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.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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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.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 66
Staffing 20% 70
Federal penalties 15% 100
Trend 10% 34
Context 5% 100

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-day4.283.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day3.88≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (52 in the current record)

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D November 18, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 17, 2025 · Pharmacy Service

  • Potential for harm · D November 18, 2025

    Ensure that residents are free from significant medication errors.

    Corrected December 17, 2025 · Pharmacy Service

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D November 18, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 17, 2025 · Infection Control

  • 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

  • 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

  • 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

  • Potential for harm · E June 6, 2025 · found via complaint

    Dispose of garbage and refuse properly.

    Corrected July 6, 2025 · Nutrition and Dietary

  • 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

  • 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

  • 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

  • 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.

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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.