Complaint Investigation Report

Brookdale San Jose, San Jose11/08/2022Licence 435202447

Date signed11/08/2022 10:50:52 AM
The inspector’s account

Review of resident medical records noted to be consistent with narrative provided by both the facility and hospice staff. Interviews with R1's responsible party and hospice staff indicated that the injury likely stemmed from R1's pre-diagnosed medical conditions. The Department attempted to interview and obtain medical records from R1's surgeon, but at this point medical records have not been submitted and R1's surgeon is unable to have been contacted. This report will be amended in the event that contact is made with R1's surgeon if such contact substantively changes the conclusions of this investigation.

The department has investigated the above allegation. Based on records reviewed and interviews conducted, the Department found that the above allegation is UNSUBSTANTIATED . An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation did or did not occur.

No citations noted during today's inspection. Exit interview was conducted with Associate Executive Director Audrey Bui and a copy of this report was provided for signature.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction