Brookdale Galleria

Penalties

• Mar 23, 2026 — Fine ($16,355)
• Dec 17, 2024 — Fine ($10,033)
• Apr 4, 2024 — Fine ($40,203)
• Dec 11, 2023 — Fine ($12,253)

Inspection findings

1. Mar 23, 2026 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Mar 26, 2026 · CMS health inspection

2. Nov 25, 2025 Health · 6 findings
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Nov 26, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 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.

     Corrected Nov 26, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Nov 26, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Nov 26, 2025 · CMS health inspection

   • Not serious Scope/severity C Complaint

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Nov 26, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Nov 26, 2025 · CMS health inspection

3. Nov 18, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Nov 19, 2025 · CMS health inspection

4. Jun 19, 2025 Health · 6 findings
   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 20, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jun 27, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Jun 27, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jun 27, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jun 27, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jun 27, 2025 · CMS fire safety

5. Dec 17, 2024 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Jan 10, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 10, 2025 · CMS health inspection

6. Apr 24, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0638 Resident Assessment and Care Planning Deficiencies

     Assure that each resident’s assessment is updated at least once every 3 months.

     Corrected May 15, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected May 15, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected May 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected May 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected May 15, 2024 · CMS fire safety

7. Apr 4, 2024 Health · 2 findings
   • Serious Scope/severity K Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Apr 5, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Apr 5, 2024 · CMS health inspection

8. Jan 24, 2024 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Feb 16, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Feb 16, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Feb 16, 2024 · CMS health inspection

9. Dec 11, 2023 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Dec 20, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0656 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.

     Corrected Dec 20, 2023 · CMS health inspection

   • Serious Scope/severity H Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Dec 12, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 20, 2023 · CMS health inspection

10. Feb 23, 2023 Health · 6 findings
    • Not serious Scope/severity D

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Mar 10, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0697 Quality of Life and Care Deficiencies

      Provide safe, appropriate pain management for a resident who requires such services.

      Corrected Mar 10, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0761 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.

      Corrected Mar 10, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Mar 10, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Mar 10, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Mar 10, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• CHENG, PATRICK — managing control - governing body, NOT APPLICABLE, since 01/01/2022
• CHENG, PATRICK — operational/managerial control, NOT APPLICABLE, since 01/01/2022
• HARRIS BATES, LASHON — operational/managerial control, NOT APPLICABLE, since 02/05/2026
• HARRIS BATES, LASHON — adp of the snf, NOT APPLICABLE, since 03/19/2026
• JOHNSTON, SHAWN — operational/managerial control, NOT APPLICABLE, since 07/17/2019
• KUSSOW, DAWN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/19/2026
• MABRY, ADAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/19/2026
• RAJAN, KAVITHA — operational/managerial control, NOT APPLICABLE, since 02/05/2026
• RAJAN, KAVITHA — adp of the snf, NOT APPLICABLE, since 03/19/2026
• RUSSO, FRANK — managing control - governing body, NOT APPLICABLE, since 01/01/2022
• RUSSO, FRANK — operational/managerial control, NOT APPLICABLE, since 07/17/2019
• STENGLE, NIKOLAS — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/19/2026
• WHITE, CHADWICK — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/19/2026
• BKD TWENTY-ONE MANAGEMENT COMPANY INC — adp of the snf, NOT APPLICABLE, since 03/06/2026
• CCRC PROPCO VENTURES, LLC — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• CCRC PROPCO VENTURES, LLC — adp of the snf, NOT APPLICABLE, since 03/19/2026
• HCP MA3 GP HOLDING, LLC — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• HCP MA3, LP — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• HCP MA3, LP — adp of the snf, NOT APPLICABLE, since 03/19/2026
• HCP PARTNERS LP — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• HCP PARTNERS LP — adp of the snf, NOT APPLICABLE, since 03/19/2026
• HCP S-H 2014 MEMBER LLC — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• HCP S-H 2014 MEMBER LLC — adp of the snf, NOT APPLICABLE, since 03/19/2026
• HCP VENTURES II MEMBER LLC — adp of the snf, NOT APPLICABLE, since 01/13/2026
• HCP VENTURES II PARTNER LLC — adp of the snf, NOT APPLICABLE, since 03/19/2026
• HCP VENTURES II TRS LLC — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• HCP/LS 2011 REIT, LLC — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• HCP/LS 2011 REIT, LLC — adp of the snf, NOT APPLICABLE, since 03/19/2026
• HEALTHPEAK OP LLC — adp of the snf, NOT APPLICABLE, since 01/13/2026
• HEALTHPEAK OP LLC — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• HEALTHPEAK PROPERTIES INC — adp of the snf, NOT APPLICABLE, since 01/13/2026
• JANUS LIVING OP LLC — adp of the snf, NOT APPLICABLE, since 03/19/2026
• JANUS LIVING OP LLC — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• JANUS LIVING TRS LLC — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• JANUS LIVING, INC. — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• JANUS MEMBER, LLC — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• JANUS MEMBER, LLC — adp of the snf, NOT APPLICABLE, since 03/19/2026
• LBMC PC — adp of the snf, NOT APPLICABLE, since 01/01/2024
• OCEAN ACQUISITION I LLC — adp of the snf, NOT APPLICABLE, since 03/19/2026
• OCEAN ACQUISITION I LLC — indirect ownership interest, NOT APPLICABLE, since 03/19/2026
• S-H PROPCO GALLERIA LLC — adp of the snf, NOT APPLICABLE, since 12/01/2016
• SH OPCO HOLDCO LLC — direct ownership interest, NOT APPLICABLE, since 03/19/2026
• WALTERS FINANCIAL SERVICES INC — adp of the snf, NOT APPLICABLE, since 03/06/2026