Brookdale Lodi

Staff did not ensure residents rooms were clean Staff did not ensure the facility carpets were clean Staff are inappropriately operating the Hoyer Lift On 10/01/2025, Licensing Program Analyst (LPA) Kesha Lewis conducted an unannounced facility visit to continue the investagation for complaint for the above allegations. LPA met with Executive Director and explained the purpose of today's visit. LPA Lewis requested and reviewed training records records, medication policy, and medical records for R1 also LPA Lewis interviewed two (2) staff members and one (1) resident. LPA lewis toured the facility during the visit and conducted a medication count. see 9099C page UnsubstantiatedRead the full finding— CDSS inspection report, October 1, 2025 · control 27-AS-20250703090801

On 05/13/2025, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to deliver findings for the above allegations. LPA met with Executive Director Nicole Bacon and explained the purpose of today's visit. Based on record reviews and interviews, it is determined that there is not a preponderance of evidence to conclude that the staff mismanaged resident’s medication or that Staff are not preventing resident from engaging in inappropriate behaviors. Both the doctor’s directives and the client’s requests were followed as required. Staff had appropriate training in deescalating behaviors. Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, and therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided to the facility. An exit interview was conducted, and a copy of this report was given. UnsubRead the full finding— CDSS inspection report, May 13, 2025 · control 27-AS-20250213113306

Licensing Program Analyst (LPA) Renee Campbell arrived at the facility unannounced on 12/14/23 at 11:30 AM to deliver complaint findings, LPA Renee Campbell met with Associate Executive Director and explained the purpose of the visit. Allegation #1: Staff mismanage resident’s medication. When interviewed, H1 stated that hospice had to ask the husband to step out so that staff could directly ask R1 if she wanted pain medication. Per H2, R1 asked for pain medication more “towards the end of her decline”. LPA Campbell observed that the Medication Administration Record (MAR) was completed correctly in regard to the doctor’s orders. S1 also explained how staff ensured R1 gave consent for pain management. Based on record reviews and interviews, it is determined that there is not a preponderance of evidence to conclude that the staff mismanaged resident’s medication. Both the doctor’s directives and the clients requests were followed as required. Due to the above noted information, although tRead the full finding— CDSS inspection report, December 14, 2023 · control 27-AS-20230920111234

Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to continue investigation and deliver findings for the allegations noted above. LPA met with Administrator Mary Margaret Chappell and explained the purpose of the visit. LPA also conducted interviews with Administrator and S1 during today's visit and reviewed the most recent staff roster and LIC 500. Allegation #1: The Administrator is not available to attend to the management and administration of the facility. Based on record reviews and interviews, it is determined that there is not a preponderance of evidence to conclude that The Administrator is not available to attend to the management and administration of the facility. As a result, this allegation is UNSUBSTANTIATED. Continued on 9099C... UnsubstantiatedRead the full finding— CDSS inspection report, November 27, 2023 · control 27-AS-20231030140239

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced initial ten (10) day complaint investigation visit. LPA explained purpose of visit and discussed with Administrator (AD). The initial 10-Day visit was conducted on today's date of 12/6/2022. LPA Wallace reviewed facility training records of kitchen and dining room staff. LPA reviewed staff working schedule at facility for approximately the last several months of 2022. LPA Wallace interviewed administrator, kitchen staff, and resident regarding the above allegation. It was alleged that there was not sufficient food service personnel, training, or working hours scheduled to meet the needs of residents. LPA reviewed all staff schedules, training, and new employees hired after approximately seven staff left employment within a month's time period. Continued on 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, December 6, 2022 · control 27-AS-20221128155453

On 10-21-22 at 3:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open and investigate the complaint allegation listed above. Allegation states a staff member worked at facility on 10-11-22 while having symptoms of COVID-19. LPA conducted interviews with staff1 (S1) and reviewed COVID-19 line list. LPA also conducted facility tour. Based on interviews and record reviews it was determined that S2 tested positive for COVID-19 on 10/10/22 and S3 tested positive for COVID-19 on 10/7/22. Interviews and record reviews revealed S3 arrived at facility on 10-10-22, tested positive for COVID-19 and was sent home without working at facility. It was further determined that neither S2 or S3 worked on 10-11-22. Additionally, facility has not reported through weekly response testing any additional COVID-19 symptoms or positive results among staff since 10-10-22. A review of staffing records revealed S3 did not work on 10-11-22, and S2 was cleared to work by this date. FacilRead the full finding— CDSS inspection report, October 21, 2022 · control 27-AS-20221013090747

On 10-21-22 at 1:15pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to continue investigation and deliver findings for the allegations noted above. LPA met with Administrator Mary Margaret Chappell and explained the purpose of the visit. LPA also conducted interviews with Administrator and Staff1 (S1) during today's visit and reviewed needs and service plan for Resident1 (R1), staffing records, medication records, emergency pendant response log, and facility staff training records. Allegation #1: Resident sustained falls while in care. LPA conducted staff and resident interviews, and facility file documentation as stated above. Based on record reviews and interviews it was determined that R1 had multiple episodes of attempting to transfer with no evidence of falls as a result. Additionally, based on interviews and record reviews, it was determined that there have been no reported episodes of falls. A review of staffing records reveal staff is present consistentlyRead the full finding— CDSS inspection report, October 21, 2022 · control 27-AS-20220803130753

On 08/17/2022 at 9:45am, LPA R. Campbell and Michael Bilger arrived unannounced to facility to continue the complaint investigation for the allegation noted above. During this investigation, LPA Campbell interviewed Administrator and complainant, and reviewed admission agreement and billing statements for resident1 (R1). Based on interviews and record reviews, it was determined that there was no intention to overbill. It was found that there was a misunderstanding of the facility's billing process and funds were returned. There is no evidence of an actual physical bill received. Funds have been returned as requested. As a result, this allegation is UNSUBSTANTIATED. An exit interview was conducted with Mary Margaret Chappell and copy of this report was provided to Mary. UnsubstantiatedRead the full finding— CDSS inspection report, August 17, 2022 · control 27-AS-20220630115330

On 6-22-22 at 2:20pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver complaint findings for the allegation listed above. LPA met with Administrator Mary Margaret Chappell and explained the purpose of the visit. During this investigation, On 6-8-22, LPA interviewed staff1 (S1), S2, and S3. LPA also interviewed Resident2 (R2), R3, and R4. On 6-8-22, LPA also interviewed Administrator on duty at time of alleged incident. Additionally, LPA reviewed facility file documentation including pre-admission appraisal for R1, physician’s report for R1, physician communication note for R1, staffing schedule, and police report dated 4-27-22. Based on interviews and record reviews conducted, it was determined that Resident1 (R1) stated an allegation of being slapped in the face and punched in the back on 4-27-22 by a caregiver. Interviews conducted and records reviewed revealed no witnesses to said allegation or outstanding visible injuries noted. A police report dated 4Read the full finding— CDSS inspection report, June 22, 2022 · control 27-AS-20220428133810

On 01/10/2022, Licensing Program Analyst (LPA) T. White conducted an unannounced complaint investigation regarding the above allegations. LPA White discussed the purpose of the visit and the elements of the allegations with Executive Director, Mary Margaret Chappell. During the course of investigation, LPA White interviewed 4 staff members and 4 residents. LPA collected the following documents for Resident #1 (R1): Physician Report (LIC602), Identification and Emergency Information, Needs and Service Plan, Progress Notes, Room Service Slips and Pendant tracker within the last 30 days. Report Continues at 9099C. UnsubstantiatedRead the full finding— CDSS inspection report, January 10, 2022 · control 27-AS-20211214154259