Meadowbrook Village Christian Retirement Community

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

65.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 81 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 68.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 48 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 19 beds and averages 13.9 residents a day — about 73% occupied, or roughly 5 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 7.48 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.45 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 6.93 hrs/resident/day on weekends vs 7.70 on weekdays — 10% thinner on weekends. RN hours go from 0.68 to 0.89 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · E2026-02-13 · tag F0655 — pattern
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure a baseline care plan (the minimum healthcare information necessary to properly care for each resident immediately upon their admission) meeting was conducted within 48 hours for one of two residents (Resident 21) reviewed for baseline care planning. This failure had the potential for incomplete and lack of care interventions for residents in the event of a serious change of condition to potentially occur to residents after admission. In addition, the lack of communication among facility staff and resident or responsible party had the potential to affect the quality of care to the resident. Findings: Resident 21 was admitted to the facility on [DATE] with diagnoses including hydrops of gallbladder (severely distended gallbladder [an abdominal organ that releases bile into the small intestine] filled with clear, water mucus) and unspecified nausea and vomiting according to the facility's Resident Face Sheet. During an observation on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-13 · tag F0730 — pattern
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure employee performance evaluations were completed annually for four of five Certified Nurse Assistants (CNA) reviewed for performance reviews. This deficient practice had the potential for CNAs to provide inadequate care to the residents.Findings: A concurrent employee personnel record review and interview was conducted on 2/12/26 at 10:07 A.M. with the Director of Staff Development (DSD- a licensed nurse responsible for staff training). The DSD stated she had not completed CNA performance evaluations for the year 2025. CNA records were reviewed: CNA 5 was hired by the facility on 11/11/22 and no performance evaluation was completed for 2025. CNA 6 was hired by the facility on 5/10/21 and no performance evaluation was completed for 2025. CNA 7 was hired by the facility on 2/6/24 and no performance evaluation was completed for 2025. CNA 7 was hired by the facility on 12/13/23 and no performance evaluation was completed for 2025. During an interview on 2/13/26 at 8:13 A.M. with the Director of Nursing (DON), the DON…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-13 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure food safety and sanitation practices were met in the kitchen according to standard of practice when: 1.Food stored in the refrigerators and freezer were expired and did not have a label, 2.Food stored in the dry storage room were expired or mislabeled, 3.Drying rack had scoopers stored in a container with debris and a green cutting board with discolored center had deep knife marks. 4.A stand electric fan with black debris on the blades was in the kitchen facing the food prep area. These failures exposed residents to contaminated food and unsanitary practices, which had the potential to place them at risk of developing foodborne illness.Findings: During the initial kitchen tour, a joint observation and interview was conducted on 2/10/26 at 7:55 A.M. with the facility chef. 1.Kitchen refrigerators: -Refrigerator 1 next to door entrance was observed with two unlabeled bottles of balsamic vinegar. -Refrigerator 2 next to steam table was observed with a bag of sliced carrots, bag of sprouts, bag of diced…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-13 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement infection control standards of practice when: 1.Facility staff were unaware of the required Enhanced Barrier Precaution (EBP-an infection control strategy that mandate the use of gowns and gloves during high-contact resident care) for a resident (Resident 6) with an indwelling urinary catheter (soft, plastic or rubber tube that is inserted into the bladder to drain the urine), 2. A stand electric fan with black debris on the blades was inside the kitchen food prep area. Cross reference F812 This failure had the potential to spread infection throughout the facility.Findings: 1.Resident 6 was readmitted to the facility on [DATE] with diagnoses including urinary tract infection and retention of urine according to the facility's Resident Face Sheet. During an observation and interview on 2/10/26 at 9:43 A.M., Resident 6 was sitting up in a wheelchair in his room. Resident 6 showed a urine bag attached to his left thigh. Resident 6…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-13 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure one of two residents reviewed for unnecessary medications were free from unnecessary use of psychotropic medications (drugs that affects brain activities associated with mental processes and behavior) when: Resident 3 did not have an acceptable indication for use of seroquel (an antipsychotic medication that work to alter brain chemistry to reduce psychotic symptoms such as hallucinations [seeing things not there], delusions [irrational beliefs], paranoia [thoughts of others trying to harm of deceive] and disordered thinking), A gradual dose reduction (GDR- tapering of a medication's dosage to determine if the resident's symptoms can be managed on a lower dose or if the drug can be discontinued) for the use of seroquel was not completed (Resident 3). These failures resulted in unnecessary medications for Resident 3 which increased the potential for medication interactions, adverse reactions, and unidentified risks associated with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-13 · tag F0825 — isolated
  Provide or get specialized rehabilitative services as required for a resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to identify a resident's (Resident 10) need for occupational therapy for one of four residents reviewed for specialized rehab services (physical therapy, occupational therapy or speech therapy). This failure had the potential for a decline in the resident's functional status.Findings: Resident 10 was admitted to the facility on [DATE] with diagnoses including muscle weakness and other abnormalities of gait (walking) and mobility according to the facility's Resident Face Sheet. A review of Resident 10's Minimum Data Set (MDS- a federally mandated resident assessment tool) was conducted. The MDS dated [DATE] section C0500 indicated Resident 10's Brief Interview for Mental Status (BIMS- evaluates cognition, the ability to remember and think clearly) score was 15, intact cognition. During an observation and interview on 2/10/26 at 9:24 A.M., Resident 10 was sitting up in a wheelchair next to her bed. Resident 10 stated she did not have meals in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-13 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolated
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed to implement standardized data collection and reporting for their Quality Assurance Performance Improvement/Quality Assessment and Assurance (QAPI/QAA) program.This failure had the potential for facility areas of improvement to not be recognized and not progress toward resolution. During the Quality Assurance and Performance Improvement (QAPI) interview on 2/13/2026 at 12:30 p.m. with the facility Administrator (ADMIN), the ADMIN stated that each participant in the QAPI program brings forward concerns in their areas. The individual area leader decides the scope of their project and how data is recorded and shared. The ADMIN further stated .standardization would help everyone see and understand the results.During a review of the facility's policy and procedure titled Quality Assurance and Performance Improvement Plan dated April 2014, indicated .The objectives of the QAPI Plan are.3. Provide structure and processes to correct identified quality and /or safety deficiencies. and further indicated .Implementation.3. The QAPI…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-13 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to implement Performance Improvement Plans (PIPs). The facility was not aware of the deficient practices identified during the recertification process for an unknown amount of time. This failure had the potential to not address high volume, high risk occurrences impacting residents' health and safety.During the Quality Assurance and Performance Improvement (QAPI) interview on 2/13/2026 at 12:35p.m. with the Director of Nursing (DON) and the facility Administrator (ADMIN), the DON stated, We do not have any performance improvement projects.During a review of the facility's policy and procedure titled Quality Assurance and Performance Improvement Plan dated April 2014, indicated .Authority.2. The administrator is responsible for assuring that this facility's QAPI Program complies with federal, state, local regulatory agency requirements.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-31 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to: 1. Store foods appropriately in the dry storage room and freezer. 2. Cover facial hair while preparing food. These failures had the potential for food contamination and spoilage of residents' food. Findings: 1. On 10/29/24 at 8:47 A.M., an initial tour of the kitchen and an interview was conducted with the [NAME] (C1). During an observation of the dry storage room the following were noted: -Chocolate flavored syrup bottle had brown sticky liquid all over the bottle. -Rice cereals were in an unsealed bag and not labelled with the open date. -Bran cereal bag was sealed, but not labelled with the open date. -Flour, thickener, and panko breadcrumbs were stored in large white bins with a large gaps, approximately 1-2 inches between the container and the lids of all three bins. The label on the thickener was very faded and unreadable. During the observation of the facility's freezer, two small containers of ice cream were found unlabeled with open date. C1 stated that if food containers were not sealed, the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-31 · tag F0814 — failed to dispose of garbage properly — pattern
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to adequately clean the area around their kitchen dumpster. This failure had the potential to attract pests and rodents. Findings: On 10/30/24 at 11:40 A.M., an observation of the food dumpster and interview with the [NAME] (C1) was conducted. The kitchen dumpster for food was located behind the main building of the facility campus. • A putrid smell was noticeable around dumpster. • The area around the dumpster had remnants of oily, grimy liquid spills on the concrete near the dumpster and on the side of the dumpster. • Multiple used gloves were observed on the floor around the dumpster. • Two small white bags of garbage were observed under the dumpster. C1 stated the expectation was the area around the dumpster should be cleaned regularly and to not have stray trash below or around outside of the dumpster. C1 stated that the importance of cleaning around the dumpster area was to prevent attracting pests and rodents to the trash. C1 stated he had seen a possum at the dumpster a week ago. On 10/30/24 at 12:30…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 28 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CA