Inspection Reports for Brookdale Garden Grove

An unannounced complaint investigation visit was conducted to investigate allegations that staff stole money from a resident and were going through residents' personal belongings without consent.

The investigation found that the allegation of staff stealing $70 from a resident was unfounded as the resident later found the money misplaced. The allegation of staff going through residents' personal belongings without consent was also unsubstantiated based on interviews and record review. Therefore, all allegations were deemed unfounded.

The complaint involved allegations that staff stole money from a resident and went through residents' personal belongings without consent. The allegations were investigated through interviews with residents and staff and record review. The findings were that the allegations were unfounded and could not be corroborated.

This unannounced Case Management – Deficiencies inspection was conducted to issue citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20250924155802.

The licensee failed to report Resident #1's hospitalization on September 5, 2025, to the licensing agency as required, posing a potential safety risk to persons in care. Civil penalties for repeat violations are being assessed.

Investigation was triggered by Complaint Control No. 22-AS-20250924155802. The deficiency related to failure to report Resident #1's hospitalization was substantiated.

An unannounced complaint investigation was conducted to investigate the allegation that the facility did not maintain a clean and sanitary environment.

The investigation found no evidence to support the allegation. Inspections, interviews, and medical record reviews revealed no bad odors or gastrointestinal issues related to Resident #1, and no residents were bothered by odors or became ill. The allegation was found to be unfounded.

The complaint alleged that Resident #1 had gastrointestinal issues causing odor that affected other residents. The investigation included facility inspection, interviews with administrator, residents, and staff, and review of Resident #1's medical records. No corroborating evidence was found and the complaint was determined to be unfounded.

An unannounced complaint investigation was conducted due to an allegation that staff did not adequately supervise a resident resulting in the resident's injury.

The investigation found that 12 out of 12 resident interviews and 2 out of 2 staff interviews did not corroborate the allegation. Documentation showed the resident had a history of falls and sustained a bruise but no injury from the fall. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged inadequate supervision of a resident resulting in injury. The allegation was unsubstantiated based on interviews, document review, and observations.

The visit was an unannounced follow-up inspection to verify correction of a Type B deficiency issued during the Annual Inspection on August 28, 2025.

The facility was found to be in compliance with the terms of the Plan of Correction for the cited Type B deficiency 87303(a) after inspection of the apartment unit of Resident #1 with the Maintenance Supervisor. A Letter of Deficiency Citations Cleared was provided at the end of the visit.

The inspection was an unannounced Required 1-Year annual evaluation using the Care Inspection Tool to assess compliance with licensing requirements.

The facility was generally clean, sanitary, and in good repair except for one unit where mold was observed on a ceiling panel caused by a water pipe drip. The ceiling panel was removed and replaced during the visit. All other areas including bedrooms, bathrooms, common areas, and safety equipment were found to be in compliance.

This unannounced inspection was conducted to investigate a complaint alleging that the facility's air conditioning units were in disrepair, resulting in poor performance, outages, and uncomfortable temperatures.

The investigation found no health or safety issues related to the air conditioning system. Interviews with residents and staff, inspection of temperatures in resident rooms, and review of maintenance records showed that the facility has been diligently working to diagnose and fix the air conditioning issues, and residents were not impacted by uncomfortable temperatures. The allegation was deemed unsubstantiated due to lack of sufficient evidence.

The complaint alleged that the facility’s AC system was not properly maintained causing poor performance and uncomfortable temperatures. The investigation was unsubstantiated as no evidence confirmed the allegation.

This unannounced inspection was conducted to investigate complaints alleging that a resident sustained a head injury and multiple falls due to lack of supervision.

The investigation found that while the resident had multiple falls, none resulted in serious injury or hospitalization. The facility had updated the resident's care plan and conducted staff training to address fall risks. There was insufficient evidence to substantiate the allegations, and the complaint was deemed unsubstantiated.

The complaint alleged that a resident sustained a head injury and multiple falls due to lack of supervision. The investigation included interviews with staff, residents, and review of medical and care records. The allegations were unsubstantiated due to lack of preponderance of evidence.

This unannounced Case Management – Deficiencies inspection was conducted to issue citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20250205085503.

The inspection found that Resident #1 had multiple unwitnessed falls in early February 2025, including one on February 1 that was not reported to licensing as required, posing a potential safety risk. Deficiencies were cited per Title 22 Division 6 of the California Code of Regulations.

Investigation was triggered by Complaint Control No. 22-AS-20250205085503. The deficiency related to failure to report Resident #1's fall on February 1, 2025, was substantiated based on documents and admission by the administrator.

An unannounced complaint investigation visit was conducted in response to allegations that facility staff falsified a resident's Physician Report and that a resident was unlawfully retained in Memory Care.

The investigation substantiated the allegations that the facility staff falsified the resident's Physician Report and unlawfully retained the resident in Memory Care. Documentation and interviews revealed conflicting Physician Reports and lack of communication with the resident's authorized representative prior to placement in Memory Care.

The complaint investigation was substantiated. The allegations included falsification of the resident's Physician Report and unlawful retention of the resident in Memory Care. The preponderance of evidence standard was met based on interviews and document reviews.

An unannounced complaint investigation visit was conducted to follow up on an allegation that staff do not ensure the facility is free from mold.

The investigation included tours of the facility, resident interviews, and review of physical plant areas. Evidence showed a past water damage incident with adequate containment and no current mold presence. The allegation was found to be unsubstantiated due to insufficient evidence.

The complaint alleged that staff do not ensure the facility is free from mold. The allegation was found to be unsubstantiated after investigation including tours, interviews, and review of the facility.

An unannounced complaint investigation visit was conducted in response to allegations received on April 17, 2024, regarding the facility's failure to provide requested records to an authorized representative, failure to allow resident participation in care planning, and failure to allow the resident to choose a healthcare provider.

The investigation substantiated all allegations, finding that the facility did not provide requested records for March 2024 to the authorized representative, did not arrange a meeting with the resident and authorized representative for care planning, and did not allow the resident to choose their healthcare provider. These deficiencies pose potential risks to persons in care.

The complaint investigation was substantiated. Allegations included failure to provide requested records to the authorized representative, failure to allow resident participation in care planning, and failure to allow resident to choose healthcare provider. Evidence included document reviews and interviews confirming these issues.

This unannounced inspection was conducted as a Required – 1 Year Inspection to evaluate compliance with licensing regulations.

The inspection included a facility tour, review of infection control, resident and staff file reviews, and medication inspections. One deficiency was cited related to water temperature taps exceeding safe limits in memory care rooms, posing an immediate safety risk. The licensee adjusted the temperature during the inspection and submitted a plan of correction.

The visit was a case management inspection conducted to discuss an amended report related to a complaint control #22-AS-20240226102932 dated 2024-06-21.

The Licensing Program Analyst called the facility administrator to discuss the amended complaint report and conducted an exit interview by telephone. The administrator agreed to print, sign, and email the amended report and case management report back to the analyst.

The visit was related to complaint control #22-AS-20240226102932 dated 2024-06-21. The report discussed was an amended complaint report.

The visit was an unannounced complaint investigation conducted in response to complaints received on 2024-02-26 regarding inadequate supervision resulting in a resident wandering away, failure to notify the resident's authorized representative of a placement change, inappropriate placement of a resident in a locked unit, and untimely reappraisal following a change in resident's condition.

The investigation substantiated that staff did not provide adequate supervision resulting in a resident wandering away, failed to notify the authorized representative of a change in placement, and inappropriately placed a resident in a locked unit without proper notice. The allegation regarding untimely reappraisal following a change in condition was unsubstantiated.

The complaint investigation was substantiated for allegations of inadequate supervision leading to a resident wandering away, failure to notify the authorized representative of placement changes, and inappropriate placement in a locked unit. The allegation of untimely reappraisal was unsubstantiated.

The visit was conducted as a subsequent investigation related to a complaint (Complaint Control #22-AS-20240226102932) regarding the facility's compliance with resident rights.

The facility failed to provide the required 30-day written notice to Resident 1 and their responsible party prior to moving the resident from Assisted Living to the Memory Care unit, posing a potential risk to residents in care.

The visit was triggered by a complaint investigation (Complaint Control #22-AS-20240226102932). The deficiency was substantiated as the facility did not provide the required written notice to Resident 1's responsible party within 30 days of the room change.

The inspection was an unannounced complaint investigation initiated due to an allegation that the facility was not adhering to a resident's admission agreement.

The investigation found that the facility did not adhere to the resident's admission agreement by failing to issue a prorated refund upon the resident's move-out, which was substantiated based on interviews and document reviews.

The complaint was substantiated. The allegation was that the facility was not adhering to the resident's admission agreement, specifically failing to issue a prorated refund after the resident moved out following hospitalization.

An unannounced visit was conducted to investigate a complaint alleging that the facility did not provide requested records to an authorized representative.

The investigation found that the facility did not provide records initially because the requestor was not an authorized representative until a change of POA was received. Records were subsequently provided, and the allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged the facility did not provide requested records to an authorized representative. The allegation was unsubstantiated after investigation.

The visit was an unannounced Case Management inspection conducted in connection to a complaint identified by Complaint Control Number 22-AS-20230919083629.

During the visit, the Licensing Program Analyst interviewed a resident and obtained records related to the complaint. An exit interview was conducted with the Executive Director, and a copy of the report was provided.

The visit was triggered by a complaint with Control Number 22-AS-20230919083629. No substantiation status is provided in the report.

An unannounced complaint investigation visit was conducted to follow up on allegations including inappropriate pushing of a resident, unexplained injuries, inappropriate staff speech, and multiple falls among residents.

The investigation included interviews with staff, residents, and witnesses, and a review of documentation. The allegations were found to be unsubstantiated due to lack of preponderance of evidence to prove the violations occurred.

The complaint involved allegations that a resident was inappropriately pushed, residents sustained unexplained injuries, staff spoke inappropriately to a resident, and residents sustained multiple falls. The investigation concluded these allegations were unsubstantiated.

An unannounced complaint investigation visit was conducted in response to an allegation that the facility failed to provide a refund.

The investigation revealed that the facility required payment of monthly rent despite the resident not admitting due to lack of a dementia diagnosis. The facility's admission agreement requires a thirty-day notice for a refund. The allegation was determined to be unfounded.

The complaint alleged the facility failed to provide a refund. The allegation was found to be unfounded, meaning it was false, could not have happened, or was without a reasonable basis.

This unannounced inspection was conducted for the purpose of an Annual Inspection to evaluate compliance with regulations.

The inspection found no health and safety issues; the facility was clean, organized, and compliant with COVID-19 protocols. No deficiencies were cited during this inspection.

The inspection visit was conducted as part of the investigation of complaint number 22-AS-20210623125429.

The licensing program analyst observed deficiencies related to the unsafe storage of centrally stored medicines, specifically an unlocked medication cart at the entrance to the dementia care unit, posing an immediate risk to resident health and safety.

The visit was complaint-related, investigating complaint number 22-AS-20210623125429. The report does not explicitly state substantiation status.