Inspection Reports for Brookdale Monrovia

The inspection was an unannounced required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with licensing requirements.

The facility was found to have generally compliant infection control practices, operational requirements, physical plant safety, staffing, and resident rights. However, deficiencies were noted related to personnel records where the Executive Director and three staff members lacked valid health screening and TB test results in their files.

An unannounced complaint investigation visit was conducted to investigate allegations that staff spoke inappropriately to a resident, failed to meet residents' incontinence needs, and did not assist residents when responding to call buttons.

The investigation included interviews with staff and residents, a facility tour, and record reviews. The allegations were found to be unsubstantiated due to lack of corroborating evidence from residents, staff, and police investigation. The staff member involved voluntarily resigned during the investigation.

The complaint involved allegations that staff member S6 spoke inappropriately to resident R1, refused to provide incontinence care, and intentionally deactivated call light pendants without assisting residents. Interviews with residents and staff, as well as police investigation, did not corroborate these allegations. The allegations were determined to be unsubstantiated.

An unannounced required 1-year visit was conducted using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with licensing regulations.

The facility was found to be generally compliant with infection control, operational requirements, physical plant safety, staffing, resident rights, planned activities, food service, medical and dental care, resident records, and disaster preparedness. However, a deficiency was cited for personnel requirements due to five out of six staff files lacking valid/current First aid/CPR training certificates.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility failed to adhere to the admission agreement.

The investigation found that the facility credited Resident #1 with 60% of the refundable community fee as per the admission agreement for a resident leaving within the second month of residency. Interviews with staff and residents supported that the facility was responsive and fair regarding fees and credits. There was insufficient evidence to substantiate the allegation, and it was determined to be unsubstantiated.

The complaint alleged the facility failed to credit the correct amount of Resident #1's refundable community fee ($2,000), claiming an 80% credit was due but only 60% was provided. The investigation concluded the 60% credit was appropriate based on the timing of the resident's notice to vacate and admission agreement terms. The allegation was unsubstantiated due to lack of sufficient evidence.

An unannounced complaint investigation visit was conducted in response to allegations received on 09/18/2023 regarding staff not cleaning resident rooms, inadequate staffing, unqualified staff performing glucose testing, improper staff training, and failure to administer medication.

The investigation found no corroboration for any of the allegations after resident and staff interviews, facility tours, and record reviews. Staff were found to clean rooms regularly, adequately staff the facility, not perform glucose testing themselves, be properly trained, and administer medications appropriately. The allegations were determined to be unsubstantiated due to lack of evidence.

The complaint investigation was unsubstantiated. Allegations included staff not cleaning resident rooms, inadequate staffing leading to neglect, unqualified staff performing glucose testing, improper staff training on injectable medication, and failure to administer injectable medication. All allegations were not corroborated by resident or staff interviews or record reviews.

The inspection was an unannounced required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with regulatory standards.

The facility was found to be in compliance with no deficiencies cited. Infection control practices, operational requirements, physical plant safety, staffing, personnel records, resident records, food service, and disaster preparedness were all reviewed and found satisfactory.

The inspection was an unannounced follow-up complaint investigation conducted due to multiple allegations including improper staff training, presence of pests, residents' personal items posing hazards, and glucose testing being administered by unqualified personnel.

The investigation found the allegations of improper staff training, pest issues, and residents hoarding personal items to be unsubstantiated based on interviews and record reviews. However, the allegation that glucose testing was being administered by med techs instead of appropriately skilled professionals was substantiated, posing an immediate risk to residents.

The complaint investigation was triggered by allegations received on 04/07/2022 regarding staff training, pest presence, hazards from residents' personal items, and improper glucose testing. The glucose testing allegation was substantiated; others were unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to allegations received on 09/28/2022 concerning resident falls due to lack of supervision, delayed response to call buttons, and residents receiving cold meals.

The investigation found insufficient evidence to substantiate the allegations. Interviews with residents and staff indicated that falls were promptly assisted, call light requests were answered timely with an effective notification system, and food was generally served warm with procedures in place to maintain temperature.

The complaint was unsubstantiated after investigation. Allegations included a resident sustaining a fall due to lack of supervision, staff not answering call buttons timely, and residents receiving cold meals. Interviews and document reviews did not corroborate these claims.

An unannounced complaint investigation was conducted following a complaint received on 03/10/2023 regarding allegations that the facility failed to refill a resident's prescription and failed to inform the responsible party that the prescription was not filled.

The investigation included interviews with residents, staff, and review of records. All interviewed residents and staff denied the allegations, and medication records were found to be current and updated. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint involved two allegations: 1) Facility failed to refill a resident's prescription; 2) Facility failed to inform the responsible party that the prescription was not filled. Both allegations were investigated and found unsubstantiated.

The inspection was a Required - 1 Year unannounced visit to evaluate compliance with licensing regulations, focusing on infection control.

The facility was inspected for infection control practices including COVID-19 signage, visitor screening, and staff mask usage. Deficiencies were cited related to maintenance and water temperature issues.

The inspection was a Required - 1 Year unannounced visit to evaluate compliance with Title 22 regulations, focusing on infection control, physical plant conditions, medication, and food supplies.

The facility was generally compliant with regulations, but several deficiencies were noted including hot water temperatures exceeding regulatory limits in multiple resident rooms, disrepair of a wooden fence, a wall near room #112 with a hole, and a kitchen drawer in room #105 that would not open or close properly.

The inspection was an unannounced complaint investigation visit conducted to address allegations of resident mistreatment by staff and failure to safeguard a resident's personal property.

The investigation found insufficient evidence to substantiate the allegations of resident mistreatment and failure to safeguard personal property. The allegation of mistreatment was related to a dispute over reimbursement, and the facility had provided partial rent credit as a gesture of good faith. The property safeguarding allegation had been previously investigated and found unsubstantiated.

The complaint investigation was triggered by allegations that a resident was mistreated by staff and that facility staff did not safeguard the resident's personal property. The allegations were found to be unsubstantiated based on interviews and prior investigations.