Brookdale Garden Grove

87465 Incidental Medical and Dental Care (a)… (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by :Based on interviews and documents, the licensee did not ensure R1 received assistance with medications by not giving R1 their Furosemide on multiple days and giving R1 triple their prescribed dose on two days resulting in hospitalization, which poses an immediate health risk to persons in care. CIVIL PENALTY ASSESSED.

87211 .. (a) … (1) A written report shall be submitted to … the person responsible for the resident within seven days of... (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse …This requirement was not met as evidenced by: Based on documents and interviews, the licensee did not ensure R1’s responsible party received a written notification of R1’s rough handling by staff resulting in bruises, which poses a potential personal rights risk to persons in care.

87468.1 Personal Rights of Residents in All Facilities (a) … (3) To be free from punishment, humiliation, intimidation, abuse… This requirement was not met as evidenced by: Based on observation and interviews, the licensee did not ensure R1 was free from abuse when S1 and S2 forced care on R1 resulting in bruises, which poses an immediate personal rights risk to persons in care. CIVIL PENALTY ASSESSED.

87211 Reporting Requirements (a) … (1) A written report shall be submitted to the licensing agency … within seven days of the occurrence of … (B) Any serious injury… This requirement was not met as evidenced by: Based on documents and admission, the licensee did not ensure R1’s hospitalization on September 5, 2025, was reported to licensing, which poses a potential safety risk to persons in care. CIVIL PENALTY ASSESSED.

Based on observation, the licensee did not comply with the section cited above in one out of twelve units inspected which poses/posed a potential health, safety or personal rights risk to persons in care.

87211 Reporting Requirements (a) … (1) A written report shall be submitted to the licensing agency … within seven days of the occurrence of … (B) Any serious injury… This requirement was not met as evidenced by: Based on documents and admission, the licensee did not ensure R1’s fall on February 1, 2025, was reported to licensing, which poses a potential safety risk to persons in care.

87468(a) Personal Rights. Residents in residential care facilities for the elderly shall have personal rights which include, but are not limited to, those listed in Sections 87468.1, Personal Rights of Residents in All Facilities, and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities, as applicable to the facility. This regulation was not met as evidence by: Based on interviews conducted and records reviewed the facility did not communicate with R1's Authorized Representative prior to placing R1 in Memory Care. CONT...

87207 False Claims. No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This regulation was not met as evidence by: Based on interviews conducted and records reviewed the Physician report dated 02/11/24 was not filled out by Scan's Nurse Parctitioner as Nurse Practitoner was not working on 02/11/24. This poses an immediately risk to resident’s health and safety.

Additional Personal Rights of Residents in Privately Operated Facilities (a)(7) To fully participate in planning their care, including the right to attend and participate in meetings or communications regarding care and services to be provided, according to Health and Safety Code section 1569.80 and involve persons of their choice in this planning. This requirement was not met as evidence by: On 02/10/24 R1 had a tele medicine visit by a Provider from Senior Doc.; however, R1's provider was from Scan Health Plan. This poses a potential risk to persons in care.

Resident Participation in Decisionmaking (3)The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident’s condition, or once every 12 months, whichever occurs first. This requirement was not met as evidence by the facility not arranging a meeting with R1 and their Authorized Representative prior to placing R1 in Memory Care. This poses a potential risk to persons in care.

(c)All information and records obtained from or regarding residents shall be confidential. (1)...The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. This requirement was not met as evidence by: the facility did not provide R1's records for March 2024. This poses a potential risk to persons in care.

Based on observation, the faucets in rooms 103, 104, 115, and 243 tested at 126, 133, 124, and 129 degrees F, respectively, and rooms 103, 104, and 115 are in memory care, which poses an immediate safety risk to persons in care. During the inspection, the licensee adjusted the temperature and LPA confirmed.

87464(f)(1):Basic Services shall at a minimum include: (1) Care and Supervision as defined in Section 87101(c)(3) and Health & Safety Code 1569.2(C) "care and supervision means the facility responsibility for or provides or promises in future, ongoing assistance with activities CONT... assistance with activities of daily living without which the resident's physical, mental, health & safety, or welfare would be endangered. This requirement is not met as evidenced by the complaint investigation:The facility did not provide the resident and responsible party with a 30 day notice, CONT

80072:Personal Rights(a)each client shall have personal rights which include...(2) To be accorded safe, healthful and comfortable accommodations,...to meet his/her needs.(3)To be free from corporal or unusual punishment, infliction of pain, humiliation, CONTINUED... CONTintimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature...This requirement was not met as evidenced by: The facility did not provide the resident and responsible party with a 30 day notice, and did not communicate with Authorized representative prior CONT...

87468.2(a)(16):Additional Personal Rights of Residents in Privately Operated Facilities (a)... residents...shall have...:(16) To written notice of any room changes at least 30 days in advance unless...agreed to...to fill a vacant bed, or...due to an emergency. This requirement was not met as evidenced by: The licensee failed to ensure this additional personal right was afforded to R1. Based on interviews and file review, the facility did not provide written notice to R1’s responsible party within 30 days of moving R1 to memory care unit. This poses a potential risk to residents in care.

87507 Admission Agreement (f) "The licensee shall comply with all applicable terms and conditions set forth in the admission agreement..."This requirement was not met as evidenced by: Based on interviews and record review, facility did not adhere to the admission agreement pertaining to refunds which poses a potential Personal Rights risk to persons in care.

Incidental Medical and Dental Care - Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication.The regulation was not met as evidence by: Facility did not ensure that centrally stored medicines were kept safe, locked, and only accessable to persons responsible for the supervision of medications. The LPA observed medication cart unlocked at the entrance to demetia care unit. This poses an immediate risk to the health and safety of the residents in care.