Inspection Reports for Brookdale Nohl Ranch

The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2024-02-27 regarding staff abuse, resident supervision, facility conditions, and care concerns at Brookdale Nohl Ranch.

The investigation included interviews with residents and staff, record reviews, and facility observations. None of the allegations were substantiated as interviews and observations did not corroborate the complaints. The facility was found to be clean, well-maintained, and residents reported satisfaction with care and safety.

The complaint included allegations of staff verbally abusing residents, resident wandering due to lack of supervision, untimely assistance after falls, residents left outside for extended periods, facility disrepair and mold, unsanitary conditions causing flu outbreak, improper room cleaning, and failure to prevent resident harm by others. All allegations were found unsubstantiated based on interviews, observations, and record reviews.

Unannounced case management visit regarding a self-reported incident on the relocation of 29 residents from Brookdale Ocean House to Brookdale Nohl Ranch due to mandatory evacuation orders from Fire Advisory.

During the visit, a health and safety check was conducted with no concerns observed. The facility has sufficient beds, supplies, and staffing to accommodate the relocated residents, and all necessary notifications were made to families and responsible parties.

An unannounced complaint investigation visit was conducted in response to allegations received on July 3, 2024, regarding staff not administering prescribed medication, staff smoking a vape pen inside the facility, and staff not properly bathing a resident.

The investigation found conflicting information from interviews and document reviews, including that the resident was able to self-administer medication and no witnesses confirmed staff smoking inside. The allegations could not be substantiated due to lack of preponderance of evidence, and no citations were issued.

The complaint was unsubstantiated. Allegations included failure to administer medication, staff smoking vape pens inside the facility, and improper bathing of a resident. Interviews with residents and staff, as well as document reviews, did not provide sufficient evidence to prove the allegations.

An unannounced Required - 1 year inspection was conducted to evaluate compliance with licensing regulations for the facility.

The facility was found to be clean, safe, and sanitary with no deficiencies cited. Observations included well-maintained resident rooms, adequate supplies, proper medication storage and dispensing, and compliance with emergency/fire safety requirements.

The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-01-26 alleging that staff were not cleaning the facility properly.

The investigation found that the facility was not clean, safe, and sanitary on levels 1-3, with strong odors, sticky floors, food particles, dust accumulation, and trash bags left in hallways. These conditions posed potential health, safety, and personal rights risks to persons in care. The allegation was substantiated.

The complaint alleging that staff were not cleaning the facility properly was substantiated based on observations during the investigation.

An unannounced case management visit was conducted to follow up on a death report received by Community Care Licensing on 08/31/2023.

The visit found no deficiencies; the death of Resident 1 was investigated with input from the PCP, who believed the resident suffered a heart attack. No further action was required.

Licensing Program Analyst Edward Tapia conducted an unannounced required annual inspection at the facility to evaluate compliance with licensing regulations and COVID-19 mitigation measures.

No deficiencies were noted during the inspection and no citations were issued. One advisory was issued. The facility was found to be in good repair with adequate supplies, proper food storage, and safety measures in place.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the licensee was not providing housekeeping due to lack of staffing.

The investigation found that the facility lost both housekeepers in December 2021 and has been using other staff to assist with housekeeping duties, but housekeeping was not being conducted as before. A new housekeeper was hired on 04/05/2022 and the facility is seeking a staffing agency for housekeeping. The allegation was substantiated.

The complaint was substantiated based on interviews and documentation. The allegation was that housekeeping was not being provided due to lack of staffing.

The visit was an unannounced complaint investigation triggered by an allegation that facility staff did not ensure that a resident was adequately fed.

The investigation found the allegation to be unfounded after reviewing records and interviewing staff and the resident. Documentation and tray service receipts confirmed the resident had been adequately fed prior to hospitalization.

The complaint alleged that facility staff did not ensure that a resident was adequately fed. The allegation was determined to be unfounded, meaning it was false, could not have happened, or was without reasonable basis.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-10-13 regarding inadequate supervision of a resident while in care.

The investigation found that resident #1 was found on the floor with back pain after removing his life alert and unable to reach the phone. Staff immediately called 911 and the resident was treated for a fracture. Based on interviews and record review, the allegation of inadequate supervision was unsubstantiated.

The complaint alleged that staff did not provide adequate supervision of a resident while in care. The allegation was found to be unsubstantiated after investigation.

Licensing Program Analyst Michelle Reed made an unannounced visit to conduct an Annual visit focusing on Infection Control at the facility.

The facility was found to be in compliance with infection control measures including adequate PPE supply, signage, sanitation stations, social distancing, and mask usage. No deficiencies were noted during the visit.

An unannounced complaint investigation visit was conducted following a complaint received on 07/12/2021 regarding allegations that the facility did not refund preadmission fees to residents and that facility staff forged an authorized representative's signature on admission agreements.

The investigation found that a refund of $839.35 was posted by the facility and would be mailed to the residents, and the allegation of forged signatures was unsubstantiated as the admission agreement was signed using DocuSign, a valid signature system.

The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged allegations occurred.