Inspection Reports for Brookdale San Marcos

The visit was an unannounced case management - incident inspection conducted to follow up on an unusual incident report submitted by the facility regarding an allegation that an unknown male entered Resident #1's bedroom at night and did inappropriate acts.

During the visit, the Licensing Program Analyst interviewed the Executive Director and Resident #1, conducted observations and took pictures of the resident's unit, and noted various hazards in the resident's bedroom that did not follow code enforcement. The analyst will be cross-reporting concerns to appropriate agencies.

The complaint involved an allegation by Resident #1 that an unknown male entered their bedroom at night and committed inappropriate acts. The visit was conducted to investigate this incident.

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

The facility was found to be clean, well-maintained, and in good repair with no deficiencies observed. All reviewed client and employee records met requirements, and safety, infection control, medication storage, and fire safety measures were compliant.

The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations.

The facility was inspected inside and outside with no obstructions found. All required safety equipment and postings were present. The facility was clean, well-maintained, and operating within regulations. No Title 22, Division 6 Regulation violations were observed or cited during the visit.

An unannounced complaint investigation was conducted in response to allegations that staff did not have the required training to care for residents, resident rooms were not kept sanitary, and the licensee did not ensure personnel requirements were met.

The investigation included interviews, record reviews, and facility tours, which found that staff received appropriate training, resident rooms were generally clean, and staffing levels were adequate. The allegations were determined to be unsubstantiated based on the evidence.

The complaint was unsubstantiated after investigation. Allegations included inadequate staff training, unsanitary resident rooms, and unmet personnel requirements. Evidence did not support these claims.

An unannounced complaint investigation visit was conducted to investigate allegations that staff did not ensure that a resident had their medications and that staff mismanaged the resident's medications.

The investigation found insufficient evidence to substantiate the allegations. Staff and resident interviews, along with a review of the resident's file and Medication Administration Records, indicated the resident self-administered medications with brief assistance from staff for three days before medications were returned to the resident for unsupervised self-administration.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations did or did not occur.

An unannounced visit was conducted to investigate a complaint alleging that staff were not abiding by the addendum to the admissions agreement, specifically regarding rental amounts.

The investigation found that the facility had documented a rent increase and retention discount appropriately, and there was insufficient evidence to substantiate the allegation that staff were not abiding by the admissions agreement addendum. The allegation was therefore unsubstantiated.

The complaint alleged that staff were not abiding by the addendum to the admissions agreement related to rental amounts. The allegation was unsubstantiated due to lack of sufficient evidence.

An unannounced visit was conducted to investigate a complaint alleging unlawful eviction of a resident from the facility.

The investigation found that the facility issued a 30-day eviction notice to a resident without proper diagnosis, as the resident refused a psychiatric evaluation and no documentation supported the alleged delusional behavior and hallucination. The allegation was substantiated.

The complaint alleged unlawful eviction. The allegation was substantiated based on observation, interview, and file review.

The visit was conducted to investigate complaint number 18-AS-20220606112050 at the facility.

During the visit, interviews were conducted with residents and no deficiencies were cited.

Complaint number 18-AS-20220606112050 was investigated and found to have no deficiencies.

An unannounced complaint investigation visit was conducted in response to an allegation that a resident sustained pressure injuries while in care.

The investigation found that the resident had multiple pressure injuries prior to admission and was receiving treatment. There was insufficient evidence to substantiate the allegation that the injuries were sustained while in care, resulting in an unsubstantiated finding.

The complaint alleged that a resident sustained pressure injuries while in care. The investigation concluded the allegation was unsubstantiated due to lack of sufficient evidence.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff failed to meet a resident's needs and refused to provide transportation for a resident.

The allegation that staff failed to meet a resident's needs was substantiated due to staff failing to assist a resident with severe hearing impairment in communicating with callers and failing to assist with obtaining a new hearing aid or notifying the resident's Power of Attorney. The allegation that staff refused to provide transportation was found to be unfounded as the facility did provide transportation to the resident's appointment.

The complaint was substantiated regarding staff failing to meet the resident's needs due to lack of assistance with communication and hearing aid issues. The complaint regarding refusal of transportation was unfounded.

The visit was an unannounced case management follow-up regarding a death report received on 2022-01-04 for Resident 1 (R1).

No immediate health or safety issues were observed during the visit, and no deficiencies were cited.

The inspection was an unannounced required 1-year visit to evaluate the facility's compliance with licensing requirements and infection control protocols.

No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations against facility staff regarding resident privacy, use of universal precautions, safeguarding of personal belongings, cleanliness, dignity and respect, and accuracy of resident mental condition information.

The investigation found insufficient evidence to substantiate any of the allegations. The facility staff policies and practices were reviewed, and interviews conducted, but none of the claims met the standard for substantiation. All allegations were determined to be unsubstantiated.

The complaint involved multiple allegations including failure to afford resident privacy, failure to use universal precautions, failure to safeguard resident's personal belongings, failure to clean resident's room properly, failure to treat resident with dignity and respect, and failure to keep accurate information regarding a resident's mental condition. All allegations were found unsubstantiated due to lack of evidence or insufficient data.