Inspection Reports for
Oakmont of Brookside

The facility was generally well maintained with proper safety equipment and adequate lighting. However, deficiencies were found related to outdated PRN medication letters and failure to follow doctor's orders regarding notification before and after medication administration, resulting in a citation and advisory for reporting requirements.

The facility was generally well maintained with proper safety equipment and procedures in place. However, a citation was issued due to the facility not following doctor's orders regarding notification before and after administering PRN medications, as evidenced by outdated PRN letters in 5 of 10 memory care files reviewed.

The complaint investigation was substantiated based on the preponderance of evidence. Allegations included facility disrepair and failure to ensure a comfortable environment for residents. The broken alarm system and its frequent triggering were confirmed, causing discomfort to residents with or without hearing impairments.

The investigation substantiated that the facility had a broken wander management alarm system from 9/24/2024 through 10/23/2024, causing frequent triggering and an uncomfortable environment for residents, including those with hearing impairments. The system was repaired on 10/23/2024, but the auditory alarms subjected residents to loud noise, violating personal rights to a comfortable environment.

The complaint investigation was substantiated based on evidence that the facility's alarm system was broken and frequently triggered, causing discomfort to residents. The facility did not have a Maintenance Director during the incidents and had to rely on external resets. The findings were substantiated and are under appeal.

The investigation substantiated that the facility had a broken wander management alarm system from 2024-09-24 to 2024-10-23, causing frequent triggering and creating an uncomfortable environment for residents, including those with hearing impairments. The facility repaired the system on 2024-10-23 and has taken corrective actions.

Deficiencies cited under Title 22 Regulations have been cleared, and the licensee complied with the terms of all Plans of Correction. However, two citations remain under appeal from 3/14/2024 and were not cleared during this visit.

Deficiencies cited under Title 22 Regulations have been cleared and the licensee complied with the terms of all Plans of Correction. However, two citations under appeal from 03/14/2024 were not cleared.

The facility was generally well maintained with sufficient safety equipment and proper medication storage. However, citations were issued for fire clearance violations related to an outdated Ansul/Fixed fire suppression system in the kitchen that was overdue for semi-annual service. Advisories were also given for an out-of-service elevator, a food handler's card issue, and low gas levels in two generators.

The facility was generally well maintained with sufficient lighting, required carbon monoxide detectors, and current fire extinguishers and smoke detectors. However, citations were issued for fire clearance violations due to an outdated Ansul/Fixed fire suppression system in the kitchen that was overdue for semi-annual service since 3/2024. Advisories were given for the south elevator being out of service and a food handler's card missing for the Sous-Chef. Gas generators were inspected and found very low on fuel.

The visit was complaint-related due to incidents of unwitnessed and witnessed falls. An immediate civil penalty of $500 was assessed for violation of California Code of Regulations Section 87464(f)(1). An enhanced civil penalty was pending review.

The facility failed to provide adequate care and supervision, including a required two-person assist during transfers, resulting in a resident sustaining a fracture. Additionally, an outdated physician's report was found for a resident with dementia, posing potential health and safety risks.

The visit was complaint-related due to incidents of falls. An immediate civil penalty of $500 was assessed for violation of California Code of Regulations Section 87464(f)(1). An enhanced civil penalty was pending review.

The facility failed to provide adequate care and supervision, including a required two-person assist during transfers, resulting in a resident sustaining a fracture. Additionally, an outdated physician's report was found for a resident with dementia, posing a potential health and safety risk.

The complaint investigation was substantiated. Allegations included failure to seek timely medical care for a resident after a fall, staff lacking required training resulting in medication shortages, and failure to administer medication to a resident. Other allegations about moldy food, rough handling, and improper cleaning were unsubstantiated.

The investigation substantiated that staff did not seek timely medical care for a resident after a fall, staff lacked required training leading to medication shortages, and staff failed to administer medications to a resident. Other allegations regarding moldy food, rough handling of residents, and improper cleaning were unsubstantiated.

The complaint investigation was substantiated. Allegations included failure to seek timely medical care for a resident after a fall, staff lacking required training leading to medication errors, and failure to administer medication to a resident. Other allegations were unsubstantiated. A civil penalty was assessed related to the failure to seek timely medical care.

The investigation substantiated allegations that staff did not seek timely medical care for a resident after a fall, staff lacked required training resulting in medication not being reordered causing a resident to be without medication for seven days, and staff did not give resident medication. Other allegations such as serving moldy food, rough handling of residents, and improper cleaning after changing depends were unsubstantiated.

Complaint opened due to lack of a qualified administrator and failure to provide required documentation for administrator transfer. The interim administrator was not confirmed in the Licensing Information System as associated with the facility as of 2024-01-16.

The facility did not have a qualified and currently certified administrator of record, and the interim administrator was not associated with the facility in the Licensing Information System. The facility failed to provide required documentation for the transfer of administrator responsibilities, posing an immediate risk to operations and resident care.

The visit was complaint-related to verify the presence of a qualified administrator after the previous administrator's departure. The complaint was substantiated as the facility lacked a certified administrator and required documentation.

The facility did not have a qualified and currently certified administrator of record, and the interim administrator was not associated with the facility in the Licensing Information System. The facility failed to provide required documentation to the department and was cited for these deficiencies.

The complaint was substantiated based on the preponderance of evidence. The facility had a prior citation dated 8/28/2023 for medication mismanagement related to resident R1 from 1/4/2022 thru 1/13/2022 and 2/6/22 thru 2/8/22. The department will not re-issue a citation as a plan of correction was already in place.

The investigation substantiated the allegation of medication mismanagement. The facility was previously cited for similar issues related to medication availability for resident R1 during specific periods in 2022, and the department confirmed the citation with a plan of correction.

The complaint was substantiated. The facility was previously cited for medication mismanagement for resident R1 from 1/4/2022 through 1/13/2022 and 2/6/2022 through 2/8/2022. The department concluded the initial investigation with a preponderance of evidence standard met, confirming the allegation.

The investigation substantiated the allegation of medication mismanagement for resident R1, confirming that medications were ordered but not available on-site on two occasions. A prior citation was issued on 2023-08-28 related to this issue, and no new citation was issued during this visit.

The visit was a follow-up to a complaint investigation conducted on 2023-08-28. The deficiencies cited during that investigation have been cleared.

Deficiency cited under Title 22 Regulations have been cleared. The licensee complied with the terms of the Plan of Correction.

Deficiency cited under Title 22 Regulations has been cleared. The licensee complied with the terms of the Plan of Correction.

The complaint investigation was substantiated for the allegation that staff did not administer resident's medications as prescribed, with evidence showing medications were ordered but not available on-site for resident R1 during specified periods. Other allegations about call button response, portable oxygen provision, and facility cleanliness were unsubstantiated or unfounded.

The investigation substantiated that staff did not administer resident medications as prescribed due to medication unavailability on two occasions. Other allegations regarding timely response to call buttons, provision of portable oxygen, and facility cleanliness were found unsubstantiated or unfounded.

The complaint investigation was substantiated for the allegation that staff did not administer resident's medications as prescribed. Other allegations about call button response, portable oxygen provision, and facility cleanliness were unsubstantiated or unfounded.

The investigation substantiated that staff did not administer resident medications as prescribed due to medication unavailability on two occasions, posing an immediate health and safety risk. Other allegations regarding timely response to call buttons, provision of portable oxygen, and facility cleanliness were found unsubstantiated or unfounded.

The deficiencies initially cited during a visit on 07/17/2023 have been cleared as of 07/26/2023. The facility agreed to a deep cleaning of the kitchen and food storage area, and corrections were made following staff changes in the kitchen.

The deficiencies initially cited during the visit on 07/17/2023, specifically related to kitchen and food storage area cleanliness, have been cleared as of 07/26/2023 following a deep cleaning and staff changes.

During the inspection, expired food, uncovered food, missing temperature checks for foods served, and unlabeled prepared food items were observed in the kitchen. Type B deficiencies were cited related to food service safety and sanitation.

During the facility tour, expired food, uncovered food, missing temperature checks for foods served, and unlabeled prepared food items were observed in the kitchen and refrigerators. Type B deficiencies related to food service safety and sanitation were cited.

The visit was triggered by a complaint/incident report received on 2022-05-22 regarding R1 being AWOL and unsupervised. The complaint was substantiated by the findings.

The investigation found that Resident 1 (R1) left the facility unsupervised due to the absence or failure of the Paid Personal Assistant/Companion to report leaving. This posed an immediate health and safety risk. Deficiencies were cited related to failure in supervision and care.

The visit was triggered by a complaint/incident report received on 05/22/2022 concerning R1 leaving the facility unassisted and unsupervised. The complaint was substantiated as deficiencies were cited.

The investigation found that R1's Paid Personal Assistant/Companion was not present or failed to report leaving the facility, resulting in R1 being unaccounted for and unsupervised in the community, which posed an immediate health and safety risk. Deficiencies were cited related to supervision and fingerprint clearance of paid assistants.

The complaint investigation was substantiated. The facility had a scabies outbreak and did not notify responsible parties of the outbreak. The department concluded the preponderance of evidence standard was met.

The investigation substantiated that multiple residents were treated for scabies and the facility failed to notify responsible parties about the outbreak. The facility also failed to implement adequate infection response protocols, posing an immediate health and safety risk.

The complaint was substantiated. The facility had a scabies outbreak and did not notify responsible parties of the outbreak. The preponderance of evidence standard was met.

The investigation substantiated that residents were being treated for scabies and that the facility failed to notify responsible parties about the outbreak. The facility also did not meet infection response protocols, posing an immediate health and safety risk.

The inspection found that resident R1 was sent out for a fall and diagnosed with kidney failure/kidney injury and lacks a current TB test on file, posing a potential health and safety risk. Resident R2 was admitted to hospice. Required postings were observed at the facility entrance.

The inspection found that resident R1 was sent out for a fall and diagnosed with kidney failure and lacks a current TB test, posing a potential health and safety risk. Resident R2 was admitted to hospice. The facility had required postings visible and policies reviewed. A deficiency was cited for failure to have a current TB test for R1.