Brookdale Santa Monica Gardens

87303 Maintenance and Operation (i) Facilities shall have signal systems which shall meet the following criteria: (1) All facilities licensed for 16 or more and all residential facilities having separate floors or building shall have a signal system which shall: transmit a visual and/or auditory signal to a central staffed location or produce an auditory signal at the living unit loud enough to summon staff.This regulation was not met, based on interviews, staff did not ensure resident’s alert pendant signaled to staff to summon them to provide assistance.

1569.312 Basic Services requirements Every facility required to be licensed under this chapter shall provide at least the following basic services: (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This regulation was not met, based on record review, and interviews the Administrator did not comply with this regulation and a fall risk resident R1 was not monitored through the night.

87219 Planned Activities (a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. This requirement is not met as evidenced by: Based on interviews, observations and records the licensee failed to ensure that the facility has a active activity planner that all residents attend. This poses a potential health & safety risk to resident in care.

87219 Planned Activities (a) Residents shall be encouraged to maintain and develop their fullest potential for independent living through participation in planned activities. This requirement is not met as evidenced by: Based on interviews, observations and records the licensee failed to ensure that the facility has a active activity planner that all residents attend. This poses a potential health & safety risk to resident in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) In addition..residents in privately operated residential care facilities for the elderly (RCFE) shall have all of the following personal rights:(4) To care..and services..meet..needs ..delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This deficiency has not been met as evidenced by:S3 has changed position as of 04/27/23, requiring S4 to stand-in which limits S4 duty.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities(a) ..residents in privately operated RCFE shall have..following personal rights:(7) To fully participate in..communications regarding care and services provided, according to Health and Safety Code 1569.80..in this planning. The licensee shall provide necessary information and support to..residents..maximum extent possible,.. enabled to make informed decisions..choices.This has not been met as evidenced by:Facility has been lacking a stable Executive Director since 04/29/23

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.