Inspection Reports for Brookdale San Jose

The inspection was an announced pre-licensing visit for a change of ownership and case management, including inspection of the assisted living and memory care areas.

The facility was found to be well maintained with no deficiencies noted. Safety features such as delayed egress in memory care, locked medication carts, and proper signage were observed. Fire safety systems and food storage were inspected and found compliant.

The visit was conducted to follow up on a deficiency cited on 2025-03-14 related to unsecured personal resident records in an unlocked office room, following a complaint received on 2025-03-03.

During the visit, the licensing analyst observed that the financial department office door was locked and confirmed that it is always kept locked when unoccupied. No deficiencies were cited at this time as per California Code of Regulations Title 22.

The visit was complaint-related, following a complaint received on 2025-03-03. The deficiency cited was for unsecured personal resident records. The follow-up visit found the deficiency corrected and no new deficiencies were cited.

The inspection was conducted as an unannounced complaint investigation following allegations that staff were not keeping the facility free of tripping hazards and that facility staffing was insufficient to meet residents' needs.

The investigation found no evidence of tripping hazards in the facility after interviews with residents, staff, and the Executive Director, as well as facility tours. Regarding staffing, while some residents and staff noted occasional short staffing, the majority stated staffing was sufficient to meet residents' needs. The department concluded the allegations of tripping hazards were unfounded and the staffing concerns were unsubstantiated.

Two complaints were investigated: 1) Staff not keeping the facility free of tripping hazards, which was found to be unfounded. 2) Facility staffing is insufficient to meet residents' needs, which was found to be unsubstantiated.

An unannounced complaint investigation was conducted in response to an allegation that staff did not clean a resident's room.

Based on interviews with residents, staff, and executive directors, as well as facility tours, the investigation found that resident rooms were cleaned weekly and maintained in a clean, safe, and sanitary condition. The allegation was determined to be unfounded.

The complaint alleged that staff did not clean the resident's room. After investigation, including interviews with residents R1-R17, staff S1-S10, and executive directors, and facility tours, the allegation was found to be unfounded.

An unannounced complaint investigation was conducted in response to an allegation that staff entered a resident's room without permission and went through the resident's personal belongings.

The investigation found the allegation to be unfounded because the incident occurred in an independent living area not licensed by the Community Care Licensing Division. The staff member involved was suspended and then terminated by the facility following an internal investigation.

The complaint alleged that staff entered a resident's room without permission and went through personal belongings. The allegation was investigated through interviews and record reviews and was found to be unfounded as the area was not under licensing jurisdiction.

The inspection was an unannounced complaint investigation conducted in response to complaints alleging that the facility did not follow proper COVID-19 protocols and that there was insufficient staffing.

The investigation found the allegations regarding improper COVID-19 protocols to be unfounded based on interviews and records review. The allegation of insufficient staffing was found to be unsubstantiated, with mixed resident and staff reports but no preponderance of evidence to prove the claim.

Two complaints were investigated: one alleging failure to follow proper COVID-19 protocols, which was found to be unfounded, and another alleging insufficient staffing, which was found to be unsubstantiated.

The inspection was conducted as an unannounced complaint investigation following a complaint received on 2025-04-09 alleging that facility staff yelled at a resident during breakfast on 2025-04-06.

After interviewing 8 staff members and 5 residents, and reviewing records, the allegation was found to be unsubstantiated. Staff and residents denied that staff yelled at the resident, and evidence showed the resident was agitated and yelling instead. No deficiencies were cited.

The complaint alleged that facility staff yelled at a resident during breakfast on 2025-04-06. The investigation found that staff member S1 was not working that day, and staff member S2 was also denied to have yelled at the resident. The resident was agitated and yelling at staff and another resident. The allegation was unsubstantiated.

Unannounced case management visit follow-up on the Type A deficiencies cited on 2025-03-14.

The Plan of Correction submitted on 2024-03-27 is currently being implemented. No deficiencies were cited at this time as per California Code of Regulations, Title 22.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 04/21/2022 regarding residents' medical assessment forms not being updated annually and some residents lacking medical assessment forms.

The investigation substantiated that 3 out of 7 residents did not have a medical assessment on file, and 4 had updated assessments. A deficiency was cited for failure to maintain required medical assessments. Other allegations related to care plans, staffing sufficiency, resident left in soiled diaper, and resident not fed a meal were investigated and found unsubstantiated.

The complaint investigation was substantiated regarding residents' medical assessment forms not being updated annually and missing for some residents. Other allegations about care plans, staffing, resident left in soiled diaper, and resident not fed a meal were unsubstantiated.

An unannounced complaint investigation was conducted following a complaint received on 2025-03-03 regarding staff not ensuring residents' personal information was kept confidential.

The investigation found that the Financial Director's office door was unlocked with no staff present, and sensitive documents containing residents' personal information were accessible to unauthorized individuals. The allegation was substantiated and a citation was issued.

The complaint alleged that staff did not ensure residents' personal information was kept confidential. The allegation was substantiated based on interviews and observations during the investigation.

The visit was a case management inspection regarding an incident that occurred on 2025-02-19.

The Licensing Program Analyst discussed the incident report with the Executive Director and interviewed two staff witnesses. The incident requires further investigation, and no citation was issued during this visit.

The visit was triggered by an incident reported on 2025-02-19. The Licensing Program Analyst determined that the incident requires further investigation. No citation was issued during this visit.

The inspection was an unannounced Required 1 Year visit to evaluate the facility's compliance with regulations.

The Licensing Program Analyst toured the facility, reviewed medication and staff records, inspected food and emergency supplies, and verified fire alarm system inspection records. No deficiencies were cited during this inspection.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2024-01-05 regarding resident care, medication management, staff supervision, and facility conditions at Brookdale San Jose.

The investigation found substantiated violations including staff neglecting resident care by sitting on the phone for extended periods, medication safety issues with pills found accessible to residents, and failure to provide adequate supervision. Other allegations such as foul odors and residents left in soiled clothes were unsubstantiated. Two Type A deficiencies were cited related to staffing competence and medication storage.

The complaint investigation was substantiated for allegations that staff failed to provide adequate care and supervision, including a staff member sitting on the phone for 1.5 hours during a resident visit, and medication safety violations. Other allegations such as foul odors and residents left in the same clothes for days were unsubstantiated.

The visit was an unannounced Case Management visit conducted to amend a report that was delivered to the facility on 09/27/2024.

No deficiencies were cited at this time as per California Code of Regulations Title 22. The report was reviewed with the Executive Director and a copy was provided.

The visit was conducted as a complaint investigation following a complaint received on 2024-09-20 alleging that the facility did not adhere to the smoking policy, resulting in infringement of residents' personal rights.

The investigation found that the facility had implemented the smoking policy and responded appropriately to the complaint. The complaint was determined to be unfounded, with no deficiencies cited during the visit.

The complaint alleged that the facility did not adhere to smoking policy, infringing on residents' personal rights. The complaint was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.

The visit was conducted to deliver an immediate exclusion letter for a staff member (S1) and to explain the purpose of the letter to the Associate Executive Director.

No deficiencies were cited during this unannounced case management visit. The immediate exclusion letter was handed to the Associate Executive Director, who confirmed the excluded staff member is not currently working at the facility.

The inspection was conducted as an unannounced complaint investigation following an allegation received on 2022-07-22 that facility staff did not seek medical attention for a resident in care.

The investigation found that the facility provided appropriate care and supervision to the resident, administered prescribed medications as ordered, and addressed the resident's health condition in service plans. The allegation was determined to be unfounded.

The complaint alleged that staff did not seek medical attention for resident R1's thyroid condition. The investigation included interviews with three staff members and review of physician reports, medication administration records, service plans, and residency agreement. The allegation was found to be unfounded.

The visit was an unannounced annual continuation inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory requirements at the facility.

The inspection found multiple deficiencies including lack of updated medical assessments for residents with dementia, missing signed and dated appraisal/needs and services plans, expired and undocumented medications, missing TB test results, inadequate staff first aid/CPR certifications, and improper water temperature maintenance. Plans of correction were requested for all deficiencies.

The inspection was an unannounced required 1-year annual inspection of the assisted living facility.

The facility was generally well maintained with adequate lighting, clean kitchens, and updated emergency and infection control plans. Some expired emergency food items were noted, and an open trash can near PPE carts was advised to be replaced with a lidded trash bin. Six staff files were reviewed but 1st aid certification was not observed for six staff members during the visit.

An unannounced complaint investigation visit was conducted to investigate an allegation that the facility has a cockroach infestation.

The investigation found no evidence of cockroach infestation in the assisted living and memory care units. However, the independent living unit, which is not licensed by CCLD, had cockroaches. Therefore, the complaint was determined to be unfounded.

The complaint alleged a cockroach infestation at the facility. The investigation included interviews with residents, a private caregiver, the housekeeper, and the Assisted Living Director, as well as inspections of multiple facility areas. The complaint was found to be unfounded as no infestation was found in licensed areas.

An unannounced complaint investigation was conducted based on a complaint received on 2023-06-13 alleging that the facility does not have an evacuation plan.

The investigation found that evacuation maps were missing on some floors of the independent living section but were present in assisted living and memory care areas. The facility had an emergency disaster plan updated in 2023 but not visibly posted. Residents had complained about the small size of evacuation maps, and the facility had ordered larger maps. Staff received training on evacuation and fire drills, and residents were given a fire safety presentation. The allegation was unsubstantiated and no deficiencies were cited.

The complaint was unsubstantiated based on record review, interview, and observation. No deficiencies were cited per California Code of Regulations, Title 22.

An unannounced annual inspection focusing on infection control was conducted as a required one-year visit.

The facility was found to be clean and sanitary with no deficiencies cited. Infection control measures including PPE availability, N95 fit testing for staff, and COVID-19 related signage were observed. Fire exits were clear, medications were securely stored, and hygiene supplies were adequate.

The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 06/28/2022 regarding a resident sustaining a fracture while in care.

The investigation found no evidence that the injury was caused intentionally by facility staff. Interviews and medical record reviews indicated the injury likely stemmed from the resident's pre-diagnosed medical conditions. The allegation was determined to be unsubstantiated.

The complaint alleged that a resident sustained a fracture while in care. The investigation included interviews with facility staff, residents, hospice and hospital staff, and review of medical records. The allegation was found to be unsubstantiated due to lack of evidence.

The visit was conducted as a Case Management - Incident investigation following a reported incident on 11/02/2022 where a staff member yelled at a resident.

The facility had already started an investigation and suspended the suspect staff. The facility planned to provide staff training on challenging behavior intervention, behavior problem solving, and resident personal rights. No citations were noted during the visit.

The complaint involved a staff member yelling at a resident. The facility suspended the staff and initiated an investigation. Training plans were outlined to address the issue.

The visit was an unannounced case management - incident inspection to obtain additional information on incident reports regarding missed medications affecting 26 memory care residents.

The facility failed to ensure an adequate number of medtechs and nurses on the morning of 09/19/2022, resulting in 26 memory care residents missing their AM medications. The facility provided staff training and developed a plan to prevent recurrence. A deficiency was cited per California Code of Regulations, Title 22.

The visit was triggered by incident reports received by the Department regarding missed medications affecting 26 residents in memory care on 09/19/2022. The facility reported the incident on 09/20/2022, notified responsible parties and physicians, monitored residents for 48 hours with no adverse reactions, and provided staff training.

The purpose of this Technical Assistance Tele visit was to review the facility COVID-19 infection mitigation plan and conduct an inspection to ensure the plan is being carried out and to provide support and guidance to staff in mitigating the spread of the virus.

During the tele-visit inspection, the facility was toured and infection control measures were reviewed, including isolation rooms and PPE stations. Recommendations were provided to improve infection control practices, but no deficiencies were cited during the visit.

The purpose of this Technical Assistance Tele visit was to review the facility COVID-19 infection mitigation plan and conduct an inspection to ensure the plan is being carried out and to provide support and guidance to staff in mitigating the spread of the virus.

The inspection found that the facility lacked COVID-19 signage at the main entrance, handwashing signage in restrooms, and donning and doffing PPE signage outside the isolation room. The facility administrator stated these would be posted later. No deficiencies were cited during the tele-visit.

The visit was an unannounced complaint investigation triggered by allegations that staff did not respond to residents' alerts in a timely manner and failed to properly assist residents while toileting.

The investigation found that the allegations were unsubstantiated based on interviews with residents and staff, and record reviews showing no evidence of delayed responses or unmet toileting needs.

The complaint was unsubstantiated. Multiple residents and staff denied the allegations, and record review showed no over an hour response time as alleged. Previous similar complaints were also investigated with no substantiated findings.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 06/10/2020 regarding a resident who suffered a fall resulting in fractures and sustained unexplained injuries while in care.

Based on interviews with staff, medical professionals, residents, and review of records, the Department found the allegations unsubstantiated and unfounded. The investigation concluded there was insufficient evidence to prove the fall and injuries were preventable or caused by facility negligence.

The complaint involved allegations that a resident suffered a fall resulting in fractures and sustained unexplained injuries while in care. The investigation included interviews with staff, medical professionals, residents, family members, and review of medical and incident records. The findings were unsubstantiated for the fall allegation and unfounded for the unexplained injuries allegation.

The visit was a case management inspection conducted as a result of complaint investigation #26-AS-20210630151909 to review resident records and compliance with hospice care plan requirements.

The inspection found that resident R1's hospice care plan was not current and had ended on 05/12/2021, despite R1 still being under hospice care. A deficiency was cited for failure to maintain a current and complete hospice care plan.

The visit was triggered by complaint investigation #26-AS-20210630151909. The deficiency cited relates to the failure to maintain a current hospice care plan for resident R1. Substantiation status is not explicitly stated.

The inspection was conducted as a complaint investigation following a report received on 06/30/2021 alleging that facility staff refused to assist a resident who is unable to feed without assistance.

The investigation found the allegation unsubstantiated after interviews and record reviews. The resident was able to feed self at the time of investigation, staff reported no facility policy against assisting hospice residents with feeding, and some staff had assisted the resident. The facility has a policy that feeding assistance is provided in private apartments only, not in the communal dining room.

The complaint alleged that facility staff did not assist a resident with feeding. The investigation included interviews with the resident, staff, and review of hospice care plans. The allegation was found unsubstantiated due to lack of preponderance of evidence.

An annual unannounced inspection was conducted as a required one-year visit to evaluate the facility's compliance with regulations.

No deficiencies were cited during the inspection. The facility was found to have COVID-19 mitigation measures in place, including PPE supplies, vaccination rates, and weekly staff testing.

An unannounced complaint investigation visit was conducted in response to allegations received on 03/30/2021 that the facility had insufficient staffing to meet resident needs and did not follow a resident's care plan.

The investigation found the allegations to be unsubstantiated based on interviews with residents, staff, and review of records. Most residents and staff reported sufficient staffing and no complaints about housekeeping or care plan adherence.

The complaint alleged insufficient staffing and failure to follow a resident's care plan regarding housekeeping and shower preferences. The investigation included interviews with residents, staff, and the Assisted Living Director, as well as review of staffing schedules and records. The findings were unsubstantiated.

The inspection was conducted as an unannounced complaint investigation visit following a complaint received on 04/06/2021 alleging that a facility staff made a sexually inappropriate hand gesture towards a resident.

The investigation included interviews with residents and staff, review of police reports, and attempts to contact the accused staff member. The allegation was found to be unsubstantiated due to lack of sufficient evidence to prove the claim.

The complaint alleged that a facility staff member (S1) made a sexually inappropriate hand gesture towards resident R1. Interviews revealed R1 may have misinterpreted the gesture and no physical contact occurred. Staff member S1 was placed on administrative leave and later resigned. The San Jose Police Department report supported the unsubstantiated finding.

The inspection was conducted due to a complaint alleging that the facility allows unqualified staff to dispense and administer medications, resulting in mismanagement of residents' medications.

The investigation found that staff MedTechs who were not licensed professionals administered insulin injections to residents, and medication discrepancies were identified in 6 out of 7 residents' medication records. The allegations were substantiated and deficiencies were cited.

The complaint was received on 2021-02-08 alleging unqualified staff dispensing medications and mismanagement of residents' medications. The complaint was substantiated based on investigation findings including staff interviews, record reviews, and medication audits.

Case Management visit to follow up on a substantiated complaint regarding neglect/lack of care and supervision related to a resident's pressure injury and failure to provide appropriate medical care.

The licensee failed to regularly observe and document changes in the resident's skin condition, did not report the pressure injury to the Department within seven days, and did not seek treatment for the resident's skin conditions, which developed into unstageable pressure injuries requiring medical intervention. A civil penalty was issued for serious bodily injury.

The complaint investigation was substantiated regarding neglect/lack of care and supervision. The resident developed pressure injuries that were not properly observed or reported by facility staff. An immediate civil penalty of $500 was issued on May 10, 2018, and an additional civil penalty of $9,500 was issued on May 18, 2021 for serious bodily injury.

The visit was a case management tele-visit conducted to review the facility's resident roster, staffing schedule, and program plans related to work shifts and medication policies as part of ongoing oversight.

No deficiencies were cited during this visit. The Licensing Program Analyst reviewed documents and discussed facility operations with the Executive Director and Health and Wellness Director. A medication audit was scheduled for the following week.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2021-01-14 regarding improper charges for services and inadequate food service for a resident.

The investigation found that the facility did not charge the resident for two-person assist services beyond the agreed period and that food service allegations, including serving spoiled milk and inadequate portions, were unfounded based on interviews, record reviews, and observations.

The complaint included two allegations: 1) Facility charged resident for services not agreed upon, and 2) Facility provides inadequate food service. Both allegations were investigated and found to be unfounded.

The inspection was conducted as an unannounced complaint investigation following allegations received on 01/25/2021 regarding rough handling of residents by a staff member and failure to remove trash and soiled linens from residents' rooms.

The investigation included virtual tours of the facility, resident and staff interviews, and observations. No unsanitary conditions or evidence of rough handling were found. All interviewed residents and most staff denied the allegations. The complaint was determined to be unfounded.

The complaint alleged that a staff member handled residents roughly causing bruising and failed to remove trash and soiled linens from residents' rooms. After investigation, including interviews and virtual tours, the allegations were found to be unfounded.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 12/29/2020 regarding delayed assistance to residents and inadequate staff communication.

The investigation found the allegations unsubstantiated or unfounded based on resident and staff interviews, record reviews, and direct testing of pendant alarm response times. Staff generally responded within acceptable timeframes and assisted residents with toileting and bathing needs.

The complaint alleged that residents did not receive timely assistance, staff did not assist with bathing and toileting needs, and staff communication was ineffective. The investigation concluded the allegations were unsubstantiated or unfounded, indicating insufficient evidence to prove the claims.

Unannounced investigation of a complaint alleging that facility staff failed to seek appropriate medical attention in a timely manner.

The allegation was substantiated based on review of incident and dispatch reports showing a 44-minute delay between the observation of stroke symptoms in a resident and the 911 call. Staff interviews and resident statements were inconclusive or unable to verify the timing of the emergency call.

The complaint was substantiated. The investigation found a 44-minute gap between the time a resident was noted to have stroke symptoms and the time 911 was called, posing an immediate health and safety risk.

The inspection was conducted as an unannounced complaint investigation following allegations received on November 6, 2020, regarding improper resident assessment and unauthorized charges and removal of personal property.

The investigation found the allegation that the facility did not properly assess the resident prior to adding 24-hour one-on-one caregiving services to be unfounded. The allegations that the facility charged the resident for services not agreed upon and removed personal property without permission were found to be unsubstantiated due to insufficient evidence.

The complaint investigation was triggered by allegations that facility staff did not properly assess a resident before adding 24-hour one-on-one caregiving services, that the resident was charged for services not agreed upon, and that staff removed the resident's personal property without permission. The first allegation was found to be unfounded, and the latter two were unsubstantiated.

The visit was a Case Management tele-visit to address deficiencies identified during a complaint investigation involving resident R1, specifically regarding the removal of personal property without permission.

The investigation revealed that resident R1 did not have an initial inventory of personal property upon admission as required by the facility's Theft and Loss Policy, and records did not show that R1 declined to inventory personal property. A deficiency was cited for this violation.

Complaint 26-AS-20201106171220 alleged that R1 had personal property removed from R1's room without permission. The deficiency cited relates to failure to inventory personal property upon admission.

Licensing Program Analyst Gladys Kuizon conducted a Case Management - Legal/Non-compliance inspection visit to ensure that the facility is adhering to the Compliance Plan submitted after a Non-Compliance Conference held on 11/14/2018.

The facility's main kitchen, food storage, Assisted Living kitchens, pendant alert system, and Memory Care unit were inspected and found to be in compliance with the facility's compliance plan. Staff training records were reviewed and observed in compliance. The two-year quarterly case management visits imposed on the facility conclude with this visit.

The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2021-02-18 regarding inappropriate staff behavior towards a resident on 2020-10-18.

The investigation found that although staff (S2) was witnessed cursing at a resident (R1) in Tagalog during a transfer, the resident did not understand, and there was insufficient evidence to substantiate the allegation. The allegation was determined to be unsubstantiated based on interviews, record reviews, and observations.

The complaint alleged that facility staff spoke inappropriately to a resident. The investigation included interviews with staff and residents, review of medical records and police report, and found the allegation unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations received on October 28, 2020, regarding staff not reporting an unusual incident and allegations of staff slapping a resident and leaving a resident in soiled clothing.

The investigation found that the allegation of staff slapping a resident was unsubstantiated, with staff interviews and medical records reviewed. The allegation that staff did not report an unusual incident was found to be unfounded, meaning the allegation was false or without reasonable basis. The resident showed no visible signs of injury and the facility followed up with the resident's physician.

The complaint involved allegations that facility staff did not report an unusual incident as required, staff slapped a resident, and staff left a resident in soiled clothing for an extended period. The investigation included interviews with staff and the resident's spouse, review of medical records and police reports, and concluded the allegations were unsubstantiated or unfounded.

The inspection was an unannounced complaint investigation triggered by an allegation that facility staff posted residents' confidential information in a public area.

The investigation found that a resident roster poster containing residents' names and other information was unintentionally left posted overnight in a public nurses' station area but was subsequently removed and secured in a locked office. No health information was identifiable from the poster. The allegation was substantiated and a deficiency was cited for failure to treat the register of residents as confidential.

The complaint was substantiated based on observations, interviews, photo evidence, and review of records. The allegation was that confidential resident information was posted publicly, which was confirmed by the investigation.

The visit was a Case Management - Other type of inspection conducted as a Technical Assistance tele-visit involving COVID-19 related observations and recommendations.

No deficiencies were cited during the visit. Several COVID-19 related recommendations were made to improve infection control practices, including posting hand-washing guides, promoting social distancing, ensuring covered trash bins, disinfecting common areas, and proper PPE donning and doffing procedures.

The visit was a Case Management tele-visit conducted to deliver an amended report to the facility and discuss it with the Executive Director.

The Licensing Program Analyst delivered an amended Case Management report originally issued on December 3, 2018, and discussed it with the Executive Director for review and signature.

The visit was a case management tele-visit conducted to review facility operations including COVID-19 screening procedures and infection control measures.

The facility was toured including Memory Care and Assisted Living areas, and COVID-19 safety protocols were observed. Staff were wearing PPE and communal dining was permitted under specific conditions. Several improvements were advised, and no deficiencies were cited during this visit.

The visit was an unannounced Case Management visit to verify and confirm that the facility received the Immediate Exclusion Letter for employee S1 and that S1 is no longer present at the facility.

The Licensing Program Analyst verified through interview and observation that employee S1 is not present, employed, or residing at the facility. The licensee was advised to disassociate S1 from their roster, and an updated LIC 500 was received.