Inspection Reports for
Brookdale Lodi

The complaint was unsubstantiated after investigation. Allegations included untimely provision of meals and medication refills, but evidence did not support these claims.

Based on records reviewed and interviews with staff and residents, the complaint was found to be unsubstantiated as residents chose when to have their meals and the facility has an all-day meal availability policy. There was no preponderance of evidence to prove the alleged violations occurred.

The complaint included nine allegations related to resident injuries, medication mismanagement, unqualified staff providing care, and failure to safeguard residents. The investigation concluded the allegations were unsubstantiated.

Based on review of records, staff and resident interviews, and facility tour, the allegations were found to be unsubstantiated due to lack of sufficient evidence to prove the alleged violations occurred.

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

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 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.

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

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. Therefore, the allegations were determined to be unsubstantiated.

The visit was complaint-related, investigating a resident's death following a fall. The investigation concluded insufficient evidence to substantiate neglect or lack of care by staff.

The investigation found that Resident 1 sustained an unwitnessed fall resulting in a subdural hematoma. The resident was previously a fall risk but showed improvement and independence prior to the fall. There was insufficient evidence to support that the fall/injury was due to staff neglect or lack of care.

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

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.

Visit was complaint-related due to an incident report about a resident's death. The investigation is ongoing and not yet concluded.

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

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 facility was found to be in compliance with regulations including adequate food supply, sanitary resident rooms with required furnishings, current fire safety equipment, and proper staff certifications. All necessary documents were in place and a previously submitted LIC 808 mitigation plan was approved.

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

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 related to a medication error involving a resident receiving the same dose of medication twice in one day. The investigation is ongoing and not yet substantiated.

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

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, investigating an incident report of a resident unwitnessed fall. The complaint was not substantiated as no deficiencies were found.

No deficiencies were observed or cited during the case management inspection. All incidents were reported on time and to the correct departments in compliance with California Code of Regulations, Title 22.

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

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 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.

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

No deficiencies were observed or cited during the case management inspection. The staff member in question did not proceed with employment due to failure to clear fingerprint clearance.

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 based on record reviews and interviews.

The investigation found no preponderance of evidence to support the allegation that the Administrator was unavailable to manage and administer the facility. The allegation was determined to be unsubstantiated.

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

The inspection found no deficiencies; all areas including physical plant, staff and resident files, and safety equipment were compliant with regulations.

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 found that one resident experienced a possible unwitnessed fall resulting in a laceration and another resident was treated for a UTI after reporting vaginal bleeding. The facility provided timely medical care and notified necessary parties according to protocols.

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.

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 three residents who fell and sustained injuries. The facility followed regulatory requirements for notification and care plan updates. The complaint was not substantiated as no deficiencies were found.

The investigation reviewed incident reports, resident care plans, staffing schedules, and interviews. The facility had protocols in place for fall prevention and call pendant use, and no deficiencies were cited as a result of the case management visit.

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

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 scheduled to meet residents' needs. The allegation was deemed unsubstantiated after investigation.

The investigation included review of staff schedules, training records, interviews with administrator, kitchen staff, and a resident, as well as observation of lunch service. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

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.

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.

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.

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.

The complaint investigation was unsubstantiated. Allegations included resident sustained falls while in care and staff did not administer resident's medication as prescribed. Both allegations were found unsubstantiated after review of records and interviews.

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 alleged that a staff member worked while symptomatic for COVID-19 on 10-11-22. The investigation found no evidence to support this, and the allegation was unfounded.

The investigation found that staff members who tested positive for COVID-19 did not work on the alleged date, and the facility was following COVID-19 precautions including adequate PPE availability. The allegation was determined to be unfounded with no citations issued.

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.

The facility was found to be in compliance with all regulations with no deficiencies observed. The physical plant, infection control measures, staff certifications, medication logs, and safety equipment were all reviewed and found satisfactory.

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

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 complaint was unsubstantiated based on interviews and record reviews. Funds were returned and no overbilling was found.

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. There was no evidence of an actual physical bill received, and the allegation was unsubstantiated.

The visit was triggered by complaints regarding resident falls on three dates, resulting in a head injury. The resident was placed on hospice and expired shortly after. The complaint was investigated and no deficiencies were found.

The facility had implemented fall prevention precautions and increased staff monitoring for the resident after multiple falls. Staffing levels were adequate, the emergency pendant system was functioning properly, and no deficiencies were issued as a result of the visit.

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 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. After interviews with staff and residents, and review of documentation including a police report, the allegation was found unsubstantiated due to lack of evidence.

The investigation found no witnesses or visible injuries to substantiate the allegation that a resident was slapped and punched by a caregiver on 2022-04-27. The allegation was determined to be unsubstantiated.

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 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 regarding a resident fall on 2022-03-13. The complaint was investigated through record review and interviews, and no deficiencies were found.

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

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.

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

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

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

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

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.

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

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 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 was unsubstantiated. Allegations included resident injury, lack of staff response to calls for assistance, and untimely feeding of a diabetic resident. Evidence was insufficient to prove or disprove the allegations.

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

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.

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 involved allegations that the facility charged additional fees for a resident without reappraisal and without proper notification. The complaint was investigated and determined to be unsubstantiated.

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 allegations were determined to be unsubstantiated.