Inspection Reports for
Meadowbrook at Agoura Hills

The visit was complaint-related, following a substantiated allegation of neglect/lack of care and supervision and failure to seek timely medical attention resulting in serious bodily injury.

The Department determined that the facility caused serious bodily injury to a resident by failing to timely summon emergency medical care, resulting in a civil penalty. An immediate civil penalty of $500 was previously issued, and an additional penalty of $9,500 was assessed for a total of $10,000.

The visit was triggered by a complaint investigation of an alleged sexual abuse incident on 10/14/2025 at approximately 5:30 PM. Law enforcement Deputy Zavala conducted an investigation (Report #925-04628-2223-444). The incident is still under further investigation.

The Executive Director reported the incident and notified all responsible parties and the resident's primary physician. Law enforcement arrived to conduct an investigation, and a 24-hour one-on-one private caregiver was assigned to the affected resident. Further investigation is needed regarding the alleged sexual abuse.

The visit was triggered by a complaint investigation of an alleged sexual abuse incident involving Resident #1 on 10/14/2025. Law enforcement Deputy Zavala conducted an investigation. The incident report will be submitted to Community Care Licensing by the end of the day. The Executive Director is required to cross-report to appropriate agencies and notify law enforcement.

The Executive Director reported the incident and notified all responsible parties and the resident's primary physician. Law enforcement arrived to conduct an investigation. A 24-hour one-on-one private caregiver was assigned to the resident involved. Further investigation is needed regarding the alleged sexual abuse.

The complaint alleged that staff placed a resident in the memory care unit without proper authorization, and that the resident's emotional health declined due to this placement. The investigation included interviews, file reviews, and document analysis. The allegation was found unsubstantiated.

The investigation found that the resident was placed in the memory care unit upon the request of their Power of Attorney, who has the authority to determine the resident's placement. The allegation was deemed unsubstantiated as the evidence did not support improper placement.

The complaint alleged that staff did not ensure the facility was free from pests, with concerns about live cockroaches observed in the kitchen. The allegation was unsubstantiated after investigation.

The investigation found no current evidence of pests during the inspection, although staff acknowledged recent sightings of cockroaches in the past two weeks. The facility has taken corrective actions including increased pest control services and staff training. The allegation was deemed unsubstantiated based on documentation and interviews.

The complaint alleged failure to provide resident records. The investigation determined the allegation was unsubstantiated as the facility provided the requested records or will provide them, with no denial of information.

The investigation found that the facility received a subpoena for the resident's medical and billing records and faxed the requested documents, although there was a delay due to legal review and closing out March billing. The facility provided or will provide the requested documents and is not denying production, so the allegation was deemed unsubstantiated.

The complaint alleged that the facility failed to provide resident records to the resident and/or their authorized representative. The investigation included interviews with the administrator and the point of contact, file reviews, and document collection. The facility faxed 228 pages on 03/28/25 and an additional 208 pages on 04/08/25. The point of contact confirmed receipt of medical records but was still awaiting billing records, which the facility stated would be sent after closing out March. The allegation was unsubstantiated.

The investigation found that the facility received a subpoena for the requested records and faxed the medical and billing records after legal review. Although there was a delay in providing the billing records, the facility was not denying production of any requested information. Therefore, the allegation was deemed unsubstantiated.

The complaint alleged that Staff #1 sexually abused Resident #1 by touching the resident's vagina. The allegation was investigated through interviews with staff, residents, and the accused staff member, review of facility and Sheriff's Department reports, and observation. The allegation was deemed unsubstantiated.

The investigation did not find sufficient evidence to substantiate the allegation of sexual abuse by Staff #1 against Resident #1. The resident's statements changed during interviews, there were no witnesses, and the Sheriff's Department closed the case with no further action. Staff #1 denied the allegation and was terminated during the investigation.

The complaint alleged that Staff #1 sexually abused Resident #1 by touching the resident's vagina. The allegation was investigated through interviews, document reviews, and a facility tour. Staff #1 was suspended and later terminated pending investigation. The allegation was deemed unsubstantiated due to lack of evidence and inconsistent statements.

The investigation did not find sufficient evidence to substantiate the allegation of sexual abuse by the staff member. The resident's statements changed during the investigation, there were no witnesses, and the staff member denied the allegation. The case was closed by the Los Angeles County Sheriff's Department with no further action.

The complaint alleged that on August 16, 2024, there was a COVID-19 outbreak and the facility was not testing residents or implementing protocols to prevent spread. The allegation was investigated through interviews, file review, and facility tour, and was found unsubstantiated.

The investigation found that the facility had an adequate infection control plan, sufficient PPE supplies, and appropriate testing and isolation protocols for exposed or symptomatic residents. Staff and resident interviews confirmed communication about COVID-19 cases, and the allegation was deemed unsubstantiated.

The complaint alleged that on August 16, 2024, there was a COVID-19 outbreak and the facility was not testing residents or preventing spread. The allegation was deemed unsubstantiated after investigation including interviews, file review, and facility tour.

The investigation found that the allegation was unsubstantiated. The facility had an approved infection control plan, adequate PPE supplies, and protocols in place. Residents and staff were informed of COVID-19 cases, exposed or symptomatic residents were tested and isolated, and mass testing was not required by public health guidance.

The inspection found that the cause of death for R1 was unclear, with further investigation needed. The facility had requested the death certificate from the family but had not yet received it.

The inspection involved interviews with facility staff and requests for pertinent records. The cause of death remains unclear, and further investigation is needed. The family had not yet provided the death certificate at the time of the visit.

The complaint investigation was unannounced and involved multiple visits starting from 2022-01-12 through 2024-02-29. Allegations included resident injury, medication protocol noncompliance, delayed response to call pendants, disrespectful staff behavior, unclean and malodorous resident rooms, and failure to safeguard resident property. The investigation included interviews with staff, residents, family members, and review of medical and facility records. All allegations were found unsubstantiated.

The investigation found insufficient evidence to substantiate any of the allegations. All claims including resident injury, medication errors, delayed response to call pendants, disrespectful treatment, unclean and malodorous rooms, and failure to safeguard property were deemed unsubstantiated based on staff interviews, resident and family statements, and record reviews.

The complaint investigation was unsubstantiated. Allegations included inadequate wound care for a resident who was hospitalized with maggot infestation in a chronic wound, and failure to keep the facility free of insects. The investigation included interviews, document reviews, and facility walkthroughs, concluding no violations were found.

The investigation found insufficient evidence to support the allegations. The resident was independent and capable of reporting the wound, and no maggot infestation was reported to staff. No insects or flies were observed during the facility walkthrough, and pest control measures were in place. Therefore, both allegations were deemed unsubstantiated.

The complaint investigation was triggered by multiple allegations: licensee retaliated against a resident, failure to bathe a resident, failure to clean a resident's room, and administrator's untimely response to a responsible party. After investigation including interviews with staff, residents, family members, and review of records, all allegations were deemed unsubstantiated.

All allegations were found to be unsubstantiated based on interviews, records review, and observations. The facility demonstrated appropriate bathing schedules, housekeeping practices, and timely communication by the administrator. No citations were issued.

The complaint investigation was unsubstantiated for all allegations including resident injury, medication protocol noncompliance, delayed response to call pendants, disrespectful staff behavior, unclean and malodorous resident room, and failure to safeguard resident property.

The investigation found insufficient evidence to substantiate any of the allegations. The resident's injury was not supported by evidence, medication protocols were followed appropriately, staff response times to call pendants were generally timely, staff treated residents with respect, housekeeping maintained cleanliness, and there was no evidence of missing resident property.

The complaint investigation was unsubstantiated. Allegations included staff not adequately caring for a resident's wound and staff not ensuring the facility was free of insects. The resident had a chronic wound with maggot infestation discovered at hospital admission, but the resident did not report the wound or infection to staff. No insects were observed in the facility during inspection, and pest control was regularly conducted.

The investigation found insufficient evidence to support the allegations. Resident #1 was independent and capable of reporting their wound, which was not reported to staff prior to hospital admission. No insects or flies were observed during the facility walkthrough, and pest control measures were in place. Therefore, both allegations were deemed unsubstantiated.

The complaint included allegations that the licensee retaliated against a resident, facility staff failed to bathe a resident, failed to clean a resident's room, and that the administrator did not respond timely to a responsible party. The investigation included interviews with staff, residents, family members, and review of records. All allegations were found unsubstantiated based on the evidence.

The investigation found insufficient evidence to support any of the allegations. All allegations including retaliation, failure to bathe, failure to clean the resident's room, and untimely administrator response were deemed unsubstantiated. No citations were issued.

The complaint investigation was initiated based on allegations of questionable death, medications not administered as prescribed, and insufficient staffing. The allegations were deemed unsubstantiated due to lack of sufficient evidence after interviews, record reviews, and observations.

The investigation found insufficient evidence to substantiate the allegations of questionable death, insufficient staffing, and medications not being administered as prescribed. The resident's death was not determined to be due to staff neglect, and medication administration records showed no errors.

The complaint investigation was unsubstantiated. Allegations included questionable death of Resident #1, improper medication administration to Resident #2, and insufficient staffing. After review of records, interviews, and observations, the Department found insufficient evidence to support these allegations.

The investigation found insufficient evidence to substantiate the allegations of questionable death, insufficient staffing, and medication errors. The resident's death was not linked to staff neglect, staffing levels were deemed adequate, and medication administration was found to be correct despite documentation issues with an outside company.

The complaint alleged that the facility did not allow residents to have visitors. The investigation included interviews, a plant tour, and document reviews. The allegation was found unsubstantiated as visitation was allowed with precautions during the COVID outbreak.

The investigation found that family members were allowed to visit residents daily after a reported COVID outbreak, with visitation conducted by appointment in outdoor settings and under specific health guidelines. The allegation was deemed unsubstantiated due to insufficient evidence supporting the claim.

The complaint alleged that the facility did not allow residents to have visitors. The allegation was unsubstantiated after review of visitation logs, interviews, and documentation showing visitation continued with safety protocols during the COVID outbreak.

The investigation found that family members were allowed to visit residents daily after a reported COVID outbreak, with visitation conducted by appointment in outdoor settings only if no symptoms were present. The allegation was deemed unsubstantiated due to insufficient evidence supporting the claim that residents were not allowed visitors.

The complaint involved multiple allegations including staff hitting, pushing, pulling hair of residents, rough and untimely incontinent care, resident isolation and neglect, disrespectful behavior, failure to assist with ADLs, unexplained injuries, and management's failure to follow up on abuse reports. The investigation included interviews with staff, residents, former staff, and law enforcement contact. No sufficient evidence was found to substantiate the allegations.

The investigation found insufficient evidence to substantiate any of the allegations including physical abuse, rough handling during incontinent care, neglect, lack of dignity and respect, failure to assist with ADLs, unexplained injuries, and failure of management to follow up on abuse reports. All allegations were deemed unsubstantiated.

The complaint involved multiple allegations including staff hitting, pushing, and pulling residents' hair; rough and untimely incontinent care; resident isolation and neglect; lack of dignity and respect; failure to assist with ADLs; unexplained injuries; and management not following up on abuse reports. The investigation included interviews with staff, residents, former staff, and law enforcement. No evidence was found to substantiate the allegations.

The investigation found insufficient evidence to substantiate any of the allegations including physical abuse, rough incontinent care, neglect, lack of dignity and respect, failure to assist with ADLs, unexplained injuries, and management not following up on abuse reports. All allegations were deemed unsubstantiated.

The complaint involved suspected verbal abuse by Staff #1 towards Resident #1, reported on 08/27/2022 and self-reported to the licensing agency on 09/01/2022. The complaint was investigated internally and cross-reported to law enforcement and the long term care ombudsman.

The investigation included review of video footage and interviews with staff and the resident. Staff #1 was placed on administrative leave and subsequently terminated following an internal investigation. No citations were issued at this time, but a follow-up visit may occur if needed.

The complaint involved suspected verbal abuse by Staff #1 towards Resident #1, reported on 08/27/2022 and self-reported to the licensing agency on 09/01/2022. The allegation was investigated internally and cross-reported to law enforcement and the long term care ombudsman. The complaint was not substantiated with citations at this time.

The investigation included review of video footage and interviews with staff and the resident. Staff #1 was placed on administrative leave and subsequently terminated after an internal investigation. No citations were issued at this time, but a follow-up visit may occur if needed.

The complaint involved allegations that staff yelled at Resident #1 and failed to ensure the resident had water. Interviews with residents, staff, and a family member of Resident #1 revealed no evidence to support these claims. The allegations were deemed unsubstantiated.

The investigation found insufficient evidence to substantiate the allegations. Residents and staff denied verbal abuse claims, and residents reported staff were responsive and ensured water was accessible. No deficiencies were cited.

The complaint alleged unexplained bruising on residents possibly due to neglect or abuse. The investigation found insufficient evidence to support the claim, and the allegation was unsubstantiated.

The investigation found that bruising on residents was documented and reported per protocol, with staff and resident interviews indicating no evidence of neglect or abuse. The allegation was deemed unsubstantiated and no deficiencies were cited.

The complaint involved allegations that facility staff yelled at residents and did not ensure residents had water. After multiple interviews with residents, staff, and a family member, the allegations were deemed unsubstantiated due to insufficient evidence.

The investigation found insufficient evidence to substantiate the allegations that staff yelled at residents or failed to ensure residents had water. Resident and staff interviews, as well as observations, indicated appropriate and respectful care with no observed verbal abuse or neglect regarding water provision.

The complaint alleged unexplained bruising on residents possibly due to neglect or abuse. The investigation found insufficient evidence to substantiate the claim, and the allegation was unsubstantiated.

The investigation found that residents had bruising likely due to skin integrity issues, medication side effects, or accidental causes, with no evidence of neglect or abuse. Staff documented and reported bruises per protocol, and residents denied abuse. The allegation was deemed unsubstantiated.

The complaint involved allegations that facility staff neglected Resident #1, resulting in a fall due to improperly placed dining chairs, and that the facility had insufficient staffing in the dining area. Both allegations were deemed unsubstantiated based on investigation findings.

The investigation found insufficient evidence to substantiate the allegations of staff neglect causing Resident #1's fall and insufficient staffing in the dining area. Interviews and reviews indicated adequate staffing and mindful staff behavior regarding chair placement.

The complaint alleged that facility staff neglected Resident #1, resulting in a fall due to improperly placed dining chairs, and that there was insufficient staffing in the dining area. Both allegations were deemed unsubstantiated based on investigation findings.

The investigation found insufficient evidence to substantiate the allegations of staff neglect causing Resident #1 to fall and insufficient staffing in the dining area. Interviews and reviews indicated adequate staffing and mindful staff behavior regarding chair placement.

The complaint involved allegations that a resident hit another resident and that the injured resident did not receive medical treatment. The allegations were investigated through interviews with staff and residents, and record reviews. Both allegations were found to be unsubstantiated.

The investigation found insufficient evidence to substantiate the allegation that a resident hit another resident due to lack of supervision. It was also found that the injured resident was offered emergency services but declined, and subsequently received medical care after the incident. Therefore, both allegations were deemed unsubstantiated.

The complaint involved allegations that a resident was hit by another resident and did not receive medical treatment for their injury. Both allegations were deemed unsubstantiated based on interviews, record reviews, and follow-up medical care.

The investigation found insufficient evidence to substantiate the allegations. The incident between residents was confirmed, but there was no evidence of lack of supervision or failure to provide medical treatment. The resident was offered emergency services but declined, and later received medical care after obtaining a new physician.

No deficiencies were observed during the inspection. The facility was found to have proper infection control practices, functional safety equipment, appropriate medication storage and administration, and adequate food supply and storage.

No deficiencies were observed during the inspection. The facility was found to have proper infection control, adequate food storage, functional smoke alarms, operational fire extinguishers, and proper medication storage and administration.