Deficiencies (last 3 years)

Deficiencies (over 3 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

50% better than California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024
2025
2026

Census

Latest occupancy rate 56% occupied

Based on a January 2026 inspection.

Occupancy over time

60 90 120 150 180 Jan 2024 Dec 2024 Feb 2025 Jul 2025 Nov 2025 Jan 2026

Inspection Report

Complaint Investigation
Census: 89 Capacity: 160 Deficiencies: 0 Date: Jan 30, 2026

Visit Reason
This was an unannounced complaint investigation visit conducted to investigate allegations that staff were not meeting residents' hygiene needs and not ensuring residents receive shower services.

Complaint Details
The complaint investigation was triggered by allegations that staff were not meeting residents' hygiene needs and not ensuring residents receive shower services. The allegations were unsubstantiated based on evidence gathered during the investigation.
Findings
The investigation included record reviews, interviews, and observations. Both allegations were found to be unsubstantiated due to insufficient evidence. Residents and staff denied the allegations, and records showed appropriate hygiene care and shower services were provided.

Report Facts
Capacity: 160 Census: 89

Employees mentioned
NameTitleContext
Alyssa SellersExecutive Director/AdministratorMet with Licensing Program Analyst during the investigation and participated in exit interview
Arvin VillanuevaLicensing Program AnalystConducted the complaint investigation
Stephen RichardsonSupervisorSupervisor overseeing the investigation

Inspection Report

Annual Inspection
Census: 87 Capacity: 160 Deficiencies: 0 Date: Jan 21, 2026

Visit Reason
The inspection was an unannounced annual inspection visit conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.

Findings
No deficiencies were cited during the inspection. Advisories were provided regarding proper labeling of thawed food and cleaning of the refrigerator floor. The facility was found to be in good repair with proper safety equipment and adequate food supplies.

Report Facts
Licensed capacity: 160 Census: 87 Hospice waiver capacity: 15 Fire drill frequency: 1 Last fire drill date: Dec 29, 2025 Last fire inspection date: May 8, 2025 Medication audit date: Nov 21, 2025

Employees mentioned
NameTitleContext
Alyssa SellersExecutive Director/AdministratorNamed as facility administrator, notified of inspection but absent during visit
Kaushik SharmaBusiness ManagerMet with Licensing Program Analyst during inspection
Johnna WeaverFacility MaintenanceConducted facility tour with Licensing Program Analyst
Arvin VillanuevaLicensing Program AnalystConducted the annual inspection visit
Stephen RichardsonLicensing Program ManagerNamed in report header and signature

Inspection Report

Complaint Investigation
Census: 87 Capacity: 160 Deficiencies: 0 Date: Jan 21, 2026

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-06-25 regarding resident care issues including hydration, adherence to admission agreement, diet order compliance, and unlawful eviction.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included insufficient beverages causing dehydration, non-adherence to admission agreement, failure to follow diet order, and unlawful eviction. Evidence did not support these claims.
Findings
All allegations were investigated through interviews, observations, and record reviews and were found to be unsubstantiated. The facility was found to have provided sufficient beverages, adhered to the resident's admission agreement, followed the resident's diet order, and did not unlawfully evict the resident.

Report Facts
Capacity: 160 Census: 87 Complaint Control Number: 27-AS-20250625155709 Dates related to resident R1: Admission agreement signed on 2025-01-22; hospitalization on 2025-03-18; 30-day notice given on 2025-04-02; billing through 2025-04-30

Employees mentioned
NameTitleContext
Arvin VillanuevaLicensing Program AnalystConducted the complaint investigation and authored the report
Alyssa SellersAdministrator / Executive DirectorFacility administrator notified but not present during visit
Kaushik SharmaBusiness ManagerMet with Licensing Program Analyst during the visit

Inspection Report

Complaint Investigation
Census: 87 Capacity: 160 Deficiencies: 0 Date: Jan 21, 2026

Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation of illegal eviction received on 2025-08-13. The investigation was conducted concurrently with the facility's annual inspection visit.

Complaint Details
The complaint alleged illegal eviction of resident R1. The investigation included interviews and record reviews. It was found that R1 exhibited aggressive behavior leading to hospital transport and subsequent removal by the responsible party. The facility did not officially refuse R1's return prior to the move. The '3-Day Eviction' letter was sent post-move for documentation only. The allegation was unsubstantiated.
Findings
The investigation found the allegation of illegal eviction to be unsubstantiated. Evidence showed that the resident's responsible party decided to move the resident after care meetings and hospital transport. The facility sent a '3-Day Eviction' letter after the resident had already moved out, which was acknowledged as a mistake by the administrator. No deficiencies were cited.

Report Facts
Capacity: 160 Census: 87

Employees mentioned
NameTitleContext
Arvin VillanuevaLicensing Program AnalystConducted the complaint investigation and inspection visit
Kaushik SharmaBusiness ManagerMet with the Licensing Program Analyst during the investigation
Alyssa SellersAdministratorFacility Administrator notified of the visit but was not present

Inspection Report

Census: 86 Capacity: 160 Deficiencies: 0 Date: Nov 25, 2025

Visit Reason
The visit was conducted to correct the facility visit type from a previous complaint visit on 11/20/2025. The report was amended to reflect that the original visit was at this facility and not in the Regional Office.

Findings
The report primarily documents the correction of the visit type classification from a complaint visit to a case management - other visit. No specific deficiencies or findings are detailed in this report.

Employees mentioned
NameTitleContext
Alyssa SellersAdministratorNamed as the facility administrator who gave permission for report signing.
Kaushik SharmaMet with during the visit and signed the report.
Stephen RichardsonLicensing Program ManagerNamed in the report as Licensing Program Manager.
Sommer HayesLicensing Program AnalystReturned to the facility to correct the visit type and amended the report.

Inspection Report

Complaint Investigation
Census: 84 Capacity: 160 Deficiencies: 0 Date: Oct 2, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate an allegation that the licensee was retaining a resident who required a higher level of care than the facility is licensed to provide.

Complaint Details
The complaint alleged that the licensee was retaining a resident requiring a higher level of care than the facility is licensed to provide. The allegation was found to be unsubstantiated based on interviews and documentation review.
Findings
The investigation included interviews and record reviews and found that residents are assessed regularly to determine care needs. The specific resident's records showed appropriate assessments and coordination with outside professionals. The allegation was unsubstantiated as the facility took appropriate steps to deny readmission when the resident's condition changed and assisted in finding proper placement.

Report Facts
Capacity: 160 Census: 84

Employees mentioned
NameTitleContext
Arvin VillanuevaLicensing Program AnalystConducted the complaint investigation visit
Alyssa SellersAdministrator/Executive DirectorMet with Licensing Program Analyst during the visit and involved in assessment decisions

Inspection Report

Complaint Investigation
Census: 79 Capacity: 160 Deficiencies: 0 Date: Aug 22, 2025

Visit Reason
The inspection was an unannounced follow-up complaint investigation visit regarding an allegation of questionable death at the facility.

Complaint Details
The complaint alleged a questionable death. The investigation concluded the allegation was unfounded, meaning it was false, could not have happened, or was without reasonable basis.
Findings
The investigation found no evidence of neglect, mismanagement, or questionable circumstances related to the resident's death. The allegation was determined to be unfounded based on record reviews and care consistent with physician orders and comfort-focused instructions.

Report Facts
Complaint Control Number: 27-AS-20240904151144 Resident length of stay: 5

Employees mentioned
NameTitleContext
Arvin VillanuevaLicensing Program AnalystConducted the complaint investigation visit and authored the report.
Kaushik SharmaBusiness ManagerMet with the Licensing Program Analyst during the investigation.
Alyssa SellersAdministratorFacility administrator named in the report header.
Stephen RichardsonLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation.

Inspection Report

Census: 87 Capacity: 160 Deficiencies: 1 Date: Jul 1, 2025

Visit Reason
The visit was an unannounced case management follow-up to investigate the death of a resident on 2025-06-21 and to conduct a physical walk-through related to a complaint regarding chemical storage.

Complaint Details
The visit included a complaint investigation for complaint #27-AS-20250625155709 related to chemical storage in the Memory Care Living room.
Findings
The investigation found the cause of death unknown at the time, with the resident receiving hospice care. A deficiency was cited for an unlocked cabinet containing a cleaning chemical accessible to residents, posing potential health and safety risks.

Deficiencies (1)
Cleaning solutions were observed in an unlocked cabinet in the Memory Care Living room area accessible to residents, posing potential health, safety, and personal risks.
Report Facts
Capacity: 160 Census: 87 Plan of Correction Due Date: 7

Employees mentioned
NameTitleContext
Alyssa SellersExecutive Director/AdministratorMet with Licensing Program Analyst during inspection and discussed visit purpose
Arvin VillanuevaLicensing Program AnalystConducted the inspection and authored the report
Stephen RichardsonLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Census: 87 Capacity: 160 Deficiencies: 1 Date: Jul 1, 2025

Visit Reason
The visit was an unannounced case management visit to follow up on the death of a resident that occurred on 2025-06-21 and to conduct a physical walk-through related to a complaint.

Complaint Details
The visit included a walk-through related to complaint #27-AS-20250625155709 concerning unsafe storage of cleaning chemicals.
Findings
The investigation into the resident's death found the cause of death unknown at this time, with the resident receiving hospice care. A deficiency was cited due to a cleaning chemical spray bottle being stored in an unlocked cabinet accessible to residents, posing a potential health and safety risk.

Deficiencies (1)
A cleaning solution was observed in an unlocked cabinet in the Memory Care Livingroom area accessible to residents, posing a potential health, safety, and personal risk.
Report Facts
Census: 87 Total Capacity: 160 Plan of Correction Due Date: 7

Employees mentioned
NameTitleContext
Alyssa SellersExecutive Director/AdministratorMet with Licensing Program Analyst during the visit
Arvin VillanuevaLicensing Program AnalystConducted the inspection and signed the report
Stephen RichardsonLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 88 Capacity: 160 Deficiencies: 0 Date: Jun 20, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff were not ordering resident medications in a timely manner.

Complaint Details
The complaint alleging that staff are not ordering resident medications in a timely manner was investigated and found to be unsubstantiated.
Findings
The investigation found that staff prioritize medication ordering and follow a proactive process, including contacting doctors and pharmacies well in advance. Occasional delays were attributed to pharmacies, not staff. The complaint was determined to be unsubstantiated with no deficiencies cited.

Report Facts
Capacity: 160 Census: 88

Employees mentioned
NameTitleContext
Arvin VillanuevaLicensing Program AnalystConducted the complaint investigation and authored the report
Alyssa SellersAdministratorFacility administrator referenced in the investigation
Kaushik SharmaBusiness ManagerMet with Licensing Program Analyst during the visit and participated in exit interview
Stephen RichardsonLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 88 Capacity: 160 Deficiencies: 1 Date: Jun 20, 2025

Visit Reason
Unannounced follow-up complaint investigation visit regarding the allegation that staff did not administer medication as prescribed.

Complaint Details
The complaint allegation that staff did not administer medication as prescribed was substantiated based on evidence including medication administration records and controlled drug records.
Findings
The investigation found that Resident R1 did not receive antibiotic medications exactly as prescribed, with missed doses in March and an incomplete 5-day course of Nitrofurantoin in July. The allegation was substantiated based on document reviews and medication records.

Deficiencies (1)
Incidental Medical and Dental Care: The licensee failed to assist residents with self-administered medications as needed, resulting in Resident R1 not receiving antibiotic medication as per physician's orders, posing immediate health, safety, and personal risk.
Report Facts
Capacity: 160 Census: 88 Deficiency Type: 1 Plan of Correction Due Date: Jun 21, 2025 Staff Training Due Date: Jun 27, 2025

Employees mentioned
NameTitleContext
Arvin VillanuevaLicensing Program AnalystConducted the complaint investigation visit and authored the report.
Kaushik SharmaBusiness ManagerMet with Licensing Program Analyst during the visit and participated in exit interview.
Alyssa SellersAdministrator/Executive DirectorFacility Administrator mentioned as not available during the visit; discussed plan of correction over the phone.
Stephen RichardsonLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation.
Carley TaylorParticipated in exit interview via phone.

Inspection Report

Complaint Investigation
Census: 89 Capacity: 160 Deficiencies: 0 Date: Apr 3, 2025

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff were not properly assessing residents in care.

Complaint Details
The complaint alleged improper assessment of residents by staff. The investigation included interviews and record reviews. The allegation was found to be unsubstantiated due to lack of evidence.
Findings
The investigation found no preponderance of evidence to support the allegation that staff were not properly assessing residents. Staff roles and qualifications were reviewed, and the multi-level assessment process was verified as appropriate. The allegation was determined to be unsubstantiated.

Report Facts
Capacity: 160 Census: 89

Employees mentioned
NameTitleContext
Alyssa SellersAdministratorMet with during investigation and involved in assessment review
Arvin VillanuevaLicensing Program AnalystConducted the complaint investigation visit
Stephen RichardsonLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 86 Capacity: 160 Deficiencies: 1 Date: Feb 5, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that the facility does not report incidents to the Department in a timely manner.

Complaint Details
The complaint was substantiated based on evidence that 13 incident reports were submitted late over a six-month period, violating timely reporting requirements.
Findings
The investigation found that over the past six months, 13 incident reports were submitted later than the required seven-day reporting timeframe, substantiating the allegation that the facility failed to report incidents timely to the Department.

Deficiencies (1)
Failure to submit written incident reports to the licensing agency within seven days of the occurrence as required by CCR 87211(a)(1).
Report Facts
Incident reports submitted late: 13 Facility census: 86 Facility capacity: 160

Employees mentioned
NameTitleContext
Alyssa SellersAdministratorNotified and involved in the investigation and exit interview.
Ashley MelendezDirector of Health and WellnessInterviewed during the investigation regarding incident reporting process.
Arvin VillanuevaLicensing Program AnalystConducted the complaint investigation visit.
Stephen RichardsonLicensing Program ManagerNamed as Licensing Program Manager on the report.
Laura WillinghamChief Operating OfficerParticipated in the exit interview.

Inspection Report

Annual Inspection
Census: 88 Capacity: 160 Deficiencies: 0 Date: Jan 9, 2025

Visit Reason
An unannounced Case Management - Annual Continuation visit was conducted to continue with the annual inspection initiated on 12/10/2024 and to ensure the facility's compliance with Title 22 Regulations.

Findings
The inspection included review of 9 resident files and 9 staff files. No deficiencies were cited at this time. An advisory was provided to update the plan of operation to ensure compliance with new dementia regulations.

Report Facts
Resident files reviewed: 9 Staff files reviewed: 9

Employees mentioned
NameTitleContext
Alyssa SellersAdministrator/Executive DirectorMet with Licensing Program Analyst during the inspection.
Arvin VillanuevaLicensing Program AnalystConducted the unannounced Case Management - Annual Continuation visit.
Stephen RichardsonSupervisorNamed as supervisor on the report.

Inspection Report

Annual Inspection
Census: 88 Capacity: 160 Deficiencies: 0 Date: Jan 9, 2025

Visit Reason
The inspection visit was an unannounced Case Management - Annual Continuation to continue with the annual inspection initiated on 12/10/2024 and to ensure the facility's compliance with Title 22 Regulations.

Findings
The Licensing Program Analyst reviewed resident and staff files, disaster drills, and facility plans, and found no deficiencies at this time. An advisory was provided to update the dementia plan of operation if necessary.

Report Facts
Resident files reviewed: 9 Staff files reviewed: 9

Employees mentioned
NameTitleContext
Alyssa SellersAdministrator/Executive DirectorMet with Licensing Program Analyst during the inspection visit.
Arvin VillanuevaLicensing Program AnalystConducted the unannounced Case Management - Annual Continuation visit.
Stephen RichardsonLicensing Program ManagerNamed in the report as Licensing Program Manager.

Inspection Report

Complaint Investigation
Census: 89 Capacity: 160 Deficiencies: 1 Date: Dec 24, 2024

Visit Reason
An unannounced complaint investigation visit was conducted following a complaint alleging that facility staff caused injury to a resident in care.

Complaint Details
The complaint was substantiated. The allegation that facility staff caused injury to a resident in care was confirmed based on video evidence and interviews. The staff member involved was terminated and additional training was provided.
Findings
The investigation substantiated the allegation that staff member S1 pushed resident R1, causing R1 to fall and sustain injuries. Surveillance footage contradicted the initial documentation, showing no aggression from R1 and confirming that the injury resulted from S1's physical intervention. S1 was terminated and additional staff training was conducted.

Deficiencies (1)
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 staff (S1) pushing resident (R1) causing the resident to fall back and sustain injuries, posing an immediate health, safety or personal rights risk to residents in care.
Report Facts
Capacity: 160 Census: 89 Civil penalty amount: 500 Deficiency count: 1

Employees mentioned
NameTitleContext
Ashley MelendezDirector of Health and WellnessMet with during the investigation and involved in the findings
Stephen RichardsonLicensing Program ManagerNamed in report as Licensing Program Manager
Arvin VillanuevaLicensing Program AnalystConducted the complaint investigation and signed the report

Inspection Report

Annual Inspection
Census: 89 Capacity: 160 Deficiencies: 0 Date: Dec 10, 2024

Visit Reason
The inspection was an unannounced required annual visit to verify compliance with Title 22 regulations for the facility.

Findings
The facility was found to be generally compliant with regulations, with secure medication storage, clean and sanitary resident units and kitchen, and safe outdoor areas. The facility is approved for 10 hospice residents and 24 bedridden residents. Water and room temperatures were recorded within acceptable ranges. Due to time constraints, a continuation visit is required.

Report Facts
Hospice residents approved: 10 Bedridden residents approved: 24 Water temperature range (°F): 113 Water temperature range (°F): 114 Room temperature range (°F): 69 Room temperature range (°F): 78

Employees mentioned
NameTitleContext
Alyssa SellersExecutive Director/AdministratorMet with Licensing Program Analyst during inspection and participated in exit interview
Arvin VillanuevaLicensing Program AnalystConducted the inspection visit
Stephen RichardsonLicensing Program ManagerNamed in report header

Inspection Report

Complaint Investigation
Census: 96 Capacity: 160 Deficiencies: 0 Date: Nov 12, 2024

Visit Reason
The visit was an unannounced case management inspection conducted to investigate an incident that occurred on 2024-10-31 involving a resident fall during a scuffle over a walker.

Complaint Details
The visit was complaint-related due to an incident on 2024-10-31 involving a resident fall. The fall was deemed suspicious, and local law enforcement and the Long-Term Care Ombudsman were notified. The staff member involved was terminated following the investigation.
Findings
The investigation found that Resident 1 attempted to take a walker from another resident, leading to a scuffle with staff member S1, resulting in Resident 1 falling and being hospitalized with multiple diagnoses. The facility's internal investigation deemed the fall suspicious, notified law enforcement and the Long-Term Care Ombudsman, and terminated staff S1.

Report Facts
Facility capacity: 160 Resident census: 96

Employees mentioned
NameTitleContext
Ashley MelendezDirector of Health and WellnessMet with Licensing Program Analyst during the visit and provided information regarding the incident and investigation
Arvin VillanuevaLicensing Program AnalystConducted the unannounced case management visit and investigation
Stephen RichardsonLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Complaint Investigation
Capacity: 160 Deficiencies: 0 Date: Aug 13, 2024

Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident report received on 2024-06-26 regarding alleged abuse of a resident.

Complaint Details
The complaint involved a resident reporting abuse by a friend who was allegedly drugging and attempting to kill them. Investigations by police, Adult Protective Services, and the Ombudsman were conducted. Hospital drug tests confirmed medications consistent with hospice orders. The resident passed away during hospice care.
Findings
The investigation found that the resident's reported abuse was not substantiated; medical and administrative reviews confirmed the resident's medication use was appropriate per hospice guidelines. No deficiencies were observed or cited during the inspection.

Report Facts
Facility capacity: 160

Employees mentioned
NameTitleContext
Alyssa SellersExecutive DirectorMet with Licensing Program Analyst during the inspection and involved in the exit interview
Arvin VillanuevaLicensing Program AnalystConducted the case management visit and investigation
Stephen RichardsonLicensing Program ManagerNamed in the report as Licensing Program Manager

Inspection Report

Original Licensing
Census: 90 Capacity: 160 Deficiencies: 1 Date: May 6, 2024

Visit Reason
The visit was an unannounced post-licensing inspection conducted to ensure compliance with Title 22 regulations and to verify the facility's readiness to operate under its new license.

Findings
The facility was generally compliant with regulations regarding environment, safety, and medication storage. However, a deficiency was found related to dementia care: 3 of 4 residents diagnosed with dementia did not have updated physician reports and reappraisals, posing an immediate health and safety risk.

Deficiencies (1)
Failure to ensure that residents with dementia have updated annual medical assessments and reappraisals as required by CCR 87705(c)(5).
Report Facts
Residents diagnosed with dementia lacking updated assessments: 3 Resident files reviewed: 10 Staff files reviewed: 10 Facility capacity: 160 Current census: 90

Employees mentioned
NameTitleContext
Alyssa SellersExecutive DirectorMet with Licensing Program Analyst during inspection and interviewed regarding deficiency
Arvin VillanuevaLicensing Program AnalystConducted the inspection and file reviews
Stephen RichardsonLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Original Licensing
Census: 89 Capacity: 160 Deficiencies: 0 Date: Jan 9, 2024

Visit Reason
The inspection was conducted as a pre-licensing evaluation for Change of Ownership (CHOW) at Meadows Senior Living to ensure compliance with Title 22 regulations.

Findings
The facility was toured and inspected including resident apartments, common areas, kitchen, and safety features. The facility was found to be in substantial compliance with no hazards observed, adequate safety measures in place, and proper storage of toxins and medications. Cosmetic renovations were ongoing but did not obstruct emergency exits.

Report Facts
Residents in care: 89 Facility capacity: 160 Resident apartments inspected: 10 Fire clearance capacity: 6 Fire clearance capacity: 130 Fire clearance capacity: 24 Water temperature: 119

Employees mentioned
NameTitleContext
Alyssa SellersAdministratorFacility administrator met with Licensing Program Analyst during inspection
Arvin VillanuevaLicensing Program AnalystConducted the pre-licensing inspection
Stephen RichardsonLicensing Program ManagerNamed in report header and signature sections

Report

August 22, 2025

Viewing

Loading inspection reports...