Brookdale Union Hills

Based on documentation review, observation, and interview, the governing authority failed to notify the Department immediately when there was a change in the manager. The deficient practice posed a risk as the Department was unaware as to whether the facility maintained a qualified manager. Findings include: 1. A review of Department documentation revealed a letter from E3 dated May 23, 2025, which indicated E3 was the manager effective immediately. The review revealed no other notification to the Department of a change in the manager thereafter. 2. The Compliance Officer did not observe E3's manager certificate posted in the facility. 3. In an interview, E2 reported the following: - E1 was the manager from February 13, 2023, through May 25, 2025; - E3 was not the manager effective May 23, 2025, and had not been the manager at this facility; - E4 was the manager from May 25, 2025, through August 2, 2025; - E1 was again the manager from August 3, 2025, through the present; and - E2 would be taking over as the manager once E2 passed the certification test and had E2’s manager’s certificate. 4. A secondary review of Department documentation confirmed the Department received no notification of the change in manager between E1 and E4 in May 2025 or between E4 and E1 in August 2025. Technical assistance was provided on this rule during the complaint inspections conducted on October 6, 2025, and June 19, 2025.