complaint·January 10, 2024

LPA confirmed with the Administrator that there are a total of residents with oxygen one (1); Total residents with dementia one (1); Total residents with wheelchairs nine (9); and Total residents with diapers two (2). LPA requested and reviewed the following: Nurse Call/E-Call Systems: In-house Testing of Nurse Call Systems Last 12 Months; Dining Services Ocean House; Ocean House Schedule; Daily recipes; Nutrition Tracker as of January 9 th ; Benefits of Modernization include: Increased durability and reliability; Improved fire and life safety features; Decreased waiting times; Reduced energy consumption; Reduced operational cost; and Reduced troubleshooting time records etc. Allegation: Licensee does not keep facility elevators maintained in operating condition. This investigation revealed that interviews conducted with Eight (8) out of seventy-five (75) residents understood the facility was addressing the elevator per town hall once (3 rd Thursday of every month) a monthly resident council meeting (every other week). Interviews conducted with Seven (7) out of forty-seven (47) staff members corroborated that they are addressing the elevators based on corporate investment. Additionally, per town hall once (3 rd Thursday of every month) a month and resident council meeting(every other week) confirms that the Administrator has taken action. LPA reviewed the following records: Brookdale purchase order elevator po number 3692068. Based on interview with S#3 as of March 16, 2023, Modernization Proposal TK Elevator Corporation (hereinafter "TK Elevator") is dedicated to delivering (hereinafter "Purchaser") the safest, highest quality vertical transportation solutions Proposal (the "Proposal") in the amount of $592,580 inclusive of all applicable sales and use taxes to modernize the elevator equipment described in the pages provided at todays visit. Additionally, per S#1 the facility is developing the Benefits of Modernization which includes: • Increased durability and reliability • Improved fire and life safety features • Decreased waiting times • Reduced energy consumption • Reduced operational cost • Reduced troubleshooting time. LPA also noted the weekly status report for week ending - 12/15/2023 location - ocean house project commencement 1st elevator inspection 10/9/2023 actual dates 11/27/2023- elevator scope-passed 12/7/2023- fire service scope-passed accomplished. The facility addressed the final adjustments, the facility released elevator no. 1 to service on Monday 12/11 the facility transferred the operation of the hall buttons between elevator no. 1 & 2. the facility began the modernization scope on elevator no. 2. requisition #3768975 (partially received) ocean house elevator modification upgrade work orders for 00967 Brookdale Ocean house logbook report 00967 Brookdale ocean house - Santa Monica, ca 90405-2299.Continued 9099-C Based on the evidence gathered and interviews conducted, and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of “Licensee does not keep facility elevators maintained in operating condition” is unsubstantiated. Allegation: Staff do not respond to residents' call buttons in timely manner This investigation revealed following that interviews conducted with Eight (8) out of seventy-five (75) residents do not have issues with call buttons. Interviews conducted with Seven (7) out of forty-seven (47) staff members corroborated that they respond to all residents call buttons. Based on LPA interviews Seven (7) out of forty-seven (47) staff members, specifically, S#4. There is a logbook report 00967 Brookdale ocean house - Santa Monica, ca 90405-2299 task name: nurse call/e-call systems: in-house testing of nurse call systems last 12 months report was generated and provide at today's visit: 2024-01-10 due date 12/31/2023; 11/30/2023; 10/31/2023; 9/30/2023; 8/31/2023; 7/31/2023; 6/30/2023; 5/31/2023; 4/30/2023; 2/28/2023; 1/31/2023 history as of 01/10/24 11:13 am showing alerts. displaying the last 30 days. LPA confirmed the above dates and processes of the facility being taken when call buttons are issued to the facility's main front desk. LPA confirmed four (4) pagers in use by care staff. Based on the evidence gathered and interviews conducted, and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of "Staff do not respond to residents' call buttons in timely manner” is unsubstantiated. Allegation: Staff does not provide resident with timely meals This investigation revealed following that interviews conducted with Eight (8) out of seventy-five (75) residents do receive their meals on time. Interviews conducted with Seven (7) out of forty-seven (47) staff members corroborated that all residents are provided meals in a timely fashion. Based on interview with conducted with S# 2 revealed that there is a resident nutrition tracker. This item has all the information pertaining to the facility residents. Name, Location, and diet. LPA received documents showing recent menus 2024. Also reviewed were the recipes for residents, which contain how the facility prepares, hold the facility food, how the recipe applies to each diet restriction, how much to serve, and nutritional values. All menus and recipes reviewed come from the Crandall Corporation of Registered Dieticians. Continued 9099-C Based on interview with S#2 Room Service is available all day, but residents are asked to submit their orders in a timely fashion, (the day before, or, the meal prior) so they may receive it when expected. If resident places an order last minute, or during meal service, which the facility has residents that consistently practice their right, the residents are then placed on a waiting list of those residents who submitted their tickets first. LPA reviewed the most current schedule for meals. Broken down into three categories. Servers, cooks, and dishwashers. According to S#2 production works as follows: There are three (3) servers for breakfast, lunch and dinner. One acts primarily as room service, and once all trays have been delivered, join the other two servers on the dining room floor. There are three (3) cooks for the course of the daily operation, plus the Dining Services Director (Four in all). First cook comes at 5:30am-1:30pm, second cook comes from 8am-4:30pm, and last cook comes from 11am-7:00pm. Dining Director comes from 10am-7:00pm but is here until 8pm. Dishwashers: The first dishwashers come from 7am-2:30pm, and the last one come from 3pm-8pm. Dining room hours- All day dining from 7:30am-6:30pm. During these hours the facility serves a side menu consisting of omelets, burgers, assorted sandwiches, fish and chips, and pasta. LPA also confirmed the special menus for Breakfast, lunch and dinner are as follows; 7:30am-9:30am, 11:30am-1:30pm, and 4:30pm-6:30pm. Snacks are available after hours consisting of sandwiches, fruits, and yogurt. Juice and Soda Fountain, which also contains filtered water is available to residents 24/7. Based on the evidence gathered and interviews conducted, and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of “Staff does not provide resident with timely meals” is unsubstantiated.