Meadowbrook Post Acute
461 E. Johnston Avenue · Hemet, CA · 92543 · 9516586374
64 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 3.88 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (52 in the current record)
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Potential for harm · D April 7, 2026 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D April 7, 2026 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D April 7, 2026 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 30, 2026 · Environmental
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Potential for harm · F March 30, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 15, 2026 · Nutrition and Dietary
-
Actual harm · G December 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 29, 2026 · Quality of Life and Care
-
Potential for harm · E November 18, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 18, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 17, 2025 · Quality of Life and Care
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Potential for harm · D November 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 17, 2025 · Quality of Life and Care
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Potential for harm · D November 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 17, 2025 · Quality of Life and Care
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Potential for harm · D November 18, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected December 17, 2025 · Pharmacy Service
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Potential for harm · D November 18, 2025
Ensure that residents are free from significant medication errors.
Corrected December 17, 2025 · Pharmacy Service
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Potential for harm · E November 18, 2025
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.
Corrected December 17, 2025 · Pharmacy Service
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Potential for harm · D November 18, 2025
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected December 17, 2025 · Nutrition and Dietary
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Potential for harm · F November 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 17, 2025 · Nutrition and Dietary
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Potential for harm · E November 18, 2025
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected December 17, 2025 · Administration
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Potential for harm · D November 18, 2025
Provide and implement an infection prevention and control program.
Corrected December 17, 2025 · Infection Control
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No harm found · C July 17, 2025 · found via complaint
Post nurse staffing information every day.
Deficient, Provider has no plan of correction · Nursing and Physician Services
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Potential for harm · D June 25, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 16, 2025 · Resident Rights
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Potential for harm · E June 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 16, 2025 · Quality of Life and Care
-
Potential for harm · E June 6, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 6, 2025 · Nutrition and Dietary
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Potential for harm · E June 6, 2025 · found via complaint
Dispose of garbage and refuse properly.
Corrected July 6, 2025 · Nutrition and Dietary
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Potential for harm · D June 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 6, 2025 · Infection Control
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Potential for harm · E August 27, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 27, 2024 · Pharmacy Service
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Potential for harm · D June 20, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 20, 2024 · Resident Rights
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Potential for harm · E June 20, 2024
Ensure each resident receives an accurate assessment.
Corrected July 20, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055401 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.