Brighton Care Center
BRIGHTON CARE CENTER in PASADENA, CA — inspection on January 29, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 1/27/2026 at 4:12 PM with Registered Nurse Supervisor 1 (RNS 1), RNS 1 stated on 1/26/2026, Resident 8 stated he was struck by a shadow on his right side. RNS 1 stated the DON was notified of Resident 8's allegation.
During an interview on 1/27/2026 at 4:48 PM with the DON, the DON stated an allegation of abuse when there is actual harm from a staff member hitting a resident would be reported to the ADM who was the abuse coordinator.
The DON stated an SOC 341 (Report of Suspected Dependent Adult/Elder Abuse form) would be completed and sent to the California Department of Public Health, Ombudsman, and police.
The DON stated that SV had reported to DON and ADM that Resident 8 stated someone hit him but did not see who it was and only saw a shadow.
The DON stated the facility did not report the allegation since Resident 8 stated a shadow struck him.
The DON stated she should have reported the allegation of abuse since striking was physical abuse.
The DON stated that when there is an allegation of abuse the ADM is informed and an SOC 341 is sent to CDPH, Ombudsman, and the police department.
The DON stated the DON was thinking it was Resident 8's mentation and behavior given his mental diagnosis and illness and therefore did not report his allegation of abuse.
During a concurrent interview and record review on 1/29/2026 at 10:26 AM with the DON of the facility's policy and procedure (P&P), the DON stated any allegation of abuse should be reported within two hours.
The DON stated based on the P&P all reports of resident abuse are reported are reported to local, state and federal agencies within two hours of an allegation involving abuse.
During an interview on 1/29/2026 at 2:30 PM with the Administrator (ADM), the ADM stated the facility did not and should have reported the allegation of abuse for Resident 8 when they were informed on 1/26/2026.
During a record review of the facility's P&P titled, Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, revised September 2022, the P&P indicated all reports of resident abuse are reported to local, state and federal agencies (as required by current regulations) and thoroughly investigated by facility management.
The administrator or the individual making the allegation immediately reports his or her suspicion to the following persons or agencies: a.
The state licensing/certification agency responsible for surveying/licensing the facility; b.
The local/state ombudsman; e.
Law enforcement officials.
Immediately is defined as within two hours of an allegation involving abuse.
Notices include the type of abuse that is alleged (i.e., verbal, physical, sexual, neglect, etc.).
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