BROOKSIDE SKILLED NURSING HOSPITAL
2620 FLORES STREET
SAN MATEO, CA, 94403
6503492161
CCN: 055188
5
Overall4
Health5
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| ST JOHNS VOLUNTEERS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| DANICH, KATHERINE | CORPORATE DIRECTOR | NOT APPLICABLE |
| MOTOVILOFF, IRENE | CORPORATE DIRECTOR | NOT APPLICABLE |
| DANICH, SVETOSLAV | CORPORATE DIRECTOR | NOT APPLICABLE |
| DANICH, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| MOTOVILOFF, IRENE | CORPORATE OFFICER | NOT APPLICABLE |
| DANICH, KATHERINE | CORPORATE OFFICER | NOT APPLICABLE |
| DANICH, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| DANICH, SVETOSLAV | CORPORATE OFFICER | NOT APPLICABLE |
| RODRIGUEZ, ELSA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SILVA, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DANICH, SVETOSLAV | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DANICH, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DANICH, KATHERINE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SERENITY 4 MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| INPATIENT CONSULTANTS OF CALIFORNIA INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GRIMES, JEREMY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GRIMES, VIVIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MOTOVILOFF, IRENE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (24)
2025-03-28 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-10-25 · Health
B
F911 · Environmental Deficiencies
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-09-18 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2022-01-14 · Health
F
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
B
F911 · Environmental Deficiencies
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2020-01-17 · Health
B
F911 · Environmental Deficiencies
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
D
F808 · Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F676 · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
F557 · Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.42
RN Hrs/Resident/Day0.54
0.92
LPN Hrs/Resident/Day0.81
0.69
CNA Hrs/Resident/Day2.33
2.82
PT Hrs/Resident/Day0.12
0.08
Data as of 2026-03-01