Complaint Investigation Report

Brookdale Windsor, Windsor08/20/2024Licence 496802025

Census59
Date signed08/20/2024 03:25:23 PM
The inspector’s account

Hairstylist services are available; she is an outside contractor and she makes her own schedule. Facility offers the activities and makes them available; residents can be encouraged to go, but it is up to the resident to sign up and participate. Care notes reveal resident attended happy hour on 9/22/2023 and 9/29/2023. So, 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, therefore the allegation is unsubstantiated.

Complaint alleges Facility did not follow Admission Agreement. Complainant states that resident was charged for services that were already paid for as part of the costs outlined in their original admission agreement. During investigation, review of care notes reveal that between 9/2/2022 and 3/6/2023 facility held care conference 3 times with POA about the increased care needs of resident; 9/14/2023 care notes reveal resident was observed banging their head against the wall and trying to elope due to confusion and disorientation. HWD notified and POA notified; 9/27/2023 and 9/29/2023 resident tried to elope across the street due to cognitive decline and confusion; increased care needs once again communicated to POA. Investigative review of resident’s Admission Agreement does not support the allegation. Increased care needs can dictate a higher level of care needed and the facility can increase charges on such a basis. So, 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, therefore the allegation is unsubstantiated.

Complaint alleges facility shared resident's confidential information with an unauthorized person. Complainant states that Health and Wellness Director (HWD) had shared multiple pieces of information about the resident with Individual 1 (I1) without the resident’s POA’s permission. During investigation, LPA reviewed the resident’s Uniform Statutory Form Power of Attorney and I1 is named as been granted all powers listed, one of which includes “personal and family maintenance.” So, 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, therefore the allegation is unsubstantiated.

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