Inspection Reports for Brookdale Santa Monica Gardens

An unannounced annual required inspection visit was conducted to evaluate compliance with licensing requirements at the facility.

The facility was generally found to be clean, sanitary, and appropriately furnished with no major physical plant issues. However, a Technical Advisory was issued due to three of six staff members not having up-to-date first aid/CPR certifications.

The inspection was an unannounced complaint investigation visit conducted in response to allegations that staff do not respond timely to residents' calls for assistance, do not ensure residents are provided with planned daily activities, and do not maintain a facility activities calendar.

Based on interviews with staff and residents, review of records including staff rosters, activity calendars, and in-service trainings, and direct observations, there was insufficient evidence to substantiate any of the allegations. The staff were found to respond timely to calls, planned daily activities were provided, and the facility maintained an activities calendar. No citations were issued.

The complaint alleged that staff do not respond timely to residents' calls for assistance, residents must wait up to one hour for help, planned daily activities are not provided due to lack of an activities director, and the facility does not maintain an activities calendar. Interviews with staff (S1-S4) and residents (R1-R8) mostly denied these allegations, with the majority confirming timely assistance and presence of planned activities and calendar. The investigation concluded the allegations were unsubstantiated.

The inspection was conducted as a complaint investigation following allegations that the facility did not provide comfortable accommodations, quality food, and the correct refund amount.

The investigation found no evidence to support the allegations. Resident and staff interviews, as well as record reviews, indicated that noise complaints were addressed appropriately, food quality was maintained despite temporary use of Styrofoam containers, and refund amounts were correctly applied as credits to resident accounts. All allegations were unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included uncomfortable accommodations due to noise from pipe repairs, poor food quality linked to use of Styrofoam containers causing gout and hospitalization, and incorrect refund amounts. After interviews and document reviews, no violations were found.

An unannounced annual required visit was conducted to assess compliance with licensing regulations and infection control practices.

The facility was found to be sanitary, appropriately furnished, and compliant with Title 22 regulations. No deficiencies were cited during this inspection visit.

An unannounced complaint investigation visit was conducted in response to multiple allegations received on 05/17/2024 regarding staff record-keeping, monitoring of resident condition changes, resident care related to incontinence, and restrictions on resident removal by responsible parties.

The investigation found insufficient evidence to substantiate any of the allegations. Staff and resident interviews, document reviews, and observations indicated that while some concerns were raised, there was no preponderance of evidence to prove violations occurred. All allegations were determined to be unsubstantiated.

The complaint investigation addressed four main allegations: 1) staff not maintaining accurate records, 2) staff not monitoring a resident's change in condition, 3) resident left in soiled diapers for extended periods, and 4) staff not allowing resident's responsible party to remove the resident from the facility. Each allegation was investigated through interviews and document review, and all were found unsubstantiated due to lack of sufficient evidence.

An unannounced complaint investigation was conducted in response to allegations that the facility's signal system did not produce an auditory signal loud enough to summon staff and that there was a lack of supervision of residents.

The investigation substantiated both allegations. It was found that the facility's alert pendant system and phone system were not reliably summoning staff, causing delays in resident assistance. Additionally, a fall risk resident was not adequately monitored overnight, resulting in the resident waiting several hours for help after a fall.

The complaint investigation was substantiated. The facility failed to provide an auditory signal loud enough to summon staff when residents pressed their medical alert pendants, and failed to adequately supervise a resident who fell during the night and waited several hours for assistance.

The visit was an unannounced complaint investigation to determine whether facility staff failed to provide a resident's representative with a statement itemizing all separate charges incurred.

The investigation found no evidence to support the allegation that the facility failed to provide the resident's representative with an itemized statement of charges. The allegation was determined to be unsubstantiated after interviews, record reviews, and facility inspection.

The complaint alleged that resident #1's representative was not provided with an itemized statement for a $2,000 rate increase beyond the contracted basic service rate of $6,094. The investigation reviewed the Residency Agreement, assessments, account reports, and interviewed staff. It was found that itemized charges were included in the contract and acknowledged by the resident's representative. Staff interviews and documentation did not support the allegation. The complaint was unsubstantiated.

The inspection was an unannounced complaint investigation conducted to address allegations that staff did not issue a refund.

The investigation revealed that refunds were issued according to the terms of the signed admission agreement, and interviews with residents and staff did not support the allegation. Therefore, the complaint was unsubstantiated and no deficiencies were cited.

The complaint alleged that staff did not issue a refund. The investigation found that residents R1 and R2 were refunded their community fee as per the admission agreement, and accounting mailed the remaining credit balance. Interviews with staff and residents mostly disagreed with the allegation. The complaint was determined to be unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 07/26/2023 regarding inadequate activities for residents and prevention of residents having visitors during reasonable hours.

The investigation substantiated that staff did not provide adequate activities for residents due to staffing issues and failure to follow the community activities calendar. However, the allegation that staff prevent residents from having visitors during reasonable hours was found to be unsubstantiated.

The complaint investigation was substantiated for the allegation that staff do not provide adequate activities for residents, citing staffing shortages and lack of adherence to the activity calendar. The allegation that staff prevent residents from having visitors during reasonable hours was unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-10-05 regarding staff failing to safeguard resident's personal property and financial abuse of a resident at the facility.

The investigation included interviews with residents and staff, review of relevant documents, and facility tours. No evidence was found to substantiate the allegations of theft or financial abuse. The allegations were determined to be unsubstantiated, and no deficiencies were cited during the visit.

The complaint involved two allegations: 1) staff failed to safeguard resident's personal property, including theft of items, and 2) resident was being financially abused through overcharging for services. Interviews and document reviews did not find sufficient evidence to support these allegations, resulting in an unsubstantiated status.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 07/26/2023 regarding inadequate activities for residents and prevention of residents having visitors during reasonable hours.

The investigation substantiated that the facility failed to provide adequate planned activities for residents, posing a potential health and safety risk. The allegation that staff prevent residents from having visitors during reasonable hours was found to be unsubstantiated.

The complaint investigation was substantiated for the allegation that staff do not provide adequate activities for residents. The allegation that staff prevent residents from having visitors during reasonable hours was unsubstantiated based on interviews and review of residency agreements.

The visit was an unannounced complaint investigation conducted to investigate allegations including insufficient staff to meet residents' needs, inadequate communication with residents, failure to follow resident care plans, and delayed response to resident calls for assistance.

The investigation substantiated that the facility lacked sufficient staff and did not adequately communicate updated information to residents. However, allegations that staff were not following care plans and not responding timely to calls for assistance were unsubstantiated. The facility had staffing instability with vacancies in key positions and plans for correction were developed.

The complaint investigation was substantiated for insufficient staffing and inadequate communication with residents. Allegations regarding failure to follow care plans and delayed response to calls were unsubstantiated based on resident and staff interviews and observations.

An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements and facility conditions.

The facility was found to be sanitary, appropriately furnished, and compliant with infection control practices. However, a deficiency was noted due to the absence of an administrator meeting certification or recertification requirements during the visit.

An unannounced annual required visit was conducted with a primary focus on Infection Control measures using the CARE Inspection Tool.

The facility was found to be sanitary, appropriately furnished, and in compliance with infection control protocols. No deficiencies were cited during this inspection visit.

An unannounced complaint investigation was conducted regarding allegations that the facility did not provide adequate supervision to residents, specifically concerning Resident 1 isolating Resident 2 and soliciting funds.

Interviews with staff and residents, record reviews, and observations found no preponderance of evidence to substantiate the allegation. Residents and staff stated that Resident 1 is not isolating Resident 2 or soliciting money, and Resident 2 is engaged in other activities and aware of their rights.

The complaint alleged inadequate supervision, isolation of Resident 2 by Resident 1, and solicitation of funds. The investigation found the allegation unsubstantiated due to lack of evidence.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 07/24/2020 regarding allegations of overcharging residents for unneeded services, improper resident assessments, retention of residents with unstageable pressure injuries, and retaining residents requiring a higher level of care.

The investigation included interviews with residents, staff, family members, and review of service records and facility documents. No evidence was found to support the allegations, and the complaints were determined to be unsubstantiated. No deficiencies were cited during this visit.

The complaint involved four main allegations: charging residents for unneeded services, improper assessment of residents, retaining residents with unstageable pressure injuries, and retaining residents requiring a higher level of care. The investigation found no evidence to substantiate these allegations.

An unannounced annual required visit was conducted with a primary focus on Infection Control measures using the new CARE Inspection Tool.

The facility was found to be sanitary, appropriately furnished, and compliant with infection control protocols. No deficiencies were cited during this inspection visit.

The inspection was an unannounced complaint investigation initiated due to allegations that a resident sustained multiple fractures, multiple pressure injuries, and multiple falls due to lack of supervision while in care.

The investigation found no evidence to substantiate the allegations. Record reviews and interviews indicated that the resident did not sustain multiple fractures, pressure injuries, or falls while at the facility. All allegations were determined to be unsubstantiated.

The complaint investigation was triggered by allegations that a resident sustained multiple fractures, multiple pressure injuries, and multiple falls due to lack of supervision. After review of hospital and facility records and interviews with staff and family, the allegations were found to be unsubstantiated.