Inspection Reports for Brookdale Oceanside

An unannounced complaint investigation was conducted regarding an allegation of unlawful eviction of a resident at the facility.

The investigation found that the eviction notice issued to the resident for nonpayment was valid and met all regulatory requirements. The allegation of unlawful eviction was deemed unfounded after review of records, interviews, and observation that the resident remained at the facility after the eviction notice effective date.

The complaint alleged unlawful eviction of Resident 1 in July 2024. The investigation found the eviction notice was properly issued due to nonpayment from January to July 2024, with partial payments noted. The resident remained at the facility after the eviction effective date. The allegation was determined to be unfounded.

The inspection was an unannounced Required 1-Year visit to evaluate the facility's compliance and licensing status.

No deficiencies were cited during this visit. Due to time constraints, the annual inspection could not be completed and a return visit is needed.

An unannounced complaint investigation was conducted regarding an allegation of false claims that a resident (R1) had passed away when they were actually alive.

The investigation included interviews, records review, and a facility tour. It was found that R1 was alive at the time of the alleged false claim, but later discharged and passed away at a higher level care facility. The allegation was determined to be unfounded with no evidence of false claims by the licensee or staff.

The complaint alleged false claims regarding Resident 1's death status. The allegation was investigated and found to be unfounded based on interviews, records, and death certificate verification.

An unannounced complaint investigation was conducted regarding an allegation of neglect resulting in serious bodily injury to a resident.

The investigation included interviews, record reviews, and a facility tour. The evidence did not support the allegation of neglect causing the resident's fracture, which was deemed unsubstantiated.

The allegation was neglect resulting in serious bodily injury. The investigation found that the resident's fracture was likely due to a prior injury and transfer method, with no evidence of neglect or mistreatment by staff. The allegation was unsubstantiated.

The visit was initiated due to an incident report self-reported by the facility regarding an altercation involving Resident 1 in April 2024.

During the unannounced case management visit, no immediate health or safety concerns were observed and no deficiencies were cited.

The complaint involved an alleged altercation between Resident 1 and an unknown individual that did not result in injuries. The facility followed required reporting procedures to the Department and Long Term Care Ombudsman.

The visit was conducted in response to an LIC624 Incident Report regarding a medication error where a resident received medications not prescribed to them.

The investigation found that a newer Medication Technician administered incorrect medications to a resident who mistakenly verified the wrong identity. The resident was monitored for 72 hours with no adverse reactions. One Technical Violation was issued related to the incident.

The complaint was substantiated as the medication error was confirmed. Staff provided one-on-one remedial medication pass training following the incident.

The visit was conducted in response to an LIC624 Incident Report concerning Resident #1, related to a change in condition that required emergency room transfer and subsequent hospitalization.

During the unannounced Case Management - Incident visit, no safety concerns were found among the remaining residents, and no deficiencies were observed or cited.

The visit was triggered by a complaint incident report involving Resident #1, who was transferred to a hospital and then to a Skilled Nursing Facility. The complaint was investigated and no deficiencies were found.

The inspection was an unannounced required one-year inspection conducted to evaluate compliance with licensing regulations for the facility.

The inspection found the facility to be in compliance with licensing requirements, with no significant licensing concerns noted. Resident rooms, common areas, and safety features were all observed to be adequate and operational, and staff were sufficient to meet residents' needs.

An unannounced complaint investigation was conducted in response to an allegation that the licensee did not take measures to keep the facility free from pests.

The investigation included interviews with residents and staff, records review, and a facility tour. It was found that the facility contracted monthly pest control services and staff reported insect issues appropriately. Some small flying insects were observed, but the allegation was deemed unsubstantiated based on the evidence.

The complaint alleged that the licensee did not take measures to keep the facility free from pests. The allegation was investigated and found to be unsubstantiated.

An unannounced complaint investigation was conducted regarding an allegation that lack of supervision resulted in a resident being sexually abused.

The investigation included interviews, records review, and a facility tour. It was found that Resident 1 exhibited inappropriate sexual behaviors towards Resident 2, leading to staff intervention and law enforcement involvement. Despite mitigation efforts including 1-on-1 supervision and medication, behaviors continued until Resident 1 was evicted. The allegation was ultimately deemed unsubstantiated due to insufficient evidence.

The complaint alleged lack of supervision resulting in sexual abuse of a resident. The investigation found that Resident 1, diagnosed with dementia, exhibited inappropriate sexual behaviors towards Resident 2. Staff intervened, arranged private caregiver supervision, and involved law enforcement. Resident 1 was evicted after continued behaviors. The allegation was unsubstantiated based on interviews and records.

The visit was an unannounced Case Management - Incident inspection conducted in response to an LIC624 Incident Report involving Resident #1 who had an unwitnessed fall beside their bed on 05/15/2023.

The investigation found no preponderance of evidence that the facility staff failed to provide needed care or emergency medical care to Resident #1. No deficiencies were cited related to the incident, though one Technical Violation regarding Reporting Requirements was identified and education was provided.

The complaint involved Resident #1's unwitnessed fall on 05/15/2023, subsequent pain and injury assessment, and the facility's response including medical transport and observation. The complaint was not substantiated as no deficiencies were cited.

The visit was conducted in response to an LIC624 Incident Report and an SOC341 Report of Suspected Dependent Adult/Elder Abuse self-submitted by the licensee regarding an incident involving Resident #1 and caregiver Staff #1 on 2023-04-14.

The investigation found no preponderance of evidence that physical abuse or injury occurred to Resident #1. However, it was determined that Staff #1 did not respect resident freedom of choice, contributing to the incident escalating. One deficiency was cited related to residents' personal rights.

The visit was complaint-related, triggered by an incident report and suspected abuse report involving Resident #1 pinching Staff #1 and Staff #1 forcibly removing a TV remote from Resident #1. The complaint was investigated through interviews and record reviews, and no physical abuse was substantiated.

An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.

No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.

The visit was an unannounced Case Management Visit in response to a self-reported incident on 2022-11-02 involving a resident fall.

No health or safety issues were identified during the wellness check, and no deficiencies were cited or observed on this date.

An unannounced complaint investigation visit was conducted in response to allegations that the licensee did not observe resident's change in condition, staff served expired food to residents, and staff did not follow food sanitation practices.

The investigation included observations, interviews, and record reviews. It was found that wound care was provided by outside agencies and facility staff were trained to notify these agencies of any changes. Food safety practices were generally followed, with some issues noted regarding labeling expiration dates on food. No spoiled or expired food was observed. The allegations were deemed unsubstantiated based on the preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included failure to observe resident's change in condition related to wound care, serving expired food, and not following food sanitation practices. Interviews and observations did not support these allegations.

The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation plan including disinfection, testing, vaccination, screening protocols, and use of personal protective equipment (PPE).

No deficiencies were cited or observed during the visit. The team interviewed the Health and Wellness Director and conducted a walk-through of the facility.

The visit was an unannounced Case Management visit conducted in response to the reported death of Resident #1 on 2022-10-13.

No deficiencies were cited or observed during the visit. All residents appeared appropriate for the facility, and all staff had current criminal record clearances. No immediate health or safety issues were identified.

An unannounced complaint investigation was conducted in response to an allegation of neglect and lack of supervision resulting in a resident fall and injury.

The investigation found that the resident was a fall risk and sustained two falls, with the second causing injury requiring hospital transport. However, evidence did not support the allegation of neglect or lack of supervision, and the complaint was unsubstantiated.

The complaint alleged neglect and lack of supervision leading to a resident fall and injury. The investigation included record reviews and interviews. The allegation was found unsubstantiated due to insufficient evidence.

An unannounced case management visit was conducted to follow up on an incident report regarding a resident who had eloped from the facility.

No deficiencies were cited or observed during the visit. The Licensing Program Analyst toured the facility, interviewed staff, and reviewed facility records.

An unannounced case management visit was conducted to follow up on a report of Suspected Elder Abuse (SOC 341) received on February 22, 2022.

During the visit, the Licensing Program Analyst toured the facility, reviewed resident records, and interviewed staff. No deficiencies were cited.

The complaint involved an incident between two residents as reported in the SOC 341 form. The licensee informed all relevant parties of the incident.

An unannounced case management visit was conducted to follow up on a SOC 341 received on December 20, 2021, regarding an incident involving a resident and a staff member.

During the visit, resident and staff records were reviewed and interviews conducted. The investigation requires more time and future visits may be needed. No deficiencies were cited at this time.

The complaint involved an incident between a resident and a staff member as reported in SOC 341. The licensee informed all relevant parties. The investigation is ongoing and no substantiation status is provided.

An unannounced case management visit was conducted to follow up on an incident report received on September 17, 2021, regarding an altercation between two residents.

During the visit, the Licensing Program Analyst toured the facility, reviewed resident records, and interviewed staff and residents. No deficiencies were cited.

The visit was triggered by an incident report about an altercation between two residents. The licensee informed all relevant parties of the incident. No deficiencies were found during the investigation.

The visit was an unannounced case management visit conducted regarding an unusual incident report submitted on 2019-05-07 by the licensee.

The Licensing Program Analyst did not observe any culpability related to the incident where a resident was found on the floor with a hip fracture. No deficiencies were cited during the visit.

The visit was complaint-related due to an incident report about a resident found lying on the floor with a hip fracture. The complaint was investigated and no culpability was found.