Brookdale Place Of San Marcos

Allegation investigated: Staff did not prevent resident from having scabies multiple times. Staff are humiliating resident.

On March 21, 2023, Licensing Program Analyst (LPA), Chinwe Nwogene conducted an unannounced visit for the purpose of investigating the above allegations. LPA met with Executive Director, Mario Preston and explained the purpose of the visit. The Investigation consisted of the following: ALLEGATION #1 STAFF DID NOT PREVENT RESIDENT FROM HAVING SCABIES MULTIPLE TIMES It is alleged that R#1 got scabies 5 times while in care On 3/21/2023 LPA Chinwe Nwogene interviewed Executive Director, reviewed resident file, and collected copies of pertinent documents. On 4/2/26 LPA Sparkle Day began follow up investigation. LPA Day attempted to reach reporting party as well as the facility several times leaving voice mails and did not get a return call. The facility closed on 11/19/2025. Due to facility closing we were unable to locate all parties involved in the complaint. Therefore we were unable to complete a full investigation. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 2, 2026 · control 18-AS-20230315094815

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 did not treat resident with dignity and respect Staff did not provide a comfortable environment for resident

On October 31, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced at the facility and met with the Licensee, Amber Rodgers. LPA explained the reason for the visit was to provide findings for the complaint investigation. During the investigation, LPA conducted interviews, record reviews, and made observations pertaining to the listed allegation. On September 07, 2023, Community Care Licensing received a complaint alleging Staff did not treat resident with dignity and respect, and Staff did not provide a comfortable environment for resident. It was reported on 09/07/2023, the dining room manager Staff # 1 (S1), was unprofessional toward Resident # 1 (R1). It was further reported another staff # 2 (S2) were rude and fought with R1. Finally, it was reported, still another staff (S#3) was talking to another resident regarding R1 in the presence of the R1. Information obtained from interview with Licensee, Mario Preston denied the allegations Staff did not treat residentthe state’s words, verbatim · CDSS document, Oct 31, 2025 · control 18-AS-20230907153143

Allegation investigated: Staff neglect resulting in resident abusing another resident

On October 31, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced at the facility and met with the Licensee, Amber Rodgers. LPA explained the reason for the visit was to provide findings for the complaint investigation. During the investigation, LPA conducted interviews, record reviews, and made observations pertaining to the listed allegation. On April 22, 2024, Community Care Licensing received a complaint alleging Staff neglect resulting in resident abusing another resident. It was reported Resident #1 (R1), spouse who is also R1’s roommate is abusive towards R1. Information obtained from interview with Licensee; Mario Preston denied the allegation the Staff neglect resulted in resident abusing another resident. Licensee indicated that the roommate and spouse of R1 is bedridden and on hospice. Additionally, the Licensee, stated the two residents are hard of hearing therefore they must speak in raised voices to hear each other. Information obtained from interviewthe state’s words, verbatim · CDSS document, Oct 31, 2025 · control 18-AS-20240422152642

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 failed to assist resident with oral hygiene Facility failed to seek dental treatment for resident

On October 9, 2025, the Department of Social Services staff conducted an unannounced visit to this facility to continue investigation of the above allegations and to deliver findings. The Department was met by Amber Rogers; Executive Director, and the purpose of the visit was explained. Investigation consisted of the following: On 10/17/22, the Department conducted an unannounced initial visit to the facility to investigate the allegations mentioned above. During the visit, the Department reviewed files and collected pertinent documents. Additionally, an interview with Associate Executive Director was conducted. It was determined that the complaint required further investigation. On 10/9/25 the Department, interviewed Amber Rogers, Executive Director (A1), 3 staff (S1-S3), 3 residents (R2-R4). The Department obtained and reviewed the following documents: Staff roster (dated:10/9/25) resident roster (dated: 10/9/25), R1 Physicians report (dated: 4/11/24), R1 pre-placement appraisal (datthe state’s words, verbatim · CDSS document, Oct 9, 2025 · control 18-AS-20221013102800

Allegation investigated: Resident was denied being taking to the ER Facility is overcharging resident for food Facility did not provide resident with a new call button bracelet Staff did not check on resident in a timely manner Visitors being denied entry into facility due to COVID

Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to deliver investigative findings. LPA was granted entry into the facility and identified herself to Amber Rodgers, Associate Executive Director to whom LPA explained the reason for the visit. On January 14, 2022 Community Care Licensing (CCL) received a complaint alleging that a resident (R1) was denied being taking to the ER. [LIC811 Confidential Name List was provided to staff to identify R1]. Interviews revealed on or around January 13, 2022, R1 stated that they were denied a ride to the emergency room (ER). Interviews revealed R1 did not recall the day or what the issue was. Interviews with staff revealed that there was never an issue reported to them regarding R1 needing a ride to the hospital. Interviews revealed that if R1 needed a ride out to the ER they would have taken them. Interviews revealed if a resident requests to go to ER they evaluate the resident to deem if it is a need for emergethe state’s words, verbatim · CDSS document, Dec 17, 2024 · control 08-AS-20220114123811

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 did not have the required training to care for residents Resident rooms were not kept sanitary Licensee did not ensure personnel requirements were met

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegations. LPA identified herself to, was greeted by, and explained the purpose of the visit to Executive Director Mario Preston. The Department’s investigation consisted of interviews with staff, residents, and outside sources, records review, and a tour of the facility. It was alleged that staff did not have the required training to care for residents, specifically for dementia and transferring, resident rooms were not kept sanitary, and licensee did not ensure personnel requirements were met. Interviews and review of the facility’s license revealed that the facility cared for both ambulatory and non-ambulatory residents as well as residents receiving hospice care. Interviews with staff and review of resident records revealed that the facility did not usually care for residents diagnosed with dementia but would occasionally care for residents withthe state’s words, verbatim · CDSS document, Nov 7, 2023 · control 08-AS-20200713092605