Brookdale Windsor

Additional Personal Rights of Residents in Privately Operated Facilities(a)In addition to the rights listed in Section 87468.1, ...(20)To be protected from involuntary transfers, discharges, and evictions. A licensee shall not involuntarily transfer or evict... This requirement is not met as evidenced by: Based on interview & record review, the licensee did not comply with the section cited above in that resident R1 was not allowed to return to the facility after a hospital emergency room visit which posed an immediate health, safety or personal rights risk to persons in care.

§1569.657 Rate increase due to change in level of resident care; notice (a) 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 is not met as evidenced by: Based on LPA’s record review and interview, the licensee did not comply with the section cited above in that facility did not provide R2’s responsible party written notice of rate increase within two business days after initially providing services at the new level of care which poses an potential health, safety or personal rights risk to persons in care.

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times... shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: as evidenced by:Based on LPA’s record review, the licensee did not comply with the section cited above in that facility did not properly R2’s room, which poses an immediate health, safety or personal rights risk to persons in care.

87469 Advanced Directives and Requests Regarding Resuscitative Measures (c) If a resident...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 is experiencing a life-threatening emergency... 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 LPA’s record review, the licensee did not comply with the section cited above in that facility did not immediately telephone emergency response for R1’s injury that was not directly related to the expected course of the resident’s terminal illness, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA and HWD observation and record review, the licensee did not comply with the section cited above in that S1, S2, S3, S4, and S5 did not have current First Aid/CPR, which poses an immediate health, safety or personal rights risk to persons in care.

Based on on Incident Report received on 2/26/2024, the licensee did not comply with the section cited above in that R1 had an elopement, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on LPA and Admin observation and record review, the licensee did not comply with the section cited above in that S1, S2, S3, S4, and S5 did not have Training records available, which poses an immediate health, safety or personal rights risk to persons in care.

Based on LPA and HWD observation and record review, the licensee did not comply with the section cited above in that S1, S2, S3, S4, and S5 did not have Heath Screens, which poses an immediate health, safety or personal rights risk to persons in care.

Based on incident report received on 5/3/2024, the licensee did not comply with the section cited above in that R2 received medication not prescribed to them, which poses an immediate health, safety or personal rights risk to persons in care.