Inspection Reports for Brookdale Lodi

The visit was an unannounced Required 1 Year Annual Inspection to evaluate compliance with Title 22 regulations and facility licensing requirements.

The facility was found generally compliant with regulations including adequate food supply, proper staff certifications, and safety equipment. However, a Type A deficiency was cited for fire safety due to the facility not having bedridden clearance for one resident, posing an immediate health and safety risk.

An unannounced complaint investigation visit was conducted in response to allegations received on 2025-02-13 regarding staff mismanaging residents' medication and not preventing residents from engaging in inappropriate behaviors.

Based on record reviews and interviews, there was not a preponderance of evidence to substantiate the allegations. Staff followed doctor's directives and client requests, and had appropriate training in deescalating behaviors. The allegations were determined to be unsubstantiated.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.

The visit was an unannounced Case Management follow-up on an incident report received regarding a resident's death.

The investigation concluded there was insufficient evidence to support that the resident's fall and injury were due to staff neglect or lack of care. The resident was previously identified as a fall risk but showed improvement and independence prior to the incident.

The complaint involved a resident's death following an unwitnessed fall. The investigation found no evidence of staff neglect or lack of care contributing to the fall or injury.

An unannounced Case Management visit was conducted to follow up on an incident report received on 2025-01-06 regarding a resident's death.

The facility is gathering and providing care notes, medication administration records, incident reports, a physician's report, and a needs and services plan related to the resident. The matter is still under investigation.

The visit was triggered by a complaint related to a resident's death. The investigation is ongoing and not yet concluded.

The visit was an unannounced case management follow-up to an incident report received by the Department on 10/26/2024 regarding an incorrect medication dose given to a resident.

The investigation revealed that the initial report of the medication dose was incorrect; the actual dose given was lower than first reported. However, deficiencies were cited for failure to administer medications as prescribed, posing an immediate health and safety risk.

The inspection was an unannounced Required 1 Year Annual Inspection Visit conducted to ensure compliance with Title 22 regulations.

The facility was found to be in compliance with regulations including adequate food supply, sanitary resident rooms, current fire safety equipment, and proper staff certifications. All necessary documents were in place and no deficiencies were noted.

The visit was an unannounced Case Management follow-up on an incident report received on 2024-02-07 regarding a resident receiving the same dose of medication twice in one day.

The resident involved in the incident is no longer at the facility. The facility is gathering hospice care notes, physician's report, and needs and services plan to provide to the Licensing Program Analyst by 2024-03-29. The matter remains under investigation.

The visit was triggered by a complaint/incident report concerning medication administration. The investigation is ongoing and not yet substantiated.

The inspection visit was conducted as a case management incident inspection regarding an incident report received about an unwitnessed resident fall dated 2024-02-03.

The facility provided and the Licensing Program Analyst reviewed the resident's physician's report, needs and services plan, and hospital discharge paperwork. All incidents were reported on time and to the correct departments. No deficiencies were observed or cited during the inspection.

The visit was complaint-related due to an incident report of an unwitnessed fall. The complaint was investigated and found to have no deficiencies.

The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2023-09-20 alleging staff mismanagement of a resident's medication.

The investigation found no preponderance of evidence to substantiate the allegation of medication mismanagement. The Medication Administration Record was completed correctly, and staff followed both doctor's orders and the resident's requests.

The complaint alleged that staff mismanaged a resident's medication. After interviews and record reviews, the allegation was determined to be unsubstantiated due to lack of sufficient evidence.

The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2023-10-30 regarding the availability of the facility administrator.

The investigation found no preponderance of evidence to support the allegation that the Administrator was not available to attend to the management and administration of the facility. The allegation was determined to be unsubstantiated.

The complaint alleged that the Administrator was not available to attend to the management and administration of the facility. The allegation was found to be unsubstantiated after interviews and record reviews.

The visit was an unannounced case management inspection regarding a staff member no longer being employed at the facility.

No deficiencies were observed or cited during the case management inspection conducted per California Code of Regulations, Title 22.

An unannounced required annual inspection visit was conducted to ensure compliance with Title 22 regulations.

The inspection found no deficiencies or citations. The facility was compliant with regulations including physical plant conditions, staff background clearances, and safety equipment.

The visit was an unannounced Case Management inspection due to multiple hospital visits for residents.

The inspection found that one resident experienced a possible unwitnessed fall resulting in a laceration, and another resident was hospitalized for a UTI. The facility provided timely medical care and notified necessary parties according to reviewed documentation.

The visit was an unannounced case management inspection regarding incidents involving resident falls that occurred on 12-8-22 and 12-28-22.

The inspection reviewed incident reports, resident care plans, staffing schedules, and call pendant system functionality. No deficiencies were cited as the facility followed protocols for fall prevention, timely notifications, and staffing compliance.

The visit was triggered by incidents involving residents R1, R2, and R3 who experienced falls resulting in injuries. The investigation found that residents did not use call pendants prior to falls, appropriate notifications were made within regulatory time frames, and updated care plans and increased supervision were in place. R1 and R3 no longer reside at the facility; R2 was placed on hospice and also no longer resides at the facility.

An unannounced complaint investigation visit was conducted in response to an allegation that there was insufficient food service personnel employed, trained, and scheduled to meet the needs of residents.

The investigation included review of staff schedules, training records, menus, food handler certificates, and observation of lunch service. Based on interviews and documentation, the allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged insufficient food service personnel, training, and working hours to meet resident needs. The allegation was found to be unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-08-03 regarding resident falls and medication administration errors.

The investigation found no preponderance of evidence to substantiate the allegations that a resident sustained falls or that staff failed to administer medication as prescribed. Both allegations were determined to be unsubstantiated based on interviews and record reviews.

The complaint included allegations that a resident sustained falls while in care and that staff did not administer the resident's medication as prescribed. Both allegations were investigated and found to be unsubstantiated.

An unannounced complaint investigation was conducted regarding an allegation that a staff member worked at the facility on 10-11-22 while having symptoms of COVID-19.

Based on interviews, record reviews, and a facility tour, it was determined that the staff members who tested positive for COVID-19 did not work on the alleged date, and the facility was following COVID-19 precautions with adequate PPE available. The allegation was found to be unfounded.

Allegation was that a staff member worked while symptomatic for COVID-19 on 10-11-22. Investigation found no evidence to support this; the allegation was unfounded.

The visit was an unannounced annual inspection conducted to ensure compliance with Title 22 regulations at the assisted living facility.

The inspection found no deficiencies. The facility was compliant with regulations including infection control, safety, and sanitation standards. All reviewed staff and resident charts were in order, and the facility had an approved COVID mitigation plan in place.

An unannounced complaint investigation was conducted in response to an allegation that staff billed a resident in excess of the agreed upon rates provided in the Admission Agreement.

The investigation found no intention to overbill; the issue was due to a misunderstanding of the facility's billing process and funds were returned as requested. The allegation was determined to be unsubstantiated.

The complaint was unsubstantiated based on interviews and record reviews. There was no evidence of an actual physical bill received and funds were returned.

The visit was an unannounced case management inspection related to incident reports concerning resident falls and injury occurring on 7-8-22, 7-9-22, and 7-11-22.

The investigation determined that the resident sustained falls and a head injury on the reported dates. The facility had implemented fall prevention measures and increased monitoring. Staffing levels were adequate, the emergency pendant system was functioning properly, and no deficiencies were issued as a result of the visit.

The visit was triggered by incident reports of resident falls and injury. The complaint was investigated and no deficiencies were found.

The inspection visit was an unannounced complaint investigation triggered by an allegation that staff assaulted a resident.

The investigation found no witnesses or visible injuries to substantiate the allegation of staff assaulting a resident on 2022-04-27. Based on interviews and record reviews, the allegation was determined to be unsubstantiated.

The complaint alleged that staff assaulted a resident by slapping and punching on 2022-04-27. The investigation included interviews with staff and residents, review of facility documentation, and a police report. No evidence was found to substantiate the allegation, and it was deemed unsubstantiated.

The visit was an unannounced case management inspection conducted to investigate an incident occurring on 2022-03-13 involving a resident fall resulting in a femur fracture.

The investigation found that the resident pushed the emergency pendant and staff responded within 5-10 minutes. The resident was found on the floor and sent to the emergency room. Staffing levels and emergency response times were deemed appropriate. No deficiencies were cited during the visit.

The visit was triggered by a complaint/incident involving a resident fall on 2022-03-13. The complaint was investigated through record review, interviews, and emergency response testing. The complaint was not substantiated as staffing and response times were adequate.

The visit was a case management inspection regarding an incident report submitted on 2022-02-23 alleging verbal and physical abuse of residents by staff.

Interviews with staff and residents found no evidence of verbal or physical abuse. No deficiencies were cited during the inspection.

The complaint was an anonymous email alleging staff verbally and physically abused residents. Interviews with 3 staff and 8 residents found no substantiation of abuse.

An unannounced case management visit was conducted by Licensing Program Analyst T. White to amend a previous complaint report and review compliance.

No deficiencies were cited during this visit per Title 22. An exit interview was conducted with the Associate Executive Director and a copy of the report was left at the facility.

This visit amended complaint #27-AS-20211214154259 dated 12/14/2021; the amended report was signed by the Associate Executive Director.

An unannounced complaint investigation was conducted in response to allegations received on 2021-12-14 regarding resident injury, staff response to calls for assistance, and timely feeding of a diabetic resident.

The investigation included interviews with staff and residents and review of relevant documents. The allegations could not be substantiated due to insufficient evidence, and no deficiencies were cited during the visit.

The complaint involved allegations that a resident was injured while in care, staff did not respond to resident's calls for assistance, and facility staff did not ensure that a diabetic resident was fed timely. After investigation, the allegations were found to be unsubstantiated.

The inspection was an unannounced required 1-year annual inspection to assess compliance with licensing regulations and facility safety standards.

The facility was generally compliant with safety and environmental standards, but a deficiency was found where hot water temperatures in 6 apartment bathrooms exceeded the maximum allowed 120 degrees Fahrenheit, posing an immediate health and safety risk.

The visit was a case management incident investigation conducted regarding an incident report submitted on 2021-06-01 involving a staff member taking an unauthorized picture of a resident.

The facility was found to have violated California Code of Regulations, Title 22, Section 87468.1(a)(1) related to residents' personal rights when a staff member took a picture of a resident in his briefs without consent, posing immediate health and safety risks. The staff member was suspended and terminated, and in-service training was conducted.

The visit was triggered by a complaint incident report submitted on 2021-06-01. The complaint was substantiated as the staff member took an unauthorized picture of a resident, violating personal rights.

An unannounced complaint investigation visit was conducted in response to allegations that the facility charged additional fees to a resident without reappraisal and without proper notification.

The investigation found that the resident was charged for services included in the signed service contract and paid by an insurance company. There was insufficient evidence to prove that the resident was charged for services not required, and the allegation was determined to be unsubstantiated.

The complaint was unsubstantiated after investigation. The resident confirmed no monthly payments or additional charges were made, and the monthly rate had not been increased.