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 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 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, 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 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 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 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.

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 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.

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 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 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 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.

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 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.

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 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.

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 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 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 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.

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.