BROOKDALE BROOKHURST

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464(f)(1) Basic Services (f) (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidence by: Based off record review and interview, R1 eloped from the facility when their physicians report states they cannot leave unassisted. This poses an immediate health and safety risk to persons in care.

Official plan of correction

Licensee stated they will conduct an in service with staff by POC due date and do a routine check on assisted living residents that are not allowed to leave the facility unasssited by September 18, 2026. A civil penalty was assessed.

Deadline recorded: Aug 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall ... (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interviews, records reviewed, and observations made, the facility failed to ensure Resident 1 received proper assistance with self-administered medications when staff administered medication intended for another resident, resulting in a medication error. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Facility will sign a statement of understanding for the regulation cited and will conduct an in-service training for medtech staff regarding proper medication administration procedures, including verifying the correct resident, medication, dosage, and time before administering medications. Training shall include review of the facility's medication error policy and procedures. Facility will submit proof of training, including the training materials, staff signatures, and date of completion, to LPA by POC due date by COB.

Deadline recorded: Jun 12, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464(f)(1) Basic Services. Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidence by: Based on interviews with staff and witnesses, as well as records reviewed, it was determined that Resident 1 (R1) sustained pressure injuries resulting from a lapse in supervision. Evidence indicates that R1 was found on the floor and remained there for an extended period of time. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Facility agrees to sign a statement of understanding for the regulation. Facility also agrees to conduct an in-service on wellness checks and Facility's Night Check Policy and forward proof to LPA by POC due date.

Deadline recorded: Nov 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

Deficiency issued in error. Deficiency issued in error.

Official plan of correction

*** This is an AMENDED report ***

Deadline recorded: Oct 29, 1987. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care... The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents This requirement was not met as evidenced by: Based on documents obtained and interviews, the facility did not ensure R1 received proper assistance and medical care in a timely manner which poses an immediate health and safety risk to residents in care.

Official plan of correction

Facility will sign a statement of understanding for the regulation cited and will conduct an inservice training about the regulation and reporting requirements in which they will send proof of POC to LPA by email by COB.

Deadline recorded: Oct 29, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall ... (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on LPA's interview, documents reviewed and observations made, the facility did not ensure Resident 1 received assistance with self-administered medications due to medication not given as prescribed, resulting in a medication error. This poses as a potential health risk to residents in care.

Official plan of correction

After incident Health and Wellness director went over what happened with Med Tech and retrained as well. Also conducted a mini inservice with the other Med Tech staff. Facility will provide the proof of training of corrective action to LPA by POC due date.

Deadline recorded: Jun 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464(f)(1)- Basic Services. Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidence by: Based on interviews conducted with staff, residents and records obtained, R1 sustained pressure injuries as a result of having an unwitnessed fall and being left on the floor for approximately one to two days. This poses an immediate risk to the health and safety of residents in care.

Official plan of correction

Licensee agrees to conduct an in-service on wellness checks and forward proof to LPA by POC due date.

Deadline recorded: Feb 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(1)- Personal Rights of Residents in all facilities. To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidence by: Based on interviews with residents, staff and documents reviewed, S1 engaged in inappropriate conversations and showed sexually explicit photographs to R1 and repeatedly entered their room without knocking which poses an immediate safety and personal rights risk to persons in care.

Official plan of correction

Management staff will provided written statement of understanding for regulation that was cited and emailed to LPA. And will conduct an inservice training on personal rights and provide proof to LPA by POC due date.

Deadline recorded: Dec 27, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87750(f)(2)

Regulation authority

CCR

What the official deficiency says

Care of Persons with Dementia: The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's observation during facility tour of Memory Care Unit, there were cleaning supplies and disinfectants found accessible in memory care unit dining room area and one resident's room. This poses an immediate healthy and safety risk to residents in care.

Official plan of correction

POC Due Date: 07/22/2024 Plan of Correction During the annual inspection facility tour, director had staff removed and secured cleaning supplies and disinfectants inaccessible from the memory care unit.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services … (f) Basic services shall at a minimum include: (1) Care and supervision… This requirement was not met as evidenced by: Based on documents and interviews, the licensee did not ensure R1 received care and supervision when R1 was left on the floor for an extended period of time after their fall while suffering from a hip fracture, which poses an immediate safety risk to persons in care. CIVIL PENALITY ASSESSED.

Official plan of correction

The licensee stated that after the incident with R1 was discovered, staff were retrained on the meal checks and clinical staff were directed to follow up on residents’ meal check status to ensure that the residents’ whereabouts are known. The licensee stated they will submit these training records to LPA by POC due date.

Deadline recorded: Jul 12, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation - Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F and not more than 120 degrees F. This requirement was not met as evidenced by: From 1/28/23 until 2/4/23; hot water was not available in resident rooms, 335, 230, 109 and 210. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee agrees to repair the hot water system to maintain a hot water temperature of 105 to 120 degrees Fahrenheit in all resident rooms. Proof of repair to be sent to LPA by 2/17/23.

Deadline recorded: Feb 17, 2023. A deadline is not proof that correction was completed.