Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, including allegations related to resident assessments, medication ordering, and abuse. The most recent report from August 22, 2025, was clean with no deficiencies and found an allegation of questionable death to be unfounded. Earlier reports identified some isolated issues, such as a cleaning chemical stored unsafely in July 2025 and a failure to administer prescribed antibiotics in June 2025, which posed a health risk. More serious findings occurred in late 2024, including substantiated resident injury caused by staff leading to termination and additional training, as well as late incident reporting violations earlier in 2025. Overall, the facility appears to have addressed many concerns, with recent inspections showing improvement and no new serious deficiencies.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
49% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
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
| Name | Title | Context |
|---|---|---|
| Arvin Villanueva | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report. |
| Kaushik Sharma | Business Manager | Met with the Licensing Program Analyst during the investigation. |
| Alyssa Sellers | Administrator | Facility administrator named in the report header. |
| Stephen Richardson | Licensing Program Manager | Named 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 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
| Name | Title | Context |
|---|---|---|
| Alyssa Sellers | Executive Director/Administrator | Met with Licensing Program Analyst during the visit |
| Arvin Villanueva | Licensing Program Analyst | Conducted the inspection and signed the report |
| Stephen Richardson | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Arvin Villanueva | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Alyssa Sellers | Administrator | Facility administrator referenced in the investigation |
| Kaushik Sharma | Business Manager | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Stephen Richardson | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Arvin Villanueva | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report. |
| Kaushik Sharma | Business Manager | Met with Licensing Program Analyst during the visit and participated in exit interview. |
| Alyssa Sellers | Administrator/Executive Director | Facility Administrator mentioned as not available during the visit; discussed plan of correction over the phone. |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
| Carley Taylor | Participated 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
| Name | Title | Context |
|---|---|---|
| Alyssa Sellers | Administrator | Met with during investigation and involved in assessment review |
| Arvin Villanueva | Licensing Program Analyst | Conducted the complaint investigation visit |
| Stephen Richardson | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Alyssa Sellers | Administrator | Notified and involved in the investigation and exit interview. |
| Ashley Melendez | Director of Health and Wellness | Interviewed during the investigation regarding incident reporting process. |
| Arvin Villanueva | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Stephen Richardson | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Laura Willingham | Chief Operating Officer | Participated in the exit interview. |
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
| Name | Title | Context |
|---|---|---|
| Alyssa Sellers | Administrator/Executive Director | Met with Licensing Program Analyst during the inspection visit. |
| Arvin Villanueva | Licensing Program Analyst | Conducted the unannounced Case Management - Annual Continuation visit. |
| Stephen Richardson | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Ashley Melendez | Director of Health and Wellness | Met with during the investigation and involved in the findings |
| Stephen Richardson | Licensing Program Manager | Named in report as Licensing Program Manager |
| Arvin Villanueva | Licensing Program Analyst | Conducted 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
| Name | Title | Context |
|---|---|---|
| Alyssa Sellers | Executive Director/Administrator | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Arvin Villanueva | Licensing Program Analyst | Conducted the inspection visit |
| Stephen Richardson | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Ashley Melendez | Director of Health and Wellness | Met with Licensing Program Analyst during the visit and provided information regarding the incident and investigation |
| Arvin Villanueva | Licensing Program Analyst | Conducted the unannounced case management visit and investigation |
| Stephen Richardson | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Alyssa Sellers | Executive Director | Met with Licensing Program Analyst during the inspection and involved in the exit interview |
| Arvin Villanueva | Licensing Program Analyst | Conducted the case management visit and investigation |
| Stephen Richardson | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Alyssa Sellers | Executive Director | Met with Licensing Program Analyst during inspection and interviewed regarding deficiency |
| Arvin Villanueva | Licensing Program Analyst | Conducted the inspection and file reviews |
| Stephen Richardson | Licensing Program Manager | Supervisor 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
| Name | Title | Context |
|---|---|---|
| Alyssa Sellers | Administrator | Facility administrator met with Licensing Program Analyst during inspection |
| Arvin Villanueva | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Stephen Richardson | Licensing Program Manager | Named in report header and signature sections |
Report
January 30, 2026
Report
January 21, 2026
Report
January 21, 2026
Report
January 21, 2026
Report
November 25, 2025
Report
October 2, 2025
Report
August 22, 2025
Report
July 1, 2025
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