Inspection Reports for
Brookdale Riverwalk

The complaint investigation was unsubstantiated for the allegation that staff did not meet residents' hygiene needs. The allegation that staff charged a resident for services not rendered was found to be unfounded and dismissed.

The investigation found insufficient evidence to substantiate the allegation that staff did not ensure residents' hygiene needs were met, resulting in an unsubstantiated finding. The allegation that staff charged a resident for services not rendered was found to be unfounded and dismissed. No deficiencies were issued during the complaint visits.

The complaint was unsubstantiated for the allegation of failure to provide resident records and unfounded for the allegation of questionable death. The department found no preponderance of evidence to prove the allegations.

The investigation found insufficient evidence to substantiate the allegation regarding resident records, and the allegation of questionable death was found to be unfounded based on medical records. No deficiencies were issued during the complaint visit.

The complaint investigation was unannounced and conducted by Licensing Program Analyst Melinda Medina. The hygiene allegation was unsubstantiated due to lack of preponderance of evidence. The billing allegation was unfounded based on record review and interviews. No deficiencies were cited.

The investigation found insufficient evidence to substantiate the allegation that staff did not ensure residents' hygiene needs were met, and the billing complaint was found to be unfounded as the additional service was removed from billing per resident and responsible party request. No deficiencies were issued during the complaint visits.

The complaint investigation was unsubstantiated for the allegation that staff did not provide resident records to the resident's authorized representative. The allegation of questionable death was found to be unfounded, meaning it was false or without reasonable basis.

The investigation found insufficient evidence to substantiate the allegation regarding resident records, resulting in an unsubstantiated finding. The allegation of questionable death was found to be unfounded based on medical records, and no deficiencies were issued during the complaint visit.

The complaint investigation was triggered by allegations that staff did not ensure medications were dispensed timely or properly managed, and that the facility was not kept free of pests. The medication-related allegations were unsubstantiated due to lack of preponderance of evidence. The pest control allegation was unfounded as pest control services were confirmed to be timely and adequate.

The investigation found insufficient evidence to substantiate the medication-related allegations, resulting in an unsubstantiated finding. The pest control allegation was found to be unfounded based on service receipts and timely pest control actions. No deficiencies were issued during the complaint visit.

No deficiencies were cited during this visit. The visit was completed with an exit interview and the facility report was signed by the Administrator.

No deficiencies were observed or cited during the visit. The Licensing Program Analyst reviewed the resident's last physician report and facility progress note, and noted the presence of residents on hospice and receiving home health services.

No deficiencies were cited during this visit. The visit was a continuation of the annual inspection to complete outstanding items from the prior visit.

No deficiencies were observed or cited during the visit. The Licensing Program Analyst reviewed the resident's last physician report and facility progress note.

The facility was observed to be clean, odor free, and comfortable with residents participating in activities. No deficiencies were observed during the inspection.

The facility was observed to be clean, odor free, and comfortable with residents participating in activities. No deficiencies were observed during the inspection.

The complaint investigation was unsubstantiated for the allegation that staff left residents soiled for extended periods. Another complaint regarding unqualified staff checking glucose and administering insulin and pest control was found unfounded. No deficiencies were cited.

The investigation found insufficient evidence to substantiate the allegations of residents being left soiled, unqualified staff administering insulin, and pest control issues. The allegations were determined to be unsubstantiated or unfounded, and no deficiencies were issued during the complaint visits.

The complaint alleged that facility staff do not follow infection control requirements. The investigation found these allegations to be unfounded, meaning they were false, could not have happened, and/or were without reasonable basis.

The investigation determined that infection control practices are in place and proper procedures are followed to protect the health and safety of residents. The allegations were found to be unfounded and the complaint was dismissed.

The complaint investigation was unsubstantiated for the allegation of staff leaving residents soiled. The other allegations regarding unqualified staff and pest control were found unfounded and dismissed.

The investigation found insufficient evidence to substantiate the allegation that staff left residents soiled, resulting in an unsubstantiated finding. The allegations regarding unqualified staff checking glucose and administering insulin and failure to ensure the facility was free of insects were found to be unfounded and dismissed.

The complaint alleged that facility staff do not follow infection control requirements. The investigation found the allegations to be unfounded, meaning they were false, could not have happened, and/or were without reasonable basis.

The investigation determined that infection control practices are in place and proper procedures are followed to protect the health and safety of residents. The allegations were found to be unfounded and the complaint was dismissed.

No deficiencies were cited during the visit. The Executive Director confirmed there is no record of the excluded staff member employed at the facility.

The Executive Director confirmed that Staff (S1) is excluded and not permitted on the grounds, and there was no record of any employee by that name employed at the facility. No deficiencies were cited during the visit.

The complaint involved allegations that staff did not ensure a safe environment for residents, did not adequately clean resident rooms, and did not maintain the facility free from odors. The investigation concluded these allegations were unsubstantiated due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegations. No deficiencies were issued during this complaint visit, and the allegations were determined to be unsubstantiated.

The complaint allegations included staff not ensuring a safe environment, inadequate cleaning of resident rooms, and the facility not being free from odors. The investigation concluded these allegations were unsubstantiated due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegations. No deficiencies were issued during this complaint visit, and the allegations were determined to be unsubstantiated.

The Executive Director confirmed that Staff (S1) has not been employed at the facility since 04/18/2020 and was disassociated from the facility on 05/04/2021. No citations were issued during this visit.

The Executive Director confirmed that Staff (S1) has not been employed at the facility since 04/18/2020 and was disassociated from the facility on 05/04/2021. No citations were issued during the visit.

The complaint investigation addressed allegations including staff behavior posing risks to residents, failure to address resident alerts timely, inadequate care and supervision, and improper staff training. The findings concluded the allegations were unsubstantiated or unfounded due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegations, resulting in the complaints being unsubstantiated or unfounded. No deficiencies were issued during the visit.

The complaint was unsubstantiated for the allegation that staff were not meeting residents' toileting needs. The allegation that staff did not maintain accurate records for a resident was found to be unfounded and dismissed.

The investigation found insufficient evidence to substantiate the allegations regarding residents' toileting needs, and the allegation about inaccurate resident records was found to be unfounded. No deficiencies were issued during the complaint visit.

The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove or disprove the allegations. Allegations included staff behavior risks, untimely response to alerts, and inadequate care and supervision. Additionally, allegations of improper staff training were investigated and found to be unfounded.

The investigation found insufficient evidence to substantiate the allegations; the complaints were deemed unsubstantiated with no deficiencies issued during the visit.

The complaint was unsubstantiated for toileting needs and unfounded for inaccurate resident records after review of resident records and interviews.

The investigation found insufficient evidence to substantiate the allegations regarding toileting needs, and the allegation about inaccurate resident records was found to be unfounded. No deficiencies were issued during this complaint visit.

The complaint alleging the facility was in disrepair was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.

The investigation found the allegation of the facility being in disrepair to be unfounded. Observations showed thermostats were within regulation and only a few parking lights needed repair. No deficiencies were cited and the complaint was dismissed.

The complaint alleging the facility was in disrepair was investigated and found to be unfounded, meaning the allegations were false or without reasonable basis.

The investigation found the allegation of facility disrepair to be unfounded. Observations showed thermostats were within regulation and only a few parking lights needed repair. The complaint was dismissed.

The inspection found that staff and resident files contained the required documentation and staff trainings, and the Emergency Disaster plan was up to date. No deficiencies were cited during this inspection.

The facility was observed to be clean, odor free, and well maintained with adequate seating and lighting. Resident apartments and common areas were in good condition, safety equipment was current and operational, and no deficiencies were observed during the inspection.

The inspection found that staff and resident files contained the required documentation and training, and the Emergency Disaster plan was up to date. No deficiencies were cited during this inspection.

The facility was observed to be clean, odor free, and well maintained with adequate seating and lighting. Safety features such as grab bars, nonskid mats, fire extinguishers, and carbon monoxide detectors were in place and operational. No deficiencies were observed during the inspection.

The complaint was unsubstantiated. Allegations included failure to prevent falls, inadequate hygiene care, and insufficient supervision leading to residents wandering. The investigation found no evidence to prove the alleged violations occurred.

The investigation included a facility tour, interviews, and record reviews. Staffing was found adequate, exits were secure, shower schedules and refusals were documented. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were issued.

The complaint allegations were unsubstantiated based on interviews and record review. Although the allegations may have occurred or be valid, there was insufficient evidence to prove the violations.

The investigation included a facility tour, interviews, and record review. Staffing was found adequate, exits were secure, shower schedules and refusals were documented, and the allegations were determined to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were issued.

The complaint alleged that staff did not ensure the facility was free from bed bugs. The allegation was unsubstantiated based on interviews and record review.

The investigation found that although there was a report of bed bugs, the facility had the problem professionally treated prior to the complaint being received. The allegation was determined to be unsubstantiated and no deficiencies were issued.

The complaint was unsubstantiated based on interviews, record reviews, and a facility tour. Allegations included resident access to a knife and pest infestation, both found unsubstantiated.

The investigation found the allegations unsubstantiated. The resident's apartment was treated for pests prior to the complaint, and there was no evidence that the resident had access to a knife. No deficiencies were cited.

The complaint alleging staff did not ensure the facility was free from bed bugs was investigated and found to be unsubstantiated due to lack of preponderance of evidence.

The investigation found that although there was a report of bed bugs by a resident, the facility had the problem professionally treated prior to the complaint. The allegation was determined to be unsubstantiated and no deficiencies were issued.

Complaint investigation was unsubstantiated based on interviews, record reviews, and facility tour. Allegations of resident access to a knife and pest infestation were not supported by evidence.

The investigation found the allegations to be unsubstantiated. The resident's apartment had been treated for pests prior to the complaint, and there was no evidence that the resident had access to a knife. No deficiencies were cited.

The facility was observed to be clean, odor free, and well maintained with adequate accommodations, lighting, and safety features. Medications were properly secured and administered as prescribed. No deficiencies were observed during the inspection.

The facility was observed to be clean, odor free, and well maintained with adequate accommodations and safety measures. No deficiencies were observed during the inspection.

The complaint alleged that staff neglect resulted in resident hospitalization. The investigation concluded the complaint was unfounded.

The investigation found the complaint to be unfounded, meaning the allegation was false, could not have happened, and/or was without a reasonable basis. No deficiencies were issued during the inspection.

The complaint was investigated and found to be unfounded.

The investigation found that the complaint was unfounded, meaning the allegations were false, could not have happened, or were without a reasonable basis. The resident in question had not been a resident since 2022-04-18.

The complaint alleged staff neglect resulting in resident hospitalization. The investigation determined the complaint was unfounded.

The investigation found the complaint to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis. No deficiencies were issued during this inspection.

The complaint alleged that a resident sustained a fall while in care, staff failed to report the incident to the resident's authorized representative, and staff did not answer phone calls. The complaint was found to be unfounded.

The investigation found that the complaint was unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis. The resident in question had not been in the facility since 2022-04-18.

The complaint alleged that facility staff were not allowing a resident to have visitors. Upon review, a court order of no contact was found on file, supporting the finding that the complaint was unfounded.

The investigation found the complaint to be unfounded, meaning the allegation was false or without reasonable basis. No deficiencies were issued during the inspection.

The complaint alleged that facility staff was not allowing a resident to have visitors. Upon review, a court order of no contact was found on file, supporting the finding that the complaint was unfounded.

The investigation found the complaint to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis. No deficiencies were issued during the inspection.

The complaint was unsubstantiated. Allegations included inappropriate medication disposal, delayed response to call button, failure to administer medication, and failure to provide an air mattress timely. The agency found no evidence to support these claims and dismissed the complaint. The air mattress allegation was referred to the California Department of Public Health as it involved a Skilled Nursing Facility outside Community Care Licensing jurisdiction.

The investigation found no evidence to substantiate the allegations. The complaint about discarding medication was unsubstantiated as records showed no medications destroyed. The allegation of delayed response to call button could not be confirmed. The medication administration allegation was unsubstantiated due to lack of preponderance of evidence. The allegation regarding the air mattress was forwarded to the appropriate agency and found unfounded.

The complaint was unsubstantiated. Allegations included inappropriate discarding of medication, untimely response to call button, and failure to administer medication. The agency found no evidence to support these allegations and dismissed the complaint as unfounded or unsubstantiated.

The investigation found the allegations of discarded medication and delayed call button response to be unsubstantiated or unfounded. The allegation of not administering medication was unsubstantiated due to insufficient evidence. The complaint regarding failure to provide an air mattress was forwarded to the appropriate agency and dismissed by this agency.

The complaint alleged that staff were not providing residents with activities. After investigation including interviews with residents and staff and facility tour, the complaint was found to be unfounded.

The Licensing Program Analyst conducted interviews and observations, finding that residents receive monthly activity calendars and daily reminders, and participate in various activities. The complaint was determined to be unfounded and dismissed.

The complaint alleged that staff were not providing residents with activities while in care. The complaint was investigated and found to be unfounded, meaning the allegation could not have happened or was without reasonable basis.

The investigation found that residents receive a monthly activities calendar and daily activity reminders are posted in multiple locations. Residents reported participation in various activities, and staff confirmed monitoring attendance. The complaint was determined to be unfounded and dismissed.

The inspection found the facility in compliance with infection control practices, including proper signage, PPE supply, and staff adherence to face covering protocols. No deficiencies were observed during the visit.

The facility was found to be in compliance with required infection control practices. No deficiencies were observed during the inspection.

The Licensing Program Analyst conducted interviews and obtained relevant files related to the incident. An exit interview was conducted with the Administrator, and a copy of the report was provided.

The Licensing Program Analyst conducted interviews and obtained relevant files related to the incident. An exit interview was conducted with the facility administrator and a copy of the report was provided.

The complaint alleging the facility was unsanitary was investigated and found to be unsubstantiated.

The investigation found the area in wing of building B to be clean and in good repair with no detectable stains or odors from pets. The allegation was determined to be unsubstantiated.

The complaint alleging the facility was unsanitary was investigated and determined to be unsubstantiated.

The investigation found the area in wing of building B to be clean and in good repair with no detectable stains or odors from pets. The allegation was determined to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included lack of care and supervision resulting in resident death, failure to provide access to a call button, resident left soiled, and inadequate care and supervision. After review of records and interviews, there was insufficient evidence to prove violations occurred.

The investigation found that the resident had a terminal medical condition resulting in death, had access to a call button, was not left soiled, and the facility was providing adequate care and supervision. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included lack of care and supervision resulting in resident death, staff not providing access to a call button, resident left soiled, and inadequate care and supervision. The investigation found no evidence to substantiate these claims.

After reviewing records, conducting interviews, and examining logs, it was found that the resident had a terminal medical condition resulting in death, had access to a call button, and was not left soiled. The facility was providing adequate care and supervision. The allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint was unsubstantiated and unfounded after investigation.

The investigation found no evidence to support the allegations; staff maintained resident records properly and followed the admission agreement. The complaint was determined to be unfounded.

The complaint was investigated and found to be unfounded based on review of resident files and interviews. No deficiencies were cited.

The investigation found no evidence to support the allegations; staff maintained resident records properly and followed the admission agreement. The complaint was determined to be unfounded and no deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included neglect, medication errors, unmet needs, and staffing issues. Evidence did not prove violations occurred.

The investigation included interviews, record reviews, and observations. The allegations were found to be unsubstantiated due to lack of preponderance of evidence. Observations showed the resident had a call pendant, was assisted with feeding, and medication administration records confirmed medications were provided.

The complaint was unsubstantiated after investigation. Allegations included neglect, medication errors, unmet resident needs, and insufficient staffing, but evidence did not support these claims.

The investigation included interviews, record reviews, and observations, and found no preponderance of evidence to substantiate the allegations. Resident and witness statements, staff observations, and facility records indicated appropriate care and medication administration.

The facility was observed to be clean, odor-free, and in good repair with staff wearing masks. Residents were engaged in activities and no deficiencies were observed at this time.

The facility was observed to be clean, odor-free, and in good repair with staff wearing masks. Residents were engaged in activities and meals. Chemicals and medications were securely stored. No deficiencies were observed during the visit.

The Licensing Program Analyst observed staff wearing masks and adequate PPE supplies. Residents were observed in dining and resting areas with no obstructions, insects, or odors noted. No deficiencies were observed during the visit.

The facility was observed to be free of obstructions, insects, and odors. Staff were wearing masks and appropriate PPE was available. Residents were observed in dining and resting areas. No deficiencies were observed at this time.

No deficiencies were observed during the inspection. The facility demonstrated compliance with COVID-19 mitigation measures, including visitor screening, staff mask usage, physical distancing, and adequate supplies of food and personal protective equipment.

The complaint alleged financial abuse of a resident. The investigation determined the allegation was false, could not have happened, and/or was without reasonable basis, resulting in dismissal of the complaint.

The investigation found that the complaint was unfounded. Interviews and verification with the resident, bank representatives, and investigators showed no suspicious activity and that the resident had authorized the transactions.

No deficiencies were observed during the inspection. The facility demonstrated compliance with COVID-19 mitigation measures, including visitor screening, staff mask usage, and availability of personal protective equipment.

The complaint alleged financial abuse of a resident. After interviews with the resident, bank representatives, and investigation, the complaint was determined to be unfounded and dismissed.

The investigation found that the complaint was unfounded; the alleged suspect was a family member, not a staff member, and no suspicious activity was found on the resident's bank account during the relevant period.

No deficiencies were noted during the inspection. The Licensing Program Analyst observed two storage rooms stocked with appropriate Personal Protective Equipment.