Resident rights
Cited in 2 reports, with 2 deficiencies in total.
CADENCE MILLBRAE
1201 BROADWAY, Millbrae CA 94030
165 bedsLatest official report Jul 23, 2026Licensed
Additional info
- Telephone
- (650) 742-9150
- Licensee
- 1201 BROADWAY-OPERATOR LLC;CADENCE SL MILLBRAE LLC
- Administrator
- HOLLY SUITER
- Contact
- HOLLY SUITER
- License first date
- Aug 1, 2018
- License effective date
- Aug 1, 2018
- District office
- SAN BRUNO RO · (650) 266-8800
- Regional office
- 14
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 9 Type A and 4 Type B deficiencies for this facility.
- Most recent inspection
- Jul 23, 2026
- Most recent deficiency
- Nov 25, 2025
2 later reports, from Jul 8, 2026 through Jul 23, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 28 San Mateo County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 26 reports for this facility: 14 inspections, 11 complaint investigations, and 1 licensing or administrative record.
Those records contain 9 Type A and 4 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 14
- Recorded deficiencies
- 13
- Type A deficiencies
- 9
- Type B deficiencies
- 4
- Substantiated complaints
- 3
- Repeated topics
- 1
More than the typical 6
3 in the last 12 months
Well above the typical 4
1 in the last 12 months
Well above the typical 1
1 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1(a)(2) Personal Rights of Residents in All Facilities - To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This regulation has not been met as evidenced by: Based on interviewes conducted, and incident report recieved, it was confirmed that the med-tech on duty was observed to pull the hair of a resident. This was witnessed by another staff on duty. This was reported to facility leadership and camera footage was reviewed confirming the abuse. This poses an immediate health and safety risk to resident in care.
Official plan of correction
The facility, licensee/administrator, shall conduct an in-service training with staff regarding Resident Rights, including types of abuse, handling residents with behaviors, etc. Evidence of such training to be recieved by due date.
Deadline recorded: Nov 26, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 26, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Records and plan of operationType B
- Official classification
- Type B
- Official code
- 87506(e)
- Regulation authority
- CCR
What the official deficiency says
87506(e) Resident Records - Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This regulation has not been met as evidenced by: Based on recrod request, the facility is unable to provide a resident document dated 06/27/2023 that should be maintained for 3 years following the termination of service to the resident.
Official plan of correction
The facility shall develop a plan of correction addressing how this regulation will be met at all times. Plan of correction to be received by 10/04/2024.
Deadline recorded: Oct 4, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 4, 2024
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 87109(d)
- Regulation authority
- CCR
What the official deficiency says
TRANSFERABILITY OF LICENSE In the case of change of ownership or licensee a new application for license shall be submitted by the prospective new licensee. This requirement was not met, as Cogir Management USA Inc. acquired Cadence, and application for new licensure has not yet been submitted. This poses a potential health, safety or personal rights risk to clients in care.
Official plan of correction
Plan of correction to be submitted to CCLD BY DUE DATE
Deadline recorded: Aug 10, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 10, 2023
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
Incident reportingType A
- Official classification
- Type A
- Official code
- 87211(a)(2)
- Regulation authority
- CCR
What the official deficiency says
REPORTING REQUIREMENTS Licensee shall furnish to CCLD reports, including written report within 7 days of the occurrence of an epidemic outbreak, which threatens the welfare, safety or health of residents, personnel or visitors. Report shall be made within 24 hours either by telephone or fax to CCLD & to the local health officer when appropriate. Report shall include the resident's name, age, sex, date of admission... This requirement was not met, as at least 14 staff & 7 clients with Covid were not reported to CCLD. Licensee failed to report COVID infections to CCLD and County Public Health Dept., which poses an immediate health and safety risk to clients in care.
Official plan of correction
Plan of correction to be submitted to CCLD BY DUE DATE, which shall include proof that appropriate reports were made to San Mateo Co. Public Health
Deadline recorded: May 31, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 31, 2022
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87470(b)(2)
- Regulation authority
- CCR
What the official deficiency says
INFECTION CONTROL REQUIREMENTS All staff & volunteers providing direct care to a resident who has a communicable disease shall wear appropriate PPE to prevent exposure to infectious agents or chemicals through the respiratory system, skin, or mucous membranes of the eyes, nose, or mouth. PPE may include gloves, gowns, masks, respirators, shoe coverings and eye protection. This requirement was not met, as staff M.L. was observed through open door to be assisting COVID client wearing surgical mask--no gloves, no isolation gown, no N95. Licensee failed to ensure that staff with direct contact to clients with COVID are appropriately attired in full PPE, which poses an immediate health, safety, or personal rights risk to clients in care.
Official plan of correction
Plan of correction to be submitted to CCLD BY DUE DATE, which shall include proof that staff received relevant training on donning and doffing of PPE.
Deadline recorded: May 31, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 31, 2022
Correction not verified in available records
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
PERSONAL RIGHTS IN ALL FACILITIES Residents in all RCFEs shall have the personal rights to be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met, as procedures for mitigation of COVID are not being followed: rooms of clients with COVID infection are not designated as restricted entry, nor are there isolation carts outside of rooms for care staff to don and doff full PPE when entering and exiting rooms. Staff and residents are not being screened daily for COVID symptoms and fever. Licensee failed to ensure that procedures to mitigate the spread of COVID infections are being followed according to facility's COVID plan, which poses an immediate health, safety or personal rights risk.
Official plan of correction
Plan of correction to be submitted to CCLD BY DUE DATE
Deadline recorded: May 31, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 31, 2022
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology