Inspection Reports for
Cogir of Brentwood

The inspection found no deficiencies. The resident sustained a broken right hip from the fall and was hospitalized and later admitted to a skilled nursing facility. The resident was independent prior to the fall and has since returned to the community and is socially active.

The complaint was unsubstantiated. Allegations included a stage 3 pressure injury and lack of assistance with incontinence needs. Interviews with staff, residents, family members, and home health nurse, as well as medical record reviews, did not support the allegations. No deficiencies were cited.

The investigation found that the resident's pressure injury was present prior to hospital admission and was treated effectively by home health services, with no evidence that facility staff contributed to the injury. Staff interviews and records indicated that the resident sometimes refused care but was generally assisted as needed. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

No deficiencies were observed during the visit. The facility was found to be in compliance with safety, environmental, and administrative requirements, including fire clearance, adequate lighting, temperature control, and complete staff and resident records.

The inspection found that Resident 1 had an unwitnessed fall resulting in a head laceration and fractured pelvis. Staff responded appropriately, and no deficiencies were cited during the visit.

The resident was recovering in skilled nursing after hip surgery. No deficiencies were cited during the visit. The facility provided requested documentation and communicated with the resident's family.

The complaint investigation was unsubstantiated. Allegations included failure to administer medication as ordered, charging residents for services not provided, and insufficient staffing. Interviews and records review did not support these allegations.

The investigation found that medication was administered according to physician orders, residents denied being charged for unprovided services, and staffing was sufficient across all shifts. The allegations were found to be unsubstantiated due to lack of preponderance of evidence.

The incident involved a resident reporting missing jewelry taken from her apartment. The facility notified the resident's family and filed a police report. Investigation is pending.

The Licensing Program Analyst met with the Administrator and reviewed the incident report. The facility is conducting its own investigation and has filed a police report. The Licensing Program Analyst did not have access to all documents due to the ongoing investigation and plans to return once information is received.

No issues were noted during the inspection. The facility was found to be ready for licensing, with proper furniture, safety equipment, and environmental conditions observed throughout.

LPAs conducted a presentation on regulations and observed that the participant gained knowledge about running and maintaining the facility in accordance with regulations. An exit interview was conducted with the Executive Director.

The Component II evaluation was successfully completed via telephone, confirming the applicant and administrator's understanding of Title 22 regulations, facility operation, staff qualifications, program policies, and application document requirements.