<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306002962
Report Date: 06/11/2026
Date Signed: 06/11/2026 12:34:49 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/27/2025 and conducted by Evaluator Michael Tea
COMPLAINT CONTROL NUMBER: 22-AS-20251027143540
FACILITY NAME:BROOKDALE BROOKHURSTFACILITY NUMBER:
306002962
ADMINISTRATOR:JOHN GOODWINFACILITY TYPE:
740
ADDRESS:15302 BROOKHURST STTELEPHONE:
(714) 775-6775
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:164CENSUS: 112DATE:
06/11/2026
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:John GoodwinTIME COMPLETED:
12:47 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Resident sustained multple unstageable pressure injuries due to neglect
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Michael Tea arrived on this day for the purpose of delivering findings regarding the above allegation. LPA met with Executive Director (ED) John Goodwin.

On October 27, 2025, the Orange County Adult and Senior Care Regional Office received a complaint alleging that Resident 1 (R1) sustained multiple unstageable pressure injuries due to neglect. During the investigation, the Department reviewed facility records, hospice records, and hospital records and conducted interviews with facility staff and other pertinent witnesses.

The Department attempted to interview R1; however, at the time of the initial investigation, R1 had been hospitalized and was unavailable for interview. LPA later learned that R1 passed away in March 2026. Therefore, an interview with R1 could not be completed.

Complaint Investigation Report continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 22-AS-20251027143540
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: BROOKDALE BROOKHURST
FACILITY NUMBER: 306002962
VISIT DATE: 06/11/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Records reviewed showed that R1 had a history of multiple chronic medical conditions, including diabetes, vascular disease, severe anemia, and poor circulation. Medical records indicated these conditions significantly affected the resident's ability to heal and increased the risk of developing pressure injuries. R1 was admitted to the hospital on October 21, 2025, due to abnormal laboratory results, severe anemia, weakness, and ongoing wound concerns.

Hospital records reviewed showed that multiple unstageable pressure injuries were identified during the hospitalization. Hospice records further documented that, prior to the hospitalization, hospice had been providing wound care treatment to R1 for Stage II and Stage III pressure injuries. Hospice records contained physician orders, regular nursing visits, wound assessments, and ongoing monitoring of the resident's skin condition. Facility staff were responsible for monitoring R1's condition, reporting changes, and following medical recommendations.

LPA interviewed R1's hospice case manager, who stated that R1's wounds were not caused by a lack of repositioning and that R1's chronic medical conditions played a significant role in the development and healing of the wounds. The hospice nurse reported that facility staff regularly communicated changes in the resident's condition, reported concerns when dressings became soiled, and contacted hospice as needed. The hospice nurse stated there were no concerns that the facility neglected the resident's care.

LPA also reviewed hospital records. While hospital staff documented multiple pressure injuries and expressed concern regarding the severity of the wounds, the records did not conclude that the wounds were caused by neglect by facility staff. The records showed that R1 was already receiving wound care services prior to hospitalization. During a screening documented in the hospital records, R1 denied being abused, neglected, or mistreated by the facility.

Although the investigation confirmed that R1 had multiple pressure injuries, the evidence obtained did not establish that facility staff caused or contributed to the wounds through neglect. The evidence showed that R1 had significant underlying medical conditions affecting wound healing and was receiving ongoing treatment from hospice and other medical providers.

(Report continued on LIC9099-C)
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20251027143540
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: BROOKDALE BROOKHURST
FACILITY NUMBER: 306002962
VISIT DATE: 06/11/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on the information obtained during the investigation, the allegation is deemed UNSUBSTANTIATED, meaning that although the allegation may have happened or be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of this report and the Confidential Names List were provided to the facility.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Michael Tea
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3