Brookdale Brookhurst

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: - Resident not receiving medications in timely manner - Facility has not eradicated the cockroach problem

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by facility staff and explained the reason for the visit. Executive Director (ED) John Goodwin arrived shortly to assist with the visit. The Department received a complaint on July 21, 2023. The complaint was reassigned to LPA Tea. LPA Tea spoke to residents, facility staff and other witnesses and reviewed and collected pertinent documents and information. It was alleged a resident is not receiving medications in a timely manner. Facility progress notes document an instance where medications were not available on hand and staff contacted Resident 1(R1)’s daughter. Admission orders indicate R1 was able to determine and clearly communicate the need for PRN medications. (Complaint investigation continued on LIC9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 30, 2026 · control 22-AS-20230721104609

Allegation investigated: - Resident sustained unexplained bruising - Staff did not administer resident’s medication

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by facility staff and explained the reason for the visit. Executive Director (ED) John Goodwin arrived shortly to assist with the visit. The Department received a complaint on January 15, 2025. LPA Tea was reassigned to this complaint. LPA Tea spoke to residents, facility staff and other witnesses and reviewed and collected pertinent documents and information. It was alleged that resident sustained unexplained bruising. LPA reviewed Facility Progress Notes documented R1’s skin condition throughout their short stay. Records indicate the family was informed of R1’s condition and that R1 was taken to the hospital for evaluation. Progress notes further reflect that R1 frequently denied pain. The Facility Personal Services Assessment and pre-admission assessment (Complaint investigation continued on LIC9099C)the state’s words, verbatim · CDSS document, Jan 30, 2026 · control 22-AS-20250130111502

Allegation investigated: - Resident sustained multiple pressure injuries due to neglect

This is the final report of the investigation completed by the Department. LPA met with Executive Director (ED) John Goodwin and Health & Wellness Director (HWD) Suzette Paige. On June 11, 2025, the Orange County Adult and Senior Care Regional Office received a complaint alleging that a resident sustained multiple pressure injuries due to neglect. The investigation determined as follows: Resident 1 (R1) was admitted to the facility on February 16, 2018. Per physician report dated November 06, 2024, R1 has some motor impairment/paralysis and is considered non-ambulatory with no history of skin breakdowns. The facility completed an assessment of R1 on March 08, 2023, in which it was noted R1 had fallen within the last 12 months. Universal fall precautions were put in place including orienting resident to environment & familiarizing them with the facility call system. (Complaint Investigation Report continued on LIC9099-C) Substantiatedthe state’s words, verbatim · CDSS document, Oct 31, 2025 · control 22-AS-20250609112449

Allegation investigated: - Staff did not seek medical attention for a resident in care

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by facility staff and explained the reason for the visit. Executive Director (ED) John Goodwin arrived shortly to assist with the visit. The Department received a complaint on October 3, 2025, and LPA Tea conducted the initial 10-day visit on October 9, 2025. LPA Tea spoke to facility staff and reviewed and collected pertinent documents and information. It was alleged that facility staff failed to seek timely medical attention for a resident in care. The investigation determined the following: Photographic evidence provided to the Department depicted Resident 1 (R1) with significant bruising along the shoulder area and lighter bruising above the left eyebrow extending from the (Complaint Investigation continued on LIC9099-C) Substantiatedthe state’s words, verbatim · CDSS document, Oct 28, 2025 · control 22-AS-20251003170854

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: - Staff are not ensuring resident is accorded privacy - Staff inappropriately removed resident's door

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by facility staff and explained the reason for the visit. Executive Director (ED) John Goodwin arrived shortly to assist with the visit. The Department received a complaint on July 15, 2025, and LPA Tea conducted the initial 10-day visit the following week on July 24, 2025. LPA Tea spoke to residents and facility staff and reviewed and collected pertinent documents and information. It was alleged that staff are not ensuring resident is accorded privacy. LPA interviewed residents who live in shared suites and asked them about their privacy. Eight out of nine residents interviewed agreed that the facility tried their best to afford their privacy despite having to have a roommate. If something bothered them, the facility was willing to accommodate and seek solutions. There are no complaints about privacy Cothe state’s words, verbatim · CDSS document, Jul 29, 2025 · control 22-AS-20250715155510

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: - Facility staff is verbally threatening resident with eviction - Facility staff is spreading lies about the resident

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conduct a complaint investigation. LPA Tea was greeted and granted entry by facility staff and explained the reason for the visit. Executive Director (ED) John Goodwin arrived shortly to assist with the visit. The department received a complaint on June 2, 2025, and LPA Tea conducted the initial 10-day visit a week later on June 10, 2025. LPA Tea spoke to residents and facility staff and reviewed and collected pertinent documents and information. It was alleged that facility staff is verbally threatening resident with eviction. The investigation determined the following: Per investigation, LPA spoke to ED Goodwin in regard to resident evictions. ED Goodwin stated that he has always been transparent with resident evictions and discusses evictions with licensing before issuing or notifying residents about evictions. With one resident he has address the concerns of Complaint Report continued on LIC9099-Cthe state’s words, verbatim · CDSS document, Jun 10, 2025 · control 22-AS-20250602140822

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident sustained multiple pressure injuries due to neglect

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit on this day for the purposes of delivering findings into the above allegation. On this day, LPA was greeted and met with Executive Director John Goodwin. On July 9, 2024, the Department received a complaint alleging a resident sustained multiple pressure injuries due to neglect. A health and safety visit was conducted by the Department on July 11, 2024, and an investigation initiated. The investigation determined as follows: Resident 1 (R1) was admitted to the facility on April 12, 2024. Per Physician Report dated June 05, 2024, R1 is able to self manage activities of daily living (ADLs) such as bathing, toileting, and dressing and is not able to communicate their needs. R1’s personal service plan dated May 18, 2024, also notates facility’s assessment that resident is independent in ADLs. On July 02, 2024, R1 was found bleeding on their bathroom floor by Caregiver 1 (C1). C1 called for assistance from facility Medthe state’s words, verbatim · CDSS document, Feb 20, 2025 · control 22-AS-20240709135536

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Lack of staff supervision resulted in resident being left on the floor for an extended period of time

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering findings for the investigation into the above identified complaint allegation. LPA met with Administrator (AD) John Goodwin and explained the reason for today’s inspection. The investigation into the allegation that lack of staff supervision resulted in resident being left on the floor for an extended period of time revealed the following: During the course of the investigation, Department staff inspected the facility, interviewed AD, witnesses, and staff, and obtained and reviewed copies of the resident roster, staff roster, Resident #1’s (R1) Facility Progress Notes from 2023, R1’s Physician’s Report (LIC 602A) dated October 20, 2022, R1’s Brief Interview Mental Status Screening dated June 15, 2021, R1’s Fountain Valley Hospital Medical Records dated June 13, 2023, R1’s Kaiser Medical Records dated June 28, 2023, the facility’s Resident Meal Check Record for thethe state’s words, verbatim · CDSS document, Jul 11, 2024 · control 22-AS-20230824151155

Allegation investigated: Financial abuse

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose to initate the complaint investigation into the above allegation. LPA was allowed entry by Business Office Manager (BOM) Danielle Chairez and was introduced to Executive Director II (ED) John Goodwin. During the course of the investigation, LPA conducted interviews with the resident/staff and obtained copies of pertinent resident documentations. The investigation revealed the following: Regarding the allegation of financial abuse, it was determined based on the records reviewed, and three out of the three staff interviews, one resident interview, that the alleged individual in question is not a staff employed under this facility. Therefore, this agency has investigated the complaint and based on the interviews conducted and the records that were reviewed, the above allegation is deemed UNFOUNDED. We have found that the complaint was unfounded, meaning that the allegation was false, could notthe state’s words, verbatim · CDSS document, Apr 24, 2024 · control 22-AS-20240416110404

Allegation investigated: A lack of care and supervision reulted in resident falling several times.

Licensing Program Analyst (LPA) Ruth Martinez made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA arrived at the facility was greeted by receptionist and granted entry. LPA met with John Goodwin, Executive Director and explained the nature of today’s visit. Based on the information obtained during this investigation the Department as concluded the investigation into the above mentioned allegation. Findings are based upon this investigation which included interviews conducted, tour of the physical plant of the facility and copy of pertinent documents (face sheet, Services plan, physicians report dates 3/06/23 and 3/20/24, and admissions agreement). It is alleged that a lack of care and supervision resulted in resident falling several times. Record review revealed that resident Continued on LIC9099 Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 16, 2024 · control 22-AS-20240411162724

Allegation investigated: Lack of care and supervision resulted in unstageable wound

Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to the facility to deliver findings. LPA arrived at the facility and explained the purpose of today’s visit, was greeted by business office manager (BOM) Danielle Chairez. The complaint was investigated by the Department which involved interviews record review. It is alleged that due to lack of care and supervision, resident resulted in getting an unstageable wound. On January 4, 2024, resident (R1) was sent to the hospital to be evaluated due to exhibiting signs of weakness and confusion. Upon R1 getting discharged from the hospital, an updated physician reported dated for January 6, 2024 stated that R1 is diagnosed with mild cognitive impairment, delirium, has weakness, bladder, visual and motor impairments, however R1 is able to use the bathroom without assistance. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 1, 2024 · control 22-AS-20240117162657

Allegation investigated: Resident sustained multiple falls due to lack of care and supervision

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced 10-day visit to the facility for the complaint and to deliver the findings. LPA De Perio explained the purpose of today's visit, and was greeted by Health and Wellness Director (HWD) Suzette Paige. During the investigation, LPA De Perio toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that resident sustained multiple falls due to lack of care and supervision. 2 out of 2 staff interviews did not corroborate with the allegation by stating that upon resident (R1) sustaining a fall in room, R1 pressed their pendent button, of which 2 staff responded within 9 minutes. Upon staff responding, a body assessment was conducted on R1, and 911 was immediately contacted, of which R1 was taken to the hospital for further evaluation. R1 is currently not residing at the facility and was admitted to skilled nursing for additional monitoring for a cothe state’s words, verbatim · CDSS document, Feb 9, 2024 · control 22-AS-20240201085538

Allegation investigated: Staff do not respond to resident calls on the signal system. Facility’s signal system is not functioning properly.

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced initial 10-Day complaint visit to initiate the investigation into the above allegations and to deliver the findings of the investigation. LPA was greeted and granted entry into the facility and met with Executive Director (ED) John Goodwin. LPA explained the reason for the visit. On today’s visit LPA Ramirez conducted file reviews and interviews and obtained copies of pertinent documents. Regarding the allegation that facility staff do not respond to resident calls on the signal system, the following was revealed: Three of four residents interviewed denied the allegation. At 9:35 AM LPA tour the facility and tested four pendants in four resident bedrooms. The average staff respond time range from 40 seconds to 13 minutes and 10 seconds. During the interviews with residents it was reported that staff do not respond fast and/or that staff respond within 15-30 minutes. During the course of the interviews ED statethe state’s words, verbatim · CDSS document, Oct 4, 2023 · control 22-AS-20230927104948