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Inspection visit

complaint

BROOKDALE FOLSOMLicense 3470054672 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Staff did not provide authorized representative with a written notice of rate increase in a timely manner. R1's Personal Service Plan for the "Alzheimer's" unit states that R1 was moved from assisted living to the Memory Care Unit on 10/7/21. The plan indicates that the facility received "phone approval" from the reporting party on 10/10/20. R1's addendum to the original residency agreement is dated 10/14/20. An email obtained by this analyst confirms that the facility emailed the addendum to the RP on 10/14/20. These records indicate that the facility did not provide the resident’s representative, written notice of the rate increase within two business days after initially providing services at the new level of care. Based on information interviews conducted and records reviewed, this analyst finds the allegation to be SUBSTANTIATED - a finding that means that the allegation is valid because the preponderance of the evidence standard has been met. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited on the attached 9099-D. Exit interview conducted. Copy of report and appeal rights provided to facility staff.

Citations

3 citations 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.

  • 87463(a)Type B

    Reappraisals - The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, and social condition. This requirement has not been met as evidenced by: Based on interviews conducted and records reviewed, the administrator failed to conduct a reappraisal or implement a needs and services plan after behaviors were observed in R1. This resulted in the facility taking the residents personal phone away.

  • 1569.657(a)Type B

    Rate increase due to change in level of resident care; notice: For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. This requirement has not been met as evidenced by: Based on interviews conducted and records obtained, R1 was moved to memory care unit on 10/7/20, the addendum to the resident agreement was provided to the responsible party on 10/14/20. This poses a potential health and safety risk to the residents in care.

  • 87411(a)Type A

    Personnel Requirements - GeneralFacility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement has not been met as evidenced by: Based on observation and interviews conducted the facility did not address resident's (R2) aggressive behavior on the unit resulting in injury to R1. This poses an immediate risk to the resident's health and safety.

FAQ · About this visit

Common questions about this visit

What happened during the June 27, 2021 inspection of BROOKDALE FOLSOM?

This was a complaint inspection of BROOKDALE FOLSOM on June 27, 2021. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to BROOKDALE FOLSOM on June 27, 2021?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Reappraisals - The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant c..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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