BROOKSIDE SKILLED NURSING HOSPITAL

2620 FLORES STREET
SAN MATEO, CA, 94403
6503492161
CCN: 055188
5
Overall
4
Health
5
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ST JOHNS VOLUNTEERS5% OR GREATER DIRECT OWNERSHIP INTEREST100%
DANICH, KATHERINECORPORATE DIRECTORNOT APPLICABLE
MOTOVILOFF, IRENECORPORATE DIRECTORNOT APPLICABLE
DANICH, SVETOSLAVCORPORATE DIRECTORNOT APPLICABLE
DANICH, MICHAELCORPORATE DIRECTORNOT APPLICABLE
MOTOVILOFF, IRENECORPORATE OFFICERNOT APPLICABLE
DANICH, KATHERINECORPORATE OFFICERNOT APPLICABLE
DANICH, MICHAELCORPORATE OFFICERNOT APPLICABLE
DANICH, SVETOSLAVCORPORATE OFFICERNOT APPLICABLE
RODRIGUEZ, ELSAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SILVA, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DANICH, SVETOSLAVOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DANICH, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DANICH, KATHERINEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SERENITY 4 MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
INPATIENT CONSULTANTS OF CALIFORNIA INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRIMES, JEREMYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRIMES, VIVIANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MOTOVILOFF, IRENEOPERATIONAL/MANAGERIAL CONTROLNOT 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/Day
4.42
3.68
RN Hrs/Resident/Day
0.92
0.54
LPN Hrs/Resident/Day
0.69
0.81
CNA Hrs/Resident/Day
2.82
2.33
PT Hrs/Resident/Day
0.08
0.12
Data as of 2026-03-01