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Inspection visit

complaint

OAKMONT OF BROOKSIDELicense 3927010573 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 12/16/2023, R1 had a witnessed fall at approximately 3:00pm. At 3:45pm, the facility called POA and left a message. The facility's alert charting dated 12/16/23, 8:49pm stated that the POA was contacted and did not want R1 to be transported by ambulance. POA wanted to be updated should anything change. At 11:04pm the facility alert notes confirmed that R1 was sent out to the ER were R1 was admitted at 9:43am and the diagnoses was a rib fracture. Civil penalty assessed. Allegation: Staff do not have the required training. Based on records reviewed and interviews with staff the facility did not reorder medication prior to R1 running out of medication causing R1 to without two medications for seven days from 9/14/2023 until 9/21/2023. The facility attempted to get the medications for R1 via faxing request to the Primary Care Physician. However the information was not confirmed to be ordered by the PCP until the 9/21/2023. This is a training issues and supports the substantiated allegation. Allegation: Staff did not give resident medication. Based on records reviewed and interviews with the staff the facility was out of 2 medications for R3 from 9/14/23 to 9/21/23. Substantiated. Allegation: Residents are not being cleaned properly after changing depends. Based on interviews with staff and residents along with attempted interviews with residents in memory care the facility is providing care and support. The residents confirmed that they are provided with assistance during mealtimes, activities time and personal care. LPA was unable to confirm that the residents in memory care interviewed understood the questions and were not good witnesses. The allegation is unsubstantiated.

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.

  • 87411(a)Type B

    (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking This requirement was not met as evidenced by R1 being without medication for seven days. This is a potential health and safety risk to resident in care

  • 87464(f)(6)Type B

    87464 Basic Services (f) Basic services shall at a minimum include: (6) Arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met as evidenced by The facility not following the doctors orders and not taking R1 to be checked after the fall on 12/3/23 at the request of the PCP. R1 had another fall at approximately 3 pm and was told by POA not to transport R1 via ambulance. Later in the evening R1 requested to go to the ER and was diagnosed with fractured ribs.

  • 87465(a)(1)Type B

    Incidental Medical and Dental Care. (a) plan for incidental medical and dental care shall be developed by each facility (1)The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on record reviews and interviews, licensee did not ensure physician was efficiently notified for medication order clarification for R1. This poses an immediate health and safety risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the March 14, 2024 inspection of OAKMONT OF BROOKSIDE?

This was a complaint inspection of OAKMONT OF BROOKSIDE on March 14, 2024. 3 citations were issued: 3 Type B.

Were any citations issued to OAKMONT OF BROOKSIDE on March 14, 2024?

Yes, 3 citations were issued (0 Type A, 3 Type B). The first citation was for: "(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to m..."

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.