Brookdale Brookhurst

87464(f)(1) Basic Services. Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement is not met as evidence by: Based on interviews with staff and witnesses, as well as records reviewed, it was determined that Resident 1 (R1) sustained pressure injuries resulting from a lapse in supervision. Evidence indicates that R1 was found on the floor and remained there for an extended period of time. This poses an immediate health and safety risk to residents in care.

Personnel Requirements - General ... Facility personnel shall at all times be sufficient in numbers ... to provide the services necessary to meet resident needs.This requirement was not met as evidenced by: Based on LPA's observation the facility lack proper staffing at the time of the complaint incident which is an immediate health and safety risk to residents in care.

87465 Incidental Medical and Dental Care... The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residentsThis requirement was not met as evidenced by: Based on documents obtained and interviews, the facility did not ensure R1 received proper assistance and medical care in a timely manner which poses an immediate health and safety risk to residents in care.

87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall ... (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on LPA's interview, documents reviewed and observations made, the facility did not ensure Resident 1 received assistance with self-administered medications due to medication not given as prescribed, resulting in a medication error. This poses as a potential health risk to residents in care.

87464(f)(1)- Basic Services. Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidence by: Based on interviews conducted with staff, residents and records obtained, R1 sustained pressure injuries as a result of having an unwitnessed fall and being left on the floor for approximately one to two days. This poses an immediate risk to the health and safety of residents in care.

87468.1(a)(1)- Personal Rights of Residents in all facilities. To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidence by: Based on interviews with residents, staff and documents reviewed, S1 engaged in inappropriate conversations and showed sexually explicit photographs to R1 and repeatedly entered their room without knocking which poses an immediate safety and personal rights risk to persons in care.

Based on LPA's observation during facility tour of Memory Care Unit, there were cleaning supplies and disinfectants found accessible in memory care unit dining room area and one resident's room. This poses an immediate healthy and safety risk to residents in care.

87464 Basic Services … (f) Basic services shall at a minimum include: (1) Care and supervision… This requirement was not met as evidenced by: Based on documents and interviews, the licensee did not ensure R1 received care and supervision when R1 was left on the floor for an extended period of time after their fall while suffering from a hip fracture, which poses an immediate safety risk to persons in care. CIVIL PENALITY ASSESSED.