Inspection visit

Follow-up on correctionsOctober 11, 2023

BROOKDALE AUBURNLicense 3170054681 citation on this visit

1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to complete a case management visit. LPA met with Administrator Malissa Acuna during today’s inspection. During the complaint investigation, LPA discovered R1 was on hospice services. In September R1 went on a walk with activities with several other residents. During the walk R1 fell on the ground and was complaining of pain. Facility called hospice, and was told to wait for a hospice nurse to assess resident. R1 was helped up and moved back into the facility. Hospice arrived 2 to 3 hours later, and instructed staff to not send resident out for emergency services. The following day, resident was still in pain and facility sent resident out to the emergency department. R1 was diagnosed with a hip fracture and sent back to the facility on hospice services. Due to facility not calling emergency services upon R1’s injury which was not related to the expected course of the resident’s terminal illness, deficiencies are cited on 809-D. Exit interview conducted and copy of report provided. Appeal rights given.

Citations

1 citation recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

87469(c)(3)Type A
87469 Advanced Directives and Requests Regarding Resuscitative Measures(c) If a resident who has an advance directive and/or request regarding resuscitative measures form on file experiences a medical emergency, facility staff shall do one of the following: (3) Specifically for a terminally ill resident that is receiving hospice services and has completed an advance directive and/or request regarding resuscitative measures form pursuant to Health and Safety Code section 1569.73(c), and is experiencing a life-threatening emergency as displayed by symptoms of impending death that is directly related to the expected course of the resident’s terminal illness, the facility may immediately notify the resident’s hospice agency in lieu of calling emergency response (9-1-1). For emergencies not directly related to the expected course of the resident’s terminal illness, the facility staff shall immediately telephone emergency response (9-1-1). This requirement is not met as evidenced by: Based on interviews the licensee did not call emergency services for R1 upon fall at the facility which poses an immediate health, safety, and personal rights risk to residents in care.
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FAQ · About this visit

Common questions about this visit

What happened during the October 11, 2023 inspection of BROOKDALE AUBURN?

This was a other inspection of BROOKDALE AUBURN on October 11, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to BROOKDALE AUBURN on October 11, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87469 Advanced Directives and Requests Regarding Resuscitative Measures(c) If a resident who has an advance directive an..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

Follow-up on corrections·October 11, 2023