Meadow Creek Post-Acute: Hygiene and Airway Care Failures - CA
Inspectors from the Centers for Medicare and Medicaid Services cited Meadow Creek Post-Acute, located at 7039 Alondra Boulevard, for failing to provide proper personal hygiene care, including showers and baths, and for failures in tracheostomy tube suctioning, a procedure performed on residents who cannot clear their own airways.
The facility's own written policy on bathing, dated 2018, stated that the purpose of the procedure was to promote cleanliness, provide comfort, and allow staff to observe the condition of a resident's skin. The policy on tracheostomy suctioning, which was undated, stated its purpose was to maintain a clear and open airway and to protect residents from cross-infection or contamination.
What inspectors found did not match either of those stated purposes.
The deficiency, cited under federal tag F0677, covered both failures under a single citation for activities of daily living care. Inspectors determined that some residents were affected. CMS rated the level of harm as minimal harm or potential for actual harm, meaning inspectors believed the failures had not yet caused serious injury but carried real risk.
The two failures are not equivalent in their stakes. A missed shower is a dignity violation. A failure in tracheostomy suctioning is something else. Residents who depend on a tracheostomy tube breathe through an opening surgically created in their throat. Mucus and secretions accumulate. When suctioning is not performed correctly, or not performed at all, secretions can block the airway. The facility's own policy named cross-infection as a specific risk, meaning contamination introduced during the procedure itself.
That the facility had written policies covering both procedures, and that inspectors still found failures in both, is the central finding of this inspection. The policies existed. The care described in those policies did not consistently reach the residents who needed it.
Meadow Creek Post-Acute is a post-acute and skilled nursing facility, meaning it serves residents who are often in a more medically acute condition than those in traditional long-term care. Residents recovering from surgeries, strokes, or serious illness are admitted for rehabilitation and skilled nursing services. A resident with a tracheostomy in that setting is, by definition, medically fragile.
The inspection was conducted as a complaint survey, meaning it was triggered by a complaint rather than as part of a routine annual inspection cycle. CMS does not publicly identify who files complaints. The survey was completed October 28, 2025, and the deficiency statement was printed April 13, 2026.
The citation does not specify how many residents were affected beyond the category of "some," does not name individual residents, and does not describe specific incidents in detail. What it establishes is that the failures were not isolated to a single resident or a single day.
A plan of correction was required. CMS directed anyone seeking information about that plan to contact the facility or the California state survey agency directly.
For the residents involved, the gap between a facility's written commitments and its actual practice is not an abstraction. One group went without the bathing their care plan promised them. Another group had their airway suctioning performed in a way that did not meet the facility's own standard for preventing infection. In a post-acute setting, where residents are already sick enough to require institutional care, that gap is where harm begins.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Meadow Creek Post-acute from 2025-10-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 9, 2026 · Our methodology
MEADOW CREEK POST-ACUTE in PARAMOUNT, CA was cited for violations during a health inspection on October 28, 2025.
What inspectors found did not match either of those stated purposes.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.