Date: Aug 1, 2025

Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE) to assess compliance with licensing requirements.

Findings
The facility was found to be operating within its approved capacity, maintaining safe and clean conditions, with sufficient staffing and proper care practices. No deficiencies were cited during this inspection.

Report Facts
Resident files reviewed: 4 Staff files reviewed: 4

Employees mentioned
NameTitleContext
Btittney MartinezExecutive DirectorMet with Licensing Program Analyst during inspection and participated in exit interview
Paola GuerreroLicensing Program AnalystConducted the unannounced annual inspection visit
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 44 Capacity: 60 Deficiencies: 1 Date: Mar 19, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-02-23 regarding staff not treating a resident with dignity or respect, resident injury due to staff neglect, unmet resident needs, illegal eviction, and refund issues.

Complaint Details
The complaint investigation was substantiated for the allegation that staff did not treat resident with dignity or respect. Other allegations including resident injury due to staff neglect, unmet resident needs, illegal eviction, and refund issues were unsubstantiated. Staff #6 was suspended and later terminated due to inaccurate incident reporting and failure to treat the resident properly.
Findings
The investigation substantiated that Staff #6 did not treat Resident #1 with dignity or respect, resulting in a deficiency citation. Other allegations including resident injury due to staff neglect, unmet resident needs, illegal eviction, and refund issues were found to be unsubstantiated due to insufficient evidence.

Deficiencies (1)
Staff #6 did not treat Resident #1 with dignity or respect, violating CCR 87468.1(a)(1) Personal Rights of Residents in All Facilities.
Report Facts
Capacity: 60 Census: 44 Plan of Correction Due Date: Mar 28, 2025 Refund Amount: 1200 Non-refundable Fee: 500 Community Fee: 3500

Employees mentioned
NameTitleContext
Melody BrownLicensing Program AnalystConducted the complaint investigation and authored the report
Ryan GardnerLicensing Program AnalystAssisted in the complaint investigation
Efren MalagonLicensing Program ManagerOversaw the complaint investigation
Brittney MartinezExecutive Director, LVNFacility Executive Director involved in investigation and exit interview
Sheryl HendricksDistrict Director of Clinical Services, RNFacility Clinical Director involved in investigation and exit interview

Inspection Report

Complaint Investigation
Census: 43 Capacity: 60 Deficiencies: 0 Date: Mar 4, 2025

Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations received regarding resident care at Brookdale Corona facility.

Complaint Details
The complaint included five allegations: staff not ensuring residents are kept clean and dry, not providing timely colostomy care, not maintaining rooms free of malodors, not preventing residents from hitting others, and not speaking to residents appropriately. The investigation involved interviews with residents and staff, file reviews, and observations. All allegations were found unsubstantiated.
Findings
The investigation found insufficient evidence to substantiate allegations that staff failed to keep residents clean and dry, provide timely colostomy care, maintain rooms free of malodors, prevent residents from hitting others, or speak to residents appropriately. All allegations were unsubstantiated at this time.

Report Facts
Capacity: 60 Census: 43 Staff interviews: 6 Resident interviews: 3

Employees mentioned
NameTitleContext
Brittney MartinezExecutive DirectorMet with Licensing Program Analyst during investigation and exit interview
Melody BrownLicensing Program AnalystConducted the complaint investigation
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Annual Inspection
Census: 36 Capacity: 60 Deficiencies: 4 Date: Aug 26, 2024

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by Licensing Program Analysts to assess compliance with regulations at the facility.

Findings
The facility was generally operating within approved capacity and maintained physical plant standards, but deficiencies were cited related to a non-functioning resident signal system pull cord, lack of a current first aid manual, and medications not administered according to physician directions with missing medications observed.

Deficiencies (4)
Signal system/pull cord in resident room #5 was not working.
No current edition of a first aid manual maintained at the facility.
Resident #8 had three medications not given according to physician's directions; medications missing from medication room.
Resident #9 had two medications missing from medication room and not given per physician's directions.
Report Facts
Staff present: 12 Resident files reviewed: 5 Staff files reviewed: 5 Non-perishable food supply: 7 Perishable food supply: 3 Medications missing for Resident #8: 3 Medications missing for Resident #9: 2

Employees mentioned
NameTitleContext
Brittney MartinezExecutive DirectorMet with Licensing Program Analysts during inspection and named in report.
Renese Howell-SmallLicensing Program AnalystConducted inspection and signed report.
Raquel HernandezLicensing Program AnalystConducted inspection.
Melody BrownLicensing Program AnalystConducted inspection.
Karen ClemonsLicensing Program ManagerSupervisor overseeing the inspection.

Inspection Report

Census: 37 Capacity: 60 Deficiencies: 0 Date: Feb 27, 2024

Visit Reason
Licensing Program Analyst Ryan Gardner made an unannounced visit to conduct a Health and Safety check of the residents in care, including observation of the facility inside and outside, food supply, medications, physical plant, and residents.

Findings
No safety hazards were observed and no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations during the visit.

Employees mentioned
NameTitleContext
Brittney MartinezAdministratorMet with Licensing Program Analyst during the visit and received the report.
Ryan GardnerLicensing Program AnalystConducted the unannounced Health and Safety check visit.
Efren MalagonLicensing Program ManagerNamed in the report header.

Inspection Report

Complaint Investigation
Census: 41 Capacity: 60 Deficiencies: 0 Date: Jul 28, 2023

Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2020-06-05 regarding the facility staff not providing a resident's authorized representative with copies of the resident's records.

Complaint Details
The complaint was unsubstantiated. Although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur.
Findings
The investigation found that the individual requesting the resident's records was not legally authorized to receive them due to the status of the primary individual listed on the resident’s durable power of attorney. The complaint was deemed unsubstantiated and no deficiencies were cited during the visit.

Report Facts
Capacity: 60 Census: 41

Employees mentioned
NameTitleContext
Ryan GardnerLicensing Program AnalystConducted the complaint investigation and made the unannounced visit
Brittney MartinezAdministratorMet with Licensing Program Analyst during the investigation
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Annual Inspection
Census: 42 Capacity: 60 Deficiencies: 0 Date: Jul 28, 2023

Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst to assess compliance with regulations.

Findings
The facility was found to be operating within approved capacity and in safe, clean conditions with no deficiencies cited. Client files, staff files, and medication administration were reviewed and found compliant.

Report Facts
Client files reviewed: 5 Staff files reviewed: 5 Licensed capacity: 60 Current census: 42

Employees mentioned
NameTitleContext
Brittney MartinezFacility AdministratorMet with Licensing Program Analyst during inspection and named in report
Mary RicoLicensing Program AnalystConducted the inspection visit
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 42 Capacity: 60 Deficiencies: 0 Date: Jul 24, 2023

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 06/05/2020 regarding staff neglect resulting in a resident's death and improper authorization for hospice placement.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff neglect causing resident death and improper authorization for hospice placement. Evidence did not support these claims.
Findings
The investigation found no evidence to substantiate the allegations. Interviews and record reviews indicated the resident's death was due to Cerebral Vascular Disease and hospice services were properly authorized with physician orders and power of attorney consent. No deficiencies were cited during the visit.

Report Facts
Facility capacity: 60 Census: 42

Employees mentioned
NameTitleContext
Ryan GardnerLicensing Program AnalystConducted the complaint investigation and unannounced visit
Brittney MartinezAdministratorMet with Licensing Program Analyst during the investigation
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 42 Capacity: 60 Deficiencies: 1 Date: Jul 24, 2023

Visit Reason
An unannounced case management visit was conducted following a Department Complaint Investigation on 06/11/2020 regarding failure to provide care and services needed to meet resident R1's needs.

Complaint Details
The visit followed a complaint investigation (complaint control number 18-AS-20200605103755) that found R1 was not provided with needed care and services, including wound care and home health treatment.
Findings
The investigation found that resident R1 did not receive necessary wound care and home health treatment from at least January 21, 2020, until February 5, 2020, resulting in a deficiency citation for failure to provide adequate care and supervision.

Deficiencies (1)
Failure to ensure resident R1 received care, supervision, and services to meet their needs, posing an immediate health, safety, or personal rights risk.
Report Facts
Deficiencies cited: 1 Plan of Correction Due Date: Jul 25, 2023

Employees mentioned
NameTitleContext
Ryan GardnerLicensing Program AnalystConducted the unannounced case management visit and investigation.
Brittney MartinezAdministratorFacility administrator present during the visit and exit interview.
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager overseeing the evaluation.

Inspection Report

Complaint Investigation
Census: 38 Capacity: 60 Deficiencies: 0 Date: May 17, 2023

Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff were not providing access to a resident's records.

Complaint Details
The complaint alleged that staff were not providing access to a resident's records. The allegation was found to be unsubstantiated as the requesting party was not authorized and no violation was proven.
Findings
The investigation found that the party requesting the resident's records was not authorized under the resident's Durable Power of Attorney, and no release of information was signed. Documentation showed that records were provided when legally required. The complaint was determined to be unsubstantiated due to insufficient evidence.

Report Facts
Facility capacity: 60 Census: 38

Employees mentioned
NameTitleContext
Amy GoldenbergLicensing Program AnalystConducted the complaint investigation
Maritza LujanAdministratorProvided information regarding release of records
Brittney MartinezExecutive DirectorMet with investigator during the visit

Inspection Report

Complaint Investigation
Census: 42 Capacity: 60 Deficiencies: 0 Date: Mar 8, 2023

Visit Reason
An unannounced complaint investigation visit was conducted to investigate the allegation that facility staff abandoned a resident.

Complaint Details
The complaint alleged that facility staff abandoned a resident by not allowing the resident to return due to a medical diagnosis. The allegation was deemed unsubstantiated based on the evidence reviewed.
Findings
The investigation found no evidence to substantiate the allegation that the facility staff abandoned the resident. The resident was sent to the hospital multiple times but was accepted back with a medical diagnosis. No deficiencies were cited during the visit.

Report Facts
Facility capacity: 60 Census: 42

Employees mentioned
NameTitleContext
Ryan GardnerLicensing Program AnalystConducted the complaint investigation visit
Jennifer Sanchez LazaroBusiness Office CoordinatorMet with Licensing Program Analyst during the visit
Efren MalagonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 42 Capacity: 60 Deficiencies: 1 Date: Mar 8, 2023

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2021-02-04 regarding resident care issues at Brookdale Corona facility.

Complaint Details
The complaint included allegations that a resident was left in soiled diapers for a prolonged time, the resident's cane was taken away by facility staff, and the facility did not provide a copy of the resident's records to the responsible party. The allegation that the responsible party was not provided with a detailed explanation of additional care services was substantiated. The other allegations were unsubstantiated.
Findings
The investigation found one substantiated deficiency related to failure to inform the resident's responsible party about updates to the personal service plan. Other allegations regarding residents being left in soiled diapers, removal of a resident's cane, and failure to provide resident records were unsubstantiated.

Deficiencies (1)
Failure to comply with regulation 87463(c) by not informing resident's responsible party of reappraisal/personal service plan updates dated 10/10/2020.
Report Facts
Capacity: 60 Census: 42 Deficiencies cited: 1 Plan of Correction Due Date: Mar 10, 2023

Employees mentioned
NameTitleContext
Ryan GardnerLicensing Program AnalystConducted the complaint investigation and authored the report
Jennifer Sanchez LazaroBusiness Office CoordinatorMet with Licensing Program Analyst during investigation
Maritza LujanAdministratorFacility administrator named in the report
Efren MalagonLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation

Inspection Report

Complaint Investigation
Census: 48 Capacity: 60 Deficiencies: 0 Date: Oct 4, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff do not provide proper food service to residents in care.

Complaint Details
The complaint alleged improper food service to residents. The allegation was investigated and found unsubstantiated.
Findings
The investigation included interviews with residents and staff, a tour of the facility, and review of documentation. It was found that residents receive three meals and snacks daily, meals are served timely and at correct temperatures, and the allegation was unsubstantiated due to lack of preponderance of evidence.

Report Facts
Facility capacity: 60 Resident census: 48

Employees mentioned
NameTitleContext
Ryan GardnerLicensing Program AnalystConducted the complaint investigation and delivered findings
Jennifer Sanchez LazaroBusiness Office CoordinatorMet with Licensing Program Analyst during the investigation
Karen ClemonsLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Annual Inspection
Census: 47 Capacity: 60 Deficiencies: 0 Date: Jun 14, 2022

Visit Reason
The visit was an unannounced annual inspection limited to infection control, conducted as a required one-year review.

Findings
The facility was found to be successfully incorporating COVID-19 infection control best practices, including availability of hand sanitizer, stocked bathrooms, posted signage for infection control, and an abundant supply of PPE. Staff have been fit tested for N95 masks as confirmed by the Executive Director.

Employees mentioned
NameTitleContext
Joe ChavezMaintenance DirectorMet with Licensing Program Analyst during inspection and discussed infection control practices.
Brittany MartinezExecutive DirectorConfirmed staff have been fit tested for N95 masks and received the exit interview report.
Jennifer SeminLicensing Program AnalystConducted the inspection and authored the report.
Efren MalagonLicensing Program ManagerNamed in the report header.

Inspection Report

Complaint Investigation
Census: 45 Capacity: 60 Deficiencies: 2 Date: May 25, 2022

Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff failed to address a resident's change in medical condition and failed to seek timely medical attention for the resident while in care.

Complaint Details
The complaint investigation was substantiated. Allegations included failure to address a resident's change in medical condition and failure to seek timely medical attention. The preponderance of evidence supported these findings.
Findings
The investigation found that staff administered 'as needed' medication to the resident but failed to notify the facility nurse when the medication was ineffective. The facility nurse did not notify the resident's physician or responsible party of the change in condition in a timely manner. These allegations were substantiated based on interviews and documentation.

Deficiencies (2)
Failure to ensure residents are regularly observed for changes in condition and to notify the resident's physician and responsible party of such changes.
Failure to notify the resident's physician in a timely manner regarding a change in condition for a resident with dementia.
Report Facts
Capacity: 60 Census: 45 Plan of Correction Due Date: May 26, 2022

Employees mentioned
NameTitleContext
Jennifer SeminLicensing Program AnalystConducted the complaint investigation and authored the report
Efren MalagonLicensing Program ManagerOversaw the complaint investigation
Jennifer LazaroBusiness Office CoordinatorMet with Licensing Program Analyst during investigation and exit interview
Carol Ann LeRoseAdministratorFacility administrator named in the report

Inspection Report

Complaint Investigation
Census: 45 Capacity: 60 Deficiencies: 1 Date: May 25, 2022

Visit Reason
The inspection was a case management visit conducted in conjunction with complaint control number 18-AS-20200629144235 to review compliance with reporting requirements related to incidents threatening resident welfare.

Complaint Details
The visit was conducted in conjunction with complaint control number 18-AS-20200629144235. The deficiency involved failure to submit required incident reports, posing a potential risk to residents.
Findings
The facility failed to submit special incident reports (SIRs) for several incidents documented in Resident 1's file, which poses a potential risk to residents in care. A deficiency was cited for this failure to meet reporting requirements.

Deficiencies (1)
Failure to submit special incident reports (SIRs) for incidents threatening resident welfare as required by licensing regulations.
Report Facts
Capacity: 60 Census: 45 Deficiency count: 1 Plan of Correction Due Date: Jun 1, 2022

Employees mentioned
NameTitleContext
Jennifer SeminLicensing Program AnalystConducted the case management visit and cited the deficiency
Jennifer LazaroBusiness Office CoordinatorMet with Licensing Program Analyst during the visit
Efren MalagonLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Jul 28, 2021

Visit Reason
This unannounced visit was conducted to investigate a complaint alleging that a resident wandered away due to lack of supervision.

Complaint Details
Complaint was substantiated based on evidence that Resident 1 left the community unsupervised on 07/20/2021.
Findings
The investigation substantiated the complaint that Resident 1 left the facility unsupervised on 07/20/2021. The facility failed to meet the requirement to monitor exits, as evidenced by the resident walking out without facility knowledge.

Deficiencies (2)
The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident.
The facility has failed to meet this requirement as evidenced by Resident 1 walking out of the facility without facility knowledge.
Report Facts
Capacity: 60 Plan of Correction Due Date: Jul 29, 2021

Employees mentioned
NameTitleContext
Amy GoldenbergLicensing Program AnalystConducted the complaint investigation visit
Maritza LujanExecutive DirectorFacility representative met during investigation and involved in discussion of allegations
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Annual Inspection
Census: 32 Capacity: 60 Deficiencies: 0 Date: Jun 2, 2021

Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to evaluate the facility's compliance with Community Care Licensing guidelines.

Findings
The inspection found no deficiencies; the facility demonstrated adequate infection control measures including sufficient hand hygiene supplies, cleaning provisions, and a designated infection control lead. The facility also has plans for COVID-19 testing, isolation, and monitoring.

Employees mentioned
NameTitleContext
Maritza LujanExecutive DirectorMet with Licensing Program Analyst during the inspection
Amy GoldenbergLicensing Program AnalystConducted the unannounced annual inspection
Nedra BrownLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 37 Capacity: 60 Deficiencies: 0 Date: Dec 23, 2020

Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2020-12-18 regarding inadequate food service.

Complaint Details
The complaint was determined to be unfounded and dismissed after investigation.
Findings
The complaint was investigated through interviews with the reporting party and the administrator. The complaint was found to be unfounded, meaning the allegation was false or without reasonable basis, and no deficiencies were cited.

Report Facts
Capacity: 60 Census: 37

Employees mentioned
NameTitleContext
Natalie GayosoLicensing Program AnalystConducted the complaint investigation
Maritza LujanAdministratorFacility administrator interviewed during the investigation

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