Inspection Reports for Meridian At Lake San Marcos

The visit was an unannounced complaint investigation triggered by allegations received on 10/20/2023 regarding staff stealing residents' medication and inaccurate medication logs.

The investigation found the allegation of staff stealing residents' medication to be unsubstantiated due to lack of evidence. However, the allegation that staff did not keep an accurate medication log was substantiated based on discrepancies found in Controlled Drug Administration Records and employee disciplinary records.

The complaint investigation was substantiated for inaccurate medication logs but unsubstantiated for staff stealing residents' medication. The investigation included interviews with staff and residents, record reviews, and facility tours.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff was providing resident care while intoxicated.

The investigation included interviews with staff and residents, review of staff files, and facility tours. Although some staff and residents reported observations or hearsay of intoxicated staff, there was no preponderance of evidence to substantiate the allegation, resulting in an unsubstantiated finding.

The complaint alleged that staff was coming to work intoxicated and providing resident care. Interviews revealed some staff and residents had observed or heard of intoxicated staff, but no conclusive evidence was found to support the allegation. The complaint was determined to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff was sleeping at work.

The investigation included staff and resident interviews, record reviews, and observations conducted on multiple dates. The allegation that staff was sleeping at work was found to be unsubstantiated based on interviews, records, and observations.

The allegation was that a staff member was sleeping at work. Interviews with 11 residents and 8 staff showed only 1 resident and 1 staff member observed or heard about staff sleeping at work, while others did not. Records showed no mention of staff sleeping at work. Observations on 3/29/2025 and 3/30/2025 did not observe staff sleeping. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced annual inspection conducted by Licensing Program Analyst Kathleen Banrasavong to assess compliance with regulatory requirements.

The facility was found to be clean, well-maintained, and in good repair with all operational, safety, infection control, and medication management requirements met. No deficiencies were observed during the inspection.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-04-03 regarding inadequate food service, elevator disrepair, and improper cleaning at the facility.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews with residents, staff, and management, as well as review of maintenance records, indicated that food was generally served at safe temperatures, dining areas were cleaned appropriately, and the elevator was maintained and operational during the alleged timeframes.

The complaint investigation was unsubstantiated due to lack of evidence proving the alleged violations occurred. Allegations included inadequate food service (cold or undercooked meals), elevator disrepair (loud banging noise), and unclean dining tables. Multiple resident and staff interviews, as well as maintenance records, refuted these claims.

An unannounced annual required visit was conducted to evaluate the facility's compliance with regulations and licensing requirements.

The inspection found the facility to be in compliance with all applicable regulations, including infection control, physical plant conditions, food service, and care and supervision. No violations were observed or cited during the visit.

An unannounced complaint investigation was conducted following an allegation that facility staff financially abused a resident by stealing $900.

The investigation substantiated that a facility staff member stole $900 from a resident by writing and cashing a check without authorization. The staff member admitted to the theft and was terminated. One deficiency was cited related to staff competency and resident rights.

The complaint was substantiated. The allegation was that a facility staff member stole $900 from a resident. The staff member admitted to the theft during the investigation and was terminated.

The inspection was an unannounced complaint investigation triggered by an allegation that the facility failed to report financial abuse to Licensing.

The investigation found that the facility did submit the required Unusual Incident/Injury Report to the Regional Office on the date of the incident. The complaint was determined to be unfounded, meaning the allegation was false or without reasonable basis.

The complaint alleged the facility failed to report financial abuse to Licensing. The investigation found the facility did report the incident on 01/17/2024, and the complaint was unfounded.

The visit was an unannounced follow-up, Health and Safety case management visit conducted to assess the facility's compliance and conditions.

The facility was found clean, well organized, and operating without health or safety concerns. Staff levels were sufficient, food and medication supplies met requirements, and required postings and resident activities were observed. No deficiencies were cited.

An unannounced complaint investigation was conducted in response to an allegation that staff did not issue a refund to a prospective resident.

The investigation found that a refund of $4000 was issued and received by the prospective resident, but there was insufficient evidence to substantiate the allegation. Therefore, the complaint was unsubstantiated.

The complaint alleged that staff did not issue a refund to a prospective resident. The allegation was unsubstantiated after investigation, as the refund was confirmed to have been issued and received.

An unannounced complaint investigation was conducted due to an allegation that the facility was not providing a safe environment for residents, specifically concerning construction and chemical fumes in the dining area.

The investigation found no evidence of construction or chemical fumes in the dining area. Interviews with staff and residents, as well as an inspection of the dining area, confirmed the area was clean and in good condition. The allegation was unsubstantiated due to lack of evidence.

The complaint alleged that the facility dining was undergoing construction with ceiling and floor work and chemical fumes present while residents were eating. The allegation was unsubstantiated after investigation.

An unannounced annual required visit was conducted to evaluate the facility's compliance with licensing requirements.

The facility was found to be in compliance with all regulatory requirements including infection control, physical plant conditions, food service, care and supervision, record keeping, medication management, and disaster preparedness. No deficiencies were cited at the time of the visit.

An unannounced complaint investigation was conducted in response to multiple allegations received on 07/13/2022 regarding insufficient staffing, unkempt facility conditions, unmet laundry needs, improper food preparation, extended periods in dirty diapers, diaper rash, and delayed response to call assistance buttons.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff and residents, facility inspection, and file reviews indicated sufficient staffing, clean and sanitary conditions, timely laundry and food preparation, appropriate diaper care, and generally timely response to call assistance buttons except during a known pendant system outage.

The complaint investigation was unsubstantiated. Allegations included insufficient staffing, unkempt facility, unmet laundry needs, failure to cut food as instructed, extended periods in dirty diapers, diaper rash, and delayed response to call assistance buttons. Interviews and inspections did not provide enough evidence to prove violations.

An unannounced complaint investigation was conducted in response to an allegation that a resident was not given medication as prescribed.

The investigation found insufficient evidence to substantiate the allegation that the resident was not given medication as prescribed. Interviews with staff and the resident, as well as a review of the Medication Administration Record, confirmed that the pain medication was administered as needed upon resident request.

The complaint alleged that a resident was not given medication as prescribed. The allegation was unsubstantiated based on the investigation findings.

The inspection was conducted as an unannounced complaint investigation following an allegation received on 01/31/2022 that facility staff were not in compliance with their COVID-19 Mitigation Plan, specifically regarding memory care residents testing positive walking around the facility and assisted living residents not wearing masks inside.

Based on observations, interviews with staff, residents, and outside sources, and review of facility records, the facility was found to be in substantial compliance with its COVID-19 Mitigation Plan. The allegation was determined to be unfounded as the facility implemented appropriate infection control practices.

The complaint alleged non-compliance with the COVID-19 Mitigation Plan, including memory care residents who tested positive walking around and assisted living residents not wearing masks. The investigation found no violations and deemed the complaint unfounded.

Licensing Program Analyst Iby Strong conducted an unannounced collateral visit to continue an investigation unrelated to this facility and to conduct an interview with a resident pertinent to the investigation.

During the visit, an interview was conducted with a resident. An exit interview was held and a copy of the report and Licensee Rights were provided to the Resident Service Director.

An unannounced annual inspection was conducted focused on infection control at the facility.

The facility was found to have adequate infection control measures including Covid-19 postings, hand hygiene supplies, secured pool, PPE supplies, and a plan to monitor residents for changes in condition. No deficiencies were noted at the time of the visit.

An unannounced complaint investigation visit was conducted in response to an allegation that the facility failed to issue a refund in a timely manner after a resident passed away.

The investigation substantiated that the facility did not issue a refund within the agreed 15 days after removal of the resident's personal belongings. It took 22 days for the refund to be mailed, and a review of other recent refunds showed delays in processing times, with only 5 of 17 refunds issued within 15 days of the refund request.

The complaint was substantiated. The allegation was that the facility took a month to refund a resident's prepaid rent after the resident passed away. Evidence showed the refund was mailed 22 days after personal belongings were removed, exceeding the 15-day timeframe in the admission agreement.

The visit was a virtual Case Management visit conducted in response to a self-reported Incident Report received by the Regional Office on October 22, 2020.

No deficiencies were cited or observed during this visit. Interviews were conducted and records were requested to obtain additional information regarding the incident.