| Meadowbrook Village Christian Retirement Community | |
| 100 Holland Glen, Escondido, California 92026 | |
| (760) 746-2500 | |
| Name | Meadowbrook Village Christian Retirement Community |
|---|---|
| Location | 100 Holland Glen, Escondido, California |
| Certified By | Medicare |
| No. of Certified Beds | 19 |
| Occupancy Rate | 73.16% |
| Medicare ID (CCN) | 555906 |
| Legal Business Name | Meadowbrook Village Christian Retirement Community |
| Ownership Type | Non Profit - Other |
| NPI Number | 1437520400 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Meadowbrook Village Christian Retirement Community |
| Address | 100 Holland Gln, Escondido, CA 92026 |
| Phone Number | 760-746-2500 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 7.48 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 2.29 | 0.86 |
| Nurse aide hours per resident per day | 4.45 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 6.93 | 3.42 |
| RN hours per resident per day on the weekend | 0.89 | 0.48 |
| Physical therapist hours per resident per day | 0.22 | 0.07 |
| Total nursing staff turnover | 30% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 13, 2026 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Mar 13, 2026 |
| Feb 13, 2026 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Mar 13, 2026 |
| Feb 13, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 13, 2026 |
| Feb 13, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 13, 2026 |
| Feb 13, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Mar 13, 2026 |
| Feb 13, 2026 | Provide or get specialized rehabilitative services as required for a resident. F0825, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 13, 2026 |
| Feb 13, 2026 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, isolated | Corrected by Mar 13, 2026 |
| Feb 13, 2026 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, isolated | Corrected by Mar 13, 2026 |
| Oct 31, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 18, 2024 |
| Oct 31, 2024 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 18, 2024 |
| Oct 31, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 18, 2024 |
| Nov 30, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jan 4, 2024 |
| Nov 30, 2023 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jan 4, 2024 |
| Nov 30, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2024 |
| Nov 30, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2024 |
| Nov 30, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2024 |
| Nov 30, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Minimal harm potential, pattern | Corrected by Jan 4, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.81 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 9.68 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.25 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.68 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.41 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Not Available | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 13.34 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.67 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.29 | 15.38 |
Palomar Heights Post Acute Location: 1260 E Ohio Avenue, Escondido, California 92027 Phone: (760) 746-1100 |
Palomar Vista Healthcare Center Location: 201 N Fig Street, Escondido, California 92025 Phone: (760) 746-0303 |
Redwood Terrace Health Center Location: 710 W 13th Ave, Escondido, California 92025 Phone: (760) 747-4306 |
Valley Vista Post Acute Location: 1025 W. Second Avenue, Escondido, California 92025 Phone: (760) 745-1842 |