Brookdale Diablo Lodge

(a)In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4)To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirment was not met as evidence by Based on interviews and record review the staff acknowledged that R1 was a fall risk as identified in (list the documents that support this) and facility staff failed to provide adequate supervision to meet R1 needs resulting in a serious injury which poses an immediate safety risk to residents in care.

(a)The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal.This requirement is not met as evidence by: Based on interviews and record review facility staff did not adhere to the requirement above of conducting a reappraisal after R1 sustained multiple falls on 6/10/2022, 1/9/2023, or 3/25/2024 to address change in condition which poses a potential safety risk to clients in care.

Based on observation and record review, the licensee did not comply with the section cited above by R4 having Miralax in apartment and R5 having TUMS in apartment. Physician's report for R4 and R5 indicates that both residents are not able to store PRN medications which poses an immediate health, safety or personal rights risk to persons in care.

87309(a) STORAGE SPACEDisinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients.This requirement is not met as evidenced by: Based on observation, Licensee did not comply with the regulations cited above. LPAs observed unlocked cleaning supplies and gardening tools in R2's apartment; and cleaning supplies in R1's apartment which poses an immediate health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by not having stands for R1's portable tanks which poses a potential health and safety risk to persons in care.

Maintenance and Operation.The facility shall be clean, safe, sanitary and in good repair at all times...This requirement is not met as evidence by: Based on investigation, licensee did not comply with the section cited above by having R1's room uncleaned which poses a potential health and safety risk to the persons in care.

Criminal Record Clearance. Request a transfer of a criminal record clearance as specified in Section 87355(c) or...This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not associated S4 to the facility which poses a potential health and safety risk to the persons in care.