MEADOWS SENIOR LIVING, THE

Official classification

Type A

Official code

1569.312(e)

Regulation authority

HSC

What the official deficiency says

H & S Code Section 1569.312(e) Basic Services Requirements. (e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This requirement was not met as evidenced by: Based on interviews and record reviews, licensee did not ensure the proper and timely monitoring and supervision of R1. This posed an immediate health and safety risk to resident in care.

Official plan of correction

Licensee will ensure completed staff training on proper and timely response to call buttons. Training date to be submitted to LPA by POC due date. Proof of completed training to be sent to LPA by 7/16/2026. Licensee will submit a plan outlining procedures for proper and timely answering of call buttons and other requests for resident assistance. Plan to be submitted to LPA by POC due date.

Deadline recorded: Jul 3, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on interview and record review, Licensee did not ensure the assistance of four self-administered medications for R2. This posed an immediate health and safety risk to resident in care.

Official plan of correction

Licensee will ensure completed staff training on medication handling and procedures. Training date to be submitted to LPA by POC due date. Proof of completed training to be sent to LPA by 7-16-2026.

Deadline recorded: Jul 3, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) ...the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, a cleaning sulutions was observed in an unlocked cabinet in the Memory Care Livingroom area which was made accessible to residents in care. This poses a potential health, safety and personal risks to residents in care.

Official plan of correction

Per discussion, the Executive Director/Administrator will conduct an in-service training relating to the cited regulation. Proof of training to be submitted to the Department by POC due date.

Deadline recorded: Jul 8, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care (a)...The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4)The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on document review, Resident (R1) did not received their antibiotic medication as per physician's orders. This poses an immediate health, safety and personal risk to R1.

Official plan of correction

Per discussion, the Administrator agreed to submit a letter of understanding of the cited regulation to the Department by POC due date. Additionally, per Administrator, a refresher medication training will be conducted and copy of staff training will be submitted to the Department by 6/27/25.

Deadline recorded: Jun 21, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Reporting Requirement: A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D)...report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement as evidenced by: Based on record review of incident reports whinin the past 6 months, 13 incidents reports were submitted to the Department past the 7 days reporting period. This poses a potential health, safety, and personal risks to persons in care.

Official plan of correction

Per discussion, the Administrator and clinical staff will review reporting requirements. Administrator will submit a written statement of acknowledgment of the regulation cited. Submit statement by POC due date.

Deadline recorded: Feb 12, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities: Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations. This requirement is not met as evidenced by: Based on interviews, record reviews, and analysis of video footage, staff (S1) pushed resident (R1) causing the resident to fall back and sustained injuries. This poses an immediate health, safety or personal rights risk to residents in care.

Official plan of correction

Prior to this complaint, staff member was immediately removed from the facility. Additionally, the Administrator conducted an in-service training for all staff following the incident, which included guidance on managing behaviors associated with dementia. Per discussion, the licensee will conduc ant in-service regarding elder abuse and proof of the in-service will be submitted to the Department once it is completed. Date of the proposed in-service training to be submitted by the specified POC due date.

Deadline recorded: Dec 26, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident’s dementia care needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above. During a review of 10 sample resident files, it was determined that 4 of 10 resident were diagnosed with dementia and 3 of them did not have updated physicians reports and reappraisals which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/07/2024 Plan of Correction Administrator to ensure that all residents diagnosed with dementia to update their medical assessment and their needs and services plan annually in order to address any changes in their care needs related to dementia care. Administrator will submit a statement of understanding of the CCR 87705 Care of Persons with Dementia and submit to the Department by POC due date.