Inspection Reports for
Brookdale Valley View

The complaint involved Resident 1 reporting a skin tear caused by a caregiver during assistance. The resident initially was unaware of which caregiver was involved and later reported different names. The injury was unintentional and occurred during an attempt to assist the resident.

The investigation found that the caregiver caused a skin tear on the resident's arm unintentionally while attempting to prevent a fall. The resident was diagnosed with Parkinson's Disease and was declining, with a care plan meeting scheduled. No health or safety concerns were observed during the visit.

The visit was triggered by complaints including a report that a caregiver yelled and pushed Resident 1, with police involvement and an internal investigation. Another complaint involved Resident 2's unwitnessed fall leading to a fractured hip. The facility's internal investigation was closed based on interviews.

The facility conducted an internal investigation into the allegation of a caregiver yelling and pushing a resident, which was closed based on interviews. Another incident involved a resident's unwitnessed fall resulting in a fractured hip, with the resident currently hospitalized post-surgery.

The inspection found no deficiencies in the areas inspected, including resident care, physical plant, fire safety, medication storage, and food service. All required documentation was present and residents were observed participating in activities and receiving proper care.

The complaint involved Resident 1 reporting that Staff 1 had propositioned the resident. The resident denied any injuries and no relations occurred. Staff 1 was suspended pending investigation and returned to work on May 29, 2025.

The investigation found that the resident denied any injuries and no relations had occurred. The staff member was suspended pending investigation but was allowed to return to work on the day of the visit. The resident appeared clean, well cared for, and verbalized feeling safe at the facility. The incident requires further investigation.

Visit was triggered by an incident report dated 02/12/2025 concerning Resident 1's elevated heart rate and fracture. The report was found to reference a prior fracture from December 2024. The resident's primary diagnosis is difficulty walking. Fall precautions were in place and observed.

The incident report referred to a previous fracture from December 2024. The resident had an unwitnessed fall in December 2024 but was able to leave the facility unassisted at that time. Fall precautions such as a low bed and scoop mattress were observed during the visit. The resident had no prior falls.

The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or were without a reasonable basis.

The investigation found that on 02/13/2024, a resident requested staff to call 911 for knee pain, EMS arrived and transported the resident downstairs. The resident's door was locked with an exterior lock per resident request while staff was on break for approximately 10-15 minutes. The lock allowed residents to exit from inside. Based on interviews and observations, the allegations were deemed unfounded.

The Licensing Program Analyst confirmed the resident was ambulatory prior to the incident and had attended a facility event. The resident remains hospitalized and had surgery. No deficiencies were cited during this visit.

The Licensing Program Analyst confirmed that Resident #1 had passed away on May 30, 2024, and obtained a copy of the death report. An exit interview was conducted with the Executive Director and a copy of the report and files were provided.

The Licensing Program Analyst was informed that Resident #1 had passed away on May 30, 2024, and obtained a copy of the death report. An exit interview was conducted with the Executive Director and a copy of the report and files were provided.

The facility was found to be well maintained with no deficiencies observed. Resident rooms, common areas, and safety equipment were inspected and found compliant. Staff files and resident medications showed no discrepancies.

The visit was triggered by incident reports of thefts involving missing checks and cash from residents. The staff member responsible admitted to the thefts and was terminated. Police involvement and pending charges were noted.

The investigation confirmed multiple thefts of checks and cash from residents' rooms by a staff member who admitted to the thefts and was terminated. Police responded and charges are pending. All residents with missing checks were reimbursed.

The complaint was deemed unfounded after investigation, meaning the allegations were false or without reasonable basis.

The investigation found that the resident was not on a special diet at the time of the complaint and dietary restrictions were followed as evidenced by observations and staff interviews. The allegation of delayed medical treatment was also unfounded as the resident was assessed promptly, paramedics were called, and the resident was transported to the hospital and returned the same day with no new orders.

The complaint alleged that the facility was increasing residents' rent without proper notice. The investigation included interviews with the administrator, former Health and Wellness Director, and the alleged victim, as well as review of documentation. The allegation was found unsubstantiated.

The investigation found that although there was some confusion due to billing practices and rescheduling of care conferences, adequate notice was given prior to adjustments in the Personal Service Rate and cost-of-living adjustments. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The Administrator was reminded of the regulation and reporting requirements when hiring a new Administrator. A Technical Assistance was issued, and an exit interview was conducted with a copy of the report and Technical Advisory provided.

The facility was found to be in compliance with infection control protocols, including adequate PPE supply, posted COVID signs, social distancing, mask wearing, and proper sanitation supplies. No deficiencies were noted during the visit.

The visit confirmed that Resident 1, diagnosed with Mild Cognitive Impairment, was found outside the facility but was redirected back and placed on hourly checks. The resident was moved to a memory care unit with no adverse effects, and the Executive Director reported a gradual decline in behavior.

The visit was triggered by an incident report dated 09/12/2021 about Resident 1 eloping to McDonald's. The resident's son reported the absence, and the facility retrieved the resident. The resident's physician indicated the resident should not leave unassisted. The investigation confirmed the resident left through a delayed egress door before the alarm activation time.

The investigation confirmed that Resident 1 left the facility unassisted through a delayed egress door before the alarm was active. The resident was found safe and unharmed, and verbalized being happy and safe at the facility during the visit.

The facility appeared clean, sanitary, and well maintained with residents appearing happy and well cared for. No deficiencies were noted during the visit. COVID-19 precautions and mitigation plans were reviewed and approved.

The complaint investigation was initiated based on allegations of staff not responding to resident needs, resident dishes left in hallways, and staff sleeping in common areas. The allegations were found to be unfounded after interviews, observations, and documentation review.

The investigation found no evidence to support the allegations. No dishes were observed in the hallway, staff were reported to pick up dishes promptly, residents with diet modifications were being properly cared for, and no staff were observed sleeping during the visit. The allegations were deemed unfounded.

The complaint was investigated and deemed unfounded, meaning the allegations were false, could not have happened, and/or were without a reasonable basis.

The investigation found that the resident involved was not currently living at the facility and had only been there for respite care in May 2020. The allegations were determined to be unfounded as the resident had moved out and had not returned, and there was no evidence to support the claims.

The complaint investigation was initiated based on allegations of inadequate staffing and personal rights violations. The allegations were found to be unfounded after interviews, documentation review, and observation.

The investigation found that all interviewed staff denied the allegations of residents being covered in ants or urine, and staffing levels were consistent with the facility's schedule. The allegations were deemed unfounded as there was no evidence to support them.