Inspection Reports for Brookdale San Ramon

An unannounced complaint investigation visit was conducted in response to an allegation that the licensee does not maintain the facility in good repair.

The investigation substantiated the allegation that the southside elevator has been sporadically going out of service over the past few years, posing a potential safety and personal rights risk to residents. The facility has a work order out for repairs and is actively implementing solutions.

The complaint was substantiated based on observations, interviews, and record reviews. The allegation was that the licensee does not maintain the facility in good repair, specifically regarding the southside elevator outages.

The visit was conducted as a case management follow-up related to an unrelated complaint investigation concerning a resident (R1) who left the facility unassisted and attempted to roll into traffic, posing a safety risk.

The Executive Director disclosed that R1 has a history of suicidal ideations and elopement, was transferred to the hospital on a 5150 hold, and requires 1 on 1 supervision for return to the facility. The resident's family decided to move R1 to a higher level of care. No deficiencies were cited during the visit.

The complaint involved R1 leaving the facility unassisted and attempting to roll into traffic. The complaint was substantiated with documentation of R1's history of depression, suicide, and elopement. The facility notified police and transferred R1 to the hospital on a 5150 hold.

An unannounced complaint investigation visit was conducted in response to multiple allegations including improper eviction, unmet resident needs, staff leaving resident in soiled diaper, failure to provide charged services, short staffing, improper meals, resident isolation, and misuse of resident room.

After interviews, record reviews, and observations, the allegations were found to be unsubstantiated. There was no evidence of lapses in care, improper eviction, or misuse of resident space. The resident's care plan did not include diapering services, and meal concerns were related to resident's occasional forgetting to request meals. Staffing levels were adequate during visits.

The complaint investigation was unsubstantiated. Allegations included improper eviction, unmet resident needs, staff leaving resident in soiled diaper, failure to provide charged services, short staffing, improper meals, resident isolation, and misuse of resident room. Evidence did not support these claims.

The inspection was an unannounced complaint investigation visit conducted in response to allegations that facility staff did not notify the responsible party of a change in condition and that facility staff served poor quality food.

The investigation included interviews, observations, and record reviews. The allegations were found to be unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred. Food quality was generally described as good or acceptable by staff and residents, and no change in resident condition was observed.

The complaint involved allegations that facility staff failed to notify the responsible party of a resident's change in condition and served poor quality food. After interviews with staff and residents, observations of food service, and record review, the allegations were determined to be unsubstantiated.

The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate the facility's compliance with licensing requirements.

The Licensing Program Analyst toured the facility and reviewed resident and staff records, medication storage, and safety measures. No deficiencies were cited during the visit.

An unannounced complaint investigation was conducted in response to an allegation of illegal eviction received on 2024-08-07.

The investigation found that the resident (R1) was not allowed to return to the facility due to a stage 3 wound, consistent with facility policy and Title 22 regulations. No official eviction letter was issued and relatives removed the resident's belongings. The allegation of illegal eviction was unsubstantiated due to lack of preponderance of evidence.

The complaint alleged illegal eviction. The investigation was unsubstantiated as there was no evidence that an illegal eviction occurred.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-08-14 regarding the facility not responding to residents' needs in a timely manner and other allegations including illegal eviction and failure to provide transportation assistance.

The allegation that the facility was not responding to residents' needs in a timely manner was substantiated due to understaffing leading to longer response times. The allegations of illegal eviction and failure to provide or assist in transportation were found to be unsubstantiated based on interviews and documentation review.

The complaint investigation was substantiated for the allegation that the facility did not respond to residents' needs in a timely manner due to understaffing. The allegations of illegal eviction and failure to provide or assist in transportation were unsubstantiated.

The inspection was an unannounced complaint investigation conducted in response to allegations received on 2024-03-13 regarding staff making residents move rooms, threatening residents with eviction, and not meeting residents' needs.

The investigation included interviews with residents and staff and review of files. The allegations were found to be unsubstantiated due to lack of preponderance of evidence proving the violations occurred.

The complaint involved allegations that staff made residents move rooms, threatened residents with eviction, and failed to meet residents' needs. Interviews revealed residents moved voluntarily, eviction threats were not substantiated, and residents' needs were generally met except for one resident's personal caregiver issue. The allegations were unsubstantiated.

The visit was an unannounced case management inspection conducted due to receiving an Unusual Incident Report (UIR) regarding a resident's attempted suicide.

The Licensing Program Analyst found no deficiencies during the visit. The resident involved was on a 5150 hold and had self-inflicted cuts. The facility was found to be within regulation standards.

The visit was conducted as a case management visit due to receiving an Unusual Incident Report (UIR) regarding a resident who committed suicide.

During the visit, the Licensing Program Analyst interviewed staff, reviewed the resident's file, and toured the resident's room. No deficiencies were cited during the visit.

The investigation was triggered by an Unusual Incident Report of a resident found deceased from an apparent suicide. The resident was independent and had no documented suicidal ideations prior to the incident.

Unannounced complaint investigation visit conducted in response to a complaint received on 07/31/2023 regarding staff not following proper reporting requirements and other allegations.

The investigation substantiated that the facility failed to report a resident's concerns regarding staff inappropriate behavior within the required timeframe, posing a potential risk to resident safety. Other allegations including improper mobility and bathing assistance, infrequent bedding changes, inappropriate staff interactions, and lack of a proper emergency disaster plan were investigated with some found unsubstantiated.

The complaint investigation was substantiated for failure to follow proper reporting requirements. Other allegations related to mobility assistance, bathing assistance, bedding changes, inappropriate staff interactions, and emergency disaster plan were unsubstantiated.

The visit was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing regulations.

The inspection found incomplete resident files missing emergency ID, emergency medical consent, and personal rights documents for residents R1 and R3. Updated copies of several administrative and emergency documents were requested for submission by 03/01/2024.

The inspection was conducted as a 10-day investigation related to complaint #15-AS-20230731144026 regarding failure to notify the Community Care Licensing (CCL) about a change in the facility's Administrator.

A Type B deficiency was cited for failure to notify the Department in writing within 30 days of hiring a new administrator, as required by Title 22 California Code of Regulations. The Executive Director had been working since 01/15/2022 but did not notify CCL, posing a potential risk to client health and safety.

The visit was triggered by complaint #15-AS-20230731144026. The deficiency was substantiated as the facility failed to notify CCL about the change in Administrator.

Unannounced Infection Control Inspection conducted as a required 1-year visit.

The facility was toured including multiple areas and infection control measures were observed such as screening stations, hand washing stations, and PPE supplies. Staff records showed compliance with TB testing. No deficiencies were cited during the visit.

The inspection was an unannounced complaint investigation visit conducted in response to allegations including staff not intervening in a verbal altercation between residents and failure to assess a resident prior to admission.

The investigation substantiated that staff member S6 did not intervene during a verbal altercation between two residents, posing a potential health and safety concern. Another allegation regarding failure to assess a resident prior to admission was found to be unfounded.

The complaint investigation was substantiated for the allegation that staff did not intervene in a verbal altercation between residents. The allegation that the facility did not assess a resident prior to admission was found to be unfounded.

An unannounced complaint investigation was conducted following a complaint received on 2021-03-12 regarding allegations that a resident left the facility unsupervised and that a resident was not accorded dignity in their relationship with staff.

The investigation included interviews with staff and residents and review of documents. There was no preponderance of evidence to substantiate the allegations; staff and residents denied the incidents, and the complaint was determined to be unsubstantiated.

The complaint involved allegations that a resident left the facility unsupervised and that a resident was not accorded dignity in their relationship with staff. After investigation, including interviews with 7 staff and 5 residents, the allegations were found to be unsubstantiated due to lack of evidence.

An unannounced complaint investigation was conducted in response to allegations received on 2021-01-27 regarding residents' rooms not being cleaned properly and staff making inappropriate comments towards residents.

The investigation found that residents' rooms were not being cleaned properly based on information obtained, but all interviewed residents expressed satisfaction with housekeeping. Allegations of staff making inappropriate comments were not substantiated as residents denied witnessing such behavior.

The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.