Inspection Reports for Brookdale Roseville

An unannounced annual inspection was conducted to ensure compliance with Title 22 regulations at the care facility.

The inspection found the facility to be in compliance with all applicable regulations, with no deficiencies cited. Resident rooms, bathrooms, common areas, kitchen, and medication storage were all found to be properly maintained and sanitary.

The visit was conducted as a case management incident investigation to review two incident reports sent to the Community Care Licensing Division (CCLD).

Licensing Program Analysts conducted interviews, toured the facility, and reviewed pertinent documents related to the incidents. No deficiencies were cited at this time, and further follow-up may occur if needed.

The visit was triggered by two incident reports. No deficiencies were cited, and the Licensing Program Analysts will return if further follow-up is needed.

The inspection visit was an unannounced case management visit to discuss recent COVID cases, review an incident report, and clear out the plan of correction from the annual inspection.

All COVID cases have been cleared and all residents are doing well. The incident report was discussed, and the administrator reported that the resident with a wound is receiving home health services. The plan of correction was reviewed and cleared with no deficiencies cited during the inspection.

The inspection was an unannounced annual inspection conducted to ensure the health and safety of residents at the facility.

The inspection found no immediate health, safety, or personal rights violations in the areas toured. However, deficiencies were cited related to incomplete resident records, lack of updated CPR and first aid certificates for care staff, and missing health screenings for personnel.

The visit was an unannounced case management inspection conducted in response to an incident report regarding missing medications during destruction of discontinued medications.

No deficiencies were cited during the inspection. The facility reported missing hydrocodone medications belonging to a past resident, conducted an internal investigation which was inconclusive, terminated the responsible staff member, and reported the incident to local police. The administrator agreed to submit any new medication destruction procedures to the licensing agency for review.

The complaint involved missing medications (2 packs of hydrocodone) discovered during medication destruction. The investigation was inconclusive, the responsible staff member was terminated, and the incident was reported to the police.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-02-10 alleging resident injury due to staff neglect and hazardous items accessible to residents.

The complaint was substantiated for two allegations: a resident sustained a burn injury due to staff neglect related to an accessible electric fireplace, and staff left a hazardous item accessible to residents. Several other allegations regarding wound care, laundry, feeding, hygiene, and cleanliness were investigated and found unsubstantiated.

The complaint investigation was substantiated for allegations that a resident sustained an injury due to staff neglect and that staff left a hazardous item accessible to residents. The resident (R1) sustained second and third degree burns from an electric fireplace accessible in the common area. Other allegations regarding wound care, laundry, feeding, hygiene, and facility cleanliness were unsubstantiated.

The inspection was an unannounced Required-1 Year Inspection conducted to ensure health and safety compliance at the facility.

The inspection found no deficiencies. The facility was observed to be clean, sanitary, and in good repair with proper food supplies, operable safety equipment, and locked medications. Resident files and staff records were reviewed and found compliant.

An unannounced complaint investigation was conducted due to an allegation that staff did not provide all of a resident's records to the resident's authorized representative.

The investigation found the allegation substantiated. Records requested on 01/18/2023 were provided on 01/23/2023 but exceeded the required two business days for providing photocopies, violating Health and Safety Code 1569.269(a)(21).

The complaint was substantiated based on evidence that the facility did not provide requested resident records within the required timeframe, violating residents' rights to prompt access and photocopies of their records.

An unannounced complaint investigation was conducted due to an allegation that the facility did not answer communications promptly and appropriately to the resident's representatives.

The investigation found that the facility delayed providing requested resident records to the resident's responsible party by about a month, which was substantiated as a violation of residents' rights to prompt access to their records.

The complaint was substantiated. The allegation was that the facility did not respond promptly to communications from the resident's representatives. The Executive Director left the facility without notice and did not complete or provide the authorization for release of records to the resident's responsible party in a timely manner.

An unannounced complaint investigation was conducted following a complaint that the facility did not answer communications promptly and appropriately to the resident's representatives.

The investigation found that the facility failed to provide resident R1's records to the responsible party in a timely manner, with records provided about a month late, constituting a violation of residents' rights. The allegation was substantiated.

The complaint was substantiated. The allegation was that the facility did not answer communications promptly and appropriately to the resident's representatives. The responsible party's request for resident records was delayed due to a misplaced authorization form, resulting in records being provided about a month late.

The visit was conducted as a follow-up on an unusual incident/injury report regarding allegations of physical and sexual abuse made by a memory care resident.

The facility conducted an internal investigation, notified appropriate parties, and no immediate health, safety, or personal rights violations were observed during the tour. No deficiencies were cited at this time.

The complaint involved allegations of physical abuse by the resident's husband and a statement of sexual assault. The facility notified the resident's POA, Primary Care Physician, Ombudsman, and Police Department. Skin checks showed no bruises or new skin alterations. The facility is retraining staff on mandated reporting and updating the care plan to prevent male staff from personally caring for the resident.

The inspection was an unannounced Required-1 Year Inspection focusing on the infection control domain to ensure compliance with health and safety regulations.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.

The inspection was an unannounced complaint investigation visit conducted in response to allegations that the facility did not safeguard a resident's personal property and did not reimburse the resident for lost property, and concerns about inadequate record keeping.

The complaint regarding missing personal property was substantiated, with the facility reimbursing the resident $54.80 for lost items. The allegation of inadequate record keeping was found to be unsubstantiated after review of records and interviews. The facility agreed to review relevant regulations and submit documentation.

The complaint was substantiated regarding the facility's failure to safeguard a resident's personal property and failure to reimburse for lost items. The allegation about inadequate record keeping was unsubstantiated.

The inspection was a required unannounced 1-Year Inspection focusing on the infection control domain, conducted to ensure health and safety compliance at the facility.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.

Unannounced complaint investigation visit conducted in response to a complaint received on 08/17/2020 alleging sexual abuse, physical abuse, failure to notify resident's authorized representative, improper treatment for lice, and unsafe room conditions.

All allegations were investigated and found to be unsubstantiated due to conflicting information and lack of preponderance of evidence. The facility followed appropriate procedures for lice treatment and safety measures were observed during the visit.

The complaint included allegations of sexual abuse, physical abuse, failure to notify the resident's authorized representative, improper treatment for lice, and unsafe room conditions. All allegations were found to be unsubstantiated after investigation, including interviews with staff, review of medical and incident reports, and facility observations.

The visit was an unannounced Case Management - Incident conducted via telephone to follow up on an Unusual Incident Report submitted regarding an incident on 03/16/2021 involving inappropriate touching between two memory care residents.

The Licensing Program Analyst interviewed the Executive Director who reported that law enforcement was called, a police report was made, and no injuries were noted after a skin check. The residents' physicians were informed and new medication orders were provided. No deficiencies were cited at this time.

The complaint involved a memory care resident reporting another resident entering their room and touching them inappropriately. The incident was substantiated by law enforcement involvement and follow-up actions including notification of responsible parties and physician updates.

The visit was an unannounced Case Management telephone visit conducted to follow up on an Unusual Incident/Injury Report regarding a resident who had shortness of breath and was unresponsive, requiring transfer to the emergency room.

The Licensing Program Analyst interviewed the administrator and found that the resident was in the process of hospice initiation with declining health. No deficiencies were cited during this visit.