Inspection Reports for
Brookdale San Jose

The complaint included allegations that staff did not ensure the facility was free from pests, did not treat residents with respect, and did not assist residents in their morning activities of daily living. After investigation, all allegations were found unsubstantiated due to lack of preponderance of evidence.

The investigation found all allegations unsubstantiated based on interviews with staff and residents, observations, and review of pest control records. No deficiencies were cited under California Code of Regulations Title 22.

The complaint alleged that staff did not provide adequate supervision resulting in a resident sustaining a fall. The investigation found the allegation unfounded after reviewing records and interviews.

The investigation included review of resident records, interviews with staff and family, and examination of incident reports. The department found the complaint allegation to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis.

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 Licensing Program Analyst inspected the assisted living and memory care areas, activity and common areas, kitchens, and safety features. No deficiencies were found during the inspection, and the facility was observed to be maintained, sanitary, and compliant with safety and licensing requirements.

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.

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 facility completed a Plan of Correction on 2025-03-27. No deficiencies were cited during this follow-up visit.

During the visit on 2025-07-23, the Licensing Program 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 according to California Code of Regulations Title 22.

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.

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.

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.

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 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 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.

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 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: 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.

The investigation found no evidence of tripping hazards in the facility, with residents, staff, and the Executive Director all stating no such hazards were observed. Regarding staffing, while a few residents and staff noted occasional short staffing, the majority and the Executive Director stated staffing was sufficient to meet residents' needs. Both allegations were determined to be unfounded or unsubstantiated.

The complaint alleged that staff did not clean the resident's room. After investigation including interviews and observations, the complaint was found to be unfounded.

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 allegations were determined to be unfounded.

The complaint alleged that staff entered a resident's room without permission and went through personal belongings. The investigation included interviews and record reviews, concluding the allegations were unfounded due to jurisdictional limitations over the independent living area where the incident occurred.

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

The complaint investigation addressed two main allegations: 1) Facility did not follow proper protocol for COVID-19, which was found to be unfounded. 2) Insufficient staffing, which was found to be unsubstantiated.

The investigation found the allegations of improper COVID-19 protocol were unfounded, meaning the allegations were false or without reasonable basis. The allegation of insufficient staffing was unsubstantiated, indicating there was not enough evidence to prove the allegation either way. Interviews with residents, staff, and the Executive Director supported these conclusions.

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.

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 on 2025-04-06, a resident was yelled at by staff during breakfast. Staff interviews confirmed the accused staff member was not working that day. All interviewed staff denied yelling at residents. Resident interviews mostly denied witnessing yelling. The allegation was unsubstantiated based on interviews, record review, and observations.

After interviews with 8 staff members and 5 residents, and review of records, the allegation was found to be unsubstantiated. No evidence supported that staff yelled at the resident; rather, the resident was agitated and yelling. No deficiencies were cited.

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 Plan of Correction submitted on 2024-03-27 is currently being implemented. The facility and Finance Services Director's office maintain proper security of confidential files. No deficiencies were cited at this time as per California Code of Regulations, Title 22.

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 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 complaint dated 2025-02-19. The Licensing Program Analyst determined the incident requires further investigation. No citation was issued at this time.

The Licensing Program Analyst reviewed the incident report, interviewed two staff witnesses, and requested relevant personnel files and policies. The incident requires further investigation and no citation was issued during this visit.

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 Licensing Program Analyst toured the facility, reviewed medication and staff records, and inspected safety and emergency supplies. No deficiencies were cited during this inspection.

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.

No deficiencies were cited at this time as per California Code of Regulations Title 22.

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 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 the 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 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.

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.

No deficiencies were cited during this visit. The immediate exclusion letter was delivered and explained to the Associate Executive Director, who confirmed the staff member is not currently working at the facility and understands they can no longer work in licensed facilities.

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 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 a resident's thyroid condition. After interviews with staff and review of medical and service records, the allegation was found to be unfounded.

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 the service plan. The allegation 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.

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 was unannounced and included interviews with residents, a caregiver, the housekeeper, and the Assisted Living Director. The infestation was not substantiated in the licensed units.

The investigation found no evidence of cockroach infestation in the assisted living and memory care units. However, cockroaches were present in the independent living unit, which is not licensed by the Community Care Licensing Division (CCLD). Therefore, the complaint was determined to be unfounded.

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

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 alleged that the facility did not have an evacuation plan. The investigation included interviews, observations, and record reviews. The allegation was found unsubstantiated due to insufficient evidence to prove violations.

The investigation found that the allegation was unsubstantiated. Although some evacuation maps were missing or not posted visibly, the facility had updated emergency disaster plans and had ordered larger evacuation maps as requested by residents. No deficiencies were cited.

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 facility was found to be clean and sanitary with no deficiencies cited. Fire exit routes were clear, medications were secured, and adequate PPE was available with all staff N95 fit tested.

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 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 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 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 suspect staff and initiated an investigation. Training was planned to address the issue.

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

The complaint alleged that a resident sustained a fracture while in care. The investigation included interviews with 4 staff members, 3 residents, hospice and hospital staff, and review of medical records. The injury was likely related to the resident's pre-diagnosed medical conditions. The allegation was found unsubstantiated.

The investigation found the allegation to be unsubstantiated after interviews with staff, residents, and review of medical records indicated no evidence that the injury was caused intentionally or by facility staff. No citations were issued during the inspection.

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.

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

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 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. Interviews with residents and staff denied the allegations, and record reviews supported that staff responded timely to residents' alerts and toileting needs. Previous similar complaints were also investigated with no substantiated findings.

The investigation found the allegations to be unsubstantiated after interviews with residents and staff, and review of records including the pendant response log, which showed no over an hour response time as alleged.

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, and review of medical records and incident reports. The fall allegation was unsubstantiated and the unexplained injuries allegation was unfounded.

The investigation found the allegation of a resident fall resulting in fractures to be unsubstantiated, meaning there was insufficient evidence to prove the allegation. The allegation of unexplained injuries was found to be unfounded, indicating the allegation was false or without reasonable basis.

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.

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

The investigation found the allegation unsubstantiated after interviews with staff and the resident, review of hospice care plans, and observations. The resident was able to feed self and staff reported no facility policy prohibiting feeding assistance for hospice residents, with assistance provided in private apartments only.

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.

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.

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.

The inspection found no deficiencies. COVID-19 mitigation measures were in place, including vaccination rates above 70%, weekly staff testing, and availability of PPE. The facility's activity schedule and visitor policies were reviewed and found compliant.

The complaint alleged insufficient staffing and failure to follow a resident's care plan regarding housekeeping and shower preferences. The investigation found these allegations unsubstantiated due to lack of preponderance of evidence.

Based on interviews with residents, staff, and review of records, the Department found the allegations unsubstantiated. Most residents and staff reported sufficient staffing and no complaints about housekeeping or care plan adherence. Staffing schedules showed adequate coverage.

The complaint alleged that a facility staff member made a sexually inappropriate hand gesture towards a resident. The allegation was investigated through interviews and record reviews, and was ultimately found to be unsubstantiated.

The investigation included interviews with residents, staff, and the Executive Director, as well as review of a police report. The allegation was found to be unsubstantiated due to lack of sufficient evidence, with no physical contact involved and the staff member having resigned voluntarily.

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 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 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 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.

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.

No deficiencies were cited during this visit. The Licensing Program Analyst reviewed documentation and discussed facility operations with the Executive Director and Health and Wellness Director via video conferencing.

The complaint included two allegations: 1) Facility charged resident for services not agreed upon, specifically charging for two-person assist service after the resident no longer needed it. 2) Facility provided inadequate food service, including serving spoiled milk. Both allegations were investigated and found to be unfounded.

The investigation found the allegations to be unfounded. Records and interviews showed the resident was not charged for the disputed two-person assist service after the need changed, and food service inspections and resident/staff interviews confirmed no spoiled food was served and portions were adequate.

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 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 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 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 with residents and staff and virtual tours of the facility, the allegations were found to be unfounded.

The investigation included virtual tours, resident and staff interviews, and observations. No unsanitary conditions or evidence of rough handling were found. All interviewed residents denied complaints about staff behavior or housekeeping. The allegations were determined to be unfounded.

The complaint alleged that residents did not receive timely assistance, staff failed to assist with bathing and toileting needs, and staff did not effectively communicate with residents. After investigation, the allegations were found to be unsubstantiated or unfounded based on interviews, record reviews, and observations.

The investigation included interviews with residents and staff, review of staff schedules, and testing of pendant alarm systems. The Department found the allegations unsubstantiated or unfounded, concluding that staff generally respond within acceptable timeframes and assist residents appropriately.

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.

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 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 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 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 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 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 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 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.

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 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 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 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.