Inspection Reports for Brookdale Loma Linda
25585 Van Leuven St, Loma Linda, CA 92354, CA, 92354
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. However, some reports did cite deficiencies, primarily related to resident care and safety issues such as medication administration errors, delayed staff response to call pendants, and improper food storage. The most serious events included substantiated rough handling and disrespectful treatment of residents in November 2024 and immediate health and safety risks from unsecured sharps and insufficient food supply noted in February 2025. The most recent report from April 28, 2025, was clean with no deficiencies found. This suggests some improvement in compliance following earlier issues, though isolated problems have occurred over time.
Deficiencies (last 6 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a April 2025 inspection.
Census over time
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Sarina Ramirez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met during inspection and discussed report findings |
| Sarina Ramirez | Licensing Program Analyst | Conducted inspection and cited deficiencies |
| Eldin Serrano | Licensing Program Analyst | Conducted inspection and observed corrective actions |
| Karen Clemons | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing inspection |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst and involved in reporting and investigation |
| Sarina Ramirez | Licensing Program Analyst | Conducted the complaint investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager overseeing investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during investigation and named in report |
| Sarina Ramirez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Magda Malcore | Licensing Program Analyst | Conducted the complaint investigation visit |
| Maritza Lujan | Executive Director | Facility representative met during the investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jazmond D Harris | Licensing Program Manager | Oversaw the complaint investigation |
| Lucinda Adams | Administrator | Facility administrator met during the investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jazmond D Harris | Licensing Program Manager | Oversaw the complaint investigation |
| Lucinda Adams | Administrator | Facility administrator mentioned in the report |
| Maritza Lujan | Facility representative met during exit interview |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during inspection |
| Magda Malcore | Licensing Program Analyst | Conducted the annual inspection visit |
| Karen Clemons | Licensing Program Manager | Named in report header and signature |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during the visit. |
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the unannounced visit and obtained signatures on amended reports. |
| Karen Clemons | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during investigation and involved in interviews regarding allegations |
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Magda Malcore | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Ashley Fife | Business Office Manager | Met with Licensing Program Analyst during the investigation and received report and appeal rights |
| Marlin Fish | Licensee/Administrator | Developed and reviewed Plan of Correction for substantiated food storage deficiency |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Administrator | Met with Licensing Program Analyst during investigation |
| Magda Malcore | Licensing Program Analyst | Conducted the complaint investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
| Ashley Fife | Office Manager | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Bernadette Allen | Licensing Program Analyst | Conducted the complaint investigation |
| Maritza Lujan | Administrator | Facility administrator met during investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Administrator | Met with Licensing Program Analyst during the visit and informed of the purpose. |
| Bernadette Allen | Licensing Program Analyst | Conducted the unannounced case management visit and interviews. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maritza Lujan | Administrator | Facility administrator met during the investigation |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maritza Lujan | Administrator | Facility administrator notified of the visit and findings |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the unannounced visit and met with the Administrator. |
| Maritza Lujan | Administrator | Met with Licensing Program Analyst during the visit and received the report. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager in the report. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Karen Clemons | Licensing Program Manager | Oversaw the complaint investigation. |
| Maritza Lujan | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation. |
Inspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Larson | Facility representative met during investigation | |
| Lucinda Adams | Administrator | Facility administrator |
| Karen Clemons | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the annual inspection and made observations regarding infection control. |
| Ashley Fife | Met with the Licensing Program Analyst during the inspection. | |
| Lucinda Adams | Administrator | Named as facility administrator. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the annual inspection visit. |
| Ashley Fife | Business Manager | Met with Licensing Program Analyst during the inspection. |
| Lucinda Adams | Administrator | Named as facility administrator. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Lucinda Adams | Administrator | Applicant met with Licensing Program Analyst during pre-licensing inspection |
| Christine Le | Licensing Program Analyst | Conducted the announced tele-visit inspection |
| Karen Clemons | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing| Name | Title | Context |
|---|---|---|
| Lucinda Adams | Administrator | Met with during the visit and participated in the licensing process. |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst on the report and participated in the COMP II call. |
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