BROOKSIDE SKILLED NURSING HOSPITAL

CCN 055188 · ST JOHNS VOLUNTEERS · San Mateo · CA · Non profit - Corporation · 96 certified beds


BROOKSIDE SKILLED NURSING HOSPITAL, in SAN MATEO, California, holds 96 certified beds and has been certified for Medicare and Medicaid since 1967-01-01, averaging 78.4 residents a day.

Has BROOKSIDE SKILLED NURSING HOSPITAL been cited for violations?

CMS lists 22 health-inspection deficiencies for BROOKSIDE SKILLED NURSING HOSPITAL since 2022-01-14, 14 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-04-16.

Survey dateTagDeficiencySeverity
2026-04-16F0812, F0925Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2026-04-16F0656, F0684, F0759Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure medication error rates are not 5 percent or greater.D
2026-04-16F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.B
2025-03-28F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-10-25F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F
2024-10-25F0759, F0812Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-10-25F0684, F0761Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.D
2024-10-25F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.B
2024-09-18F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2022-01-14F0812, F0925Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2022-01-14F0880Provide and implement an infection prevention and control program.E
2022-01-14F0656, F0658, F0686, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2022-01-14F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.B

How is BROOKSIDE SKILLED NURSING HOSPITAL staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.164214.51570
Total nursing staff turnover (%)28.236.7
Average number of residents per day78.487.9

Who owns BROOKSIDE SKILLED NURSING HOSPITAL?

BROOKSIDE SKILLED NURSING HOSPITAL is registered with CMS as Non profit - Corporation, operates under the legal business name ST JOHNS VOLUNTEERS.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTST JOHNS VOLUNTEERSsince 01/01/1967
MANAGING CONTROL - GOVERNING BODYMOTOVILOFF, IRENEsince 01/01/2000
CORPORATE DIRECTORDANICH, KATHERINE, DANICH, MICHAEL, DANICH, SVETOSLAV, MOTOVILOFF, IRENEsince 01/01/1988
CORPORATE OFFICERDANICH, KATHERINE, DANICH, MICHAEL, DANICH, SVETOSLAV, MOTOVILOFF, IRENEsince 01/01/1988
OPERATIONAL/MANAGERIAL CONTROLINPATIENT CONSULTANTS OF CALIFORNIA INC, SERENITY 4 MANAGEMENT SERVICES LLC, DANICH, KATHERINE, DANICH, MICHAEL, DANICH, SVETOSLAV, GRIMES, JEREMY, GRIMES, VIVIAN, MOTOVILOFF, IRENE, RODRIGUEZ, ELSA, SILVA, ROBERTsince 01/01/2014
ADP OF THE SNFINPATIENT CONSULTANTS OF CALIFORNIA INC, SERENITY 4 MANAGEMENT SERVICES LLC, ST JOHNS VOLUNTEERS, DANICH, KATHERINE, DANICH, MICHAEL, DANICH, SVETOSLAV, GRIMES, JEREMY, GRIMES, VIVIAN, MOTOVILOFF, IRENE, RODRIGUEZ, ELSA, SILVA, ROBERTsince 01/01/1988

Were you or a family member harmed at BROOKSIDE SKILLED NURSING HOSPITAL?