Meadows on Sunset Post Acute: Medication Delays - CA
That conversation happened at 2:29 in the afternoon on November 18, 2025, at The Meadows on Sunset Post Acute. The resident, identified in inspection records only as Resident 6, was still waiting.
The nurse responsible for the medication pass that morning, referred to in the report as LVN 2, told inspectors she hadn't gotten access to the medications until 8 a.m. She did not explain what had prevented that access. What the record shows is that by the time inspectors interviewed Resident 6 more than six hours later, he still hadn't received what he needed.
Resident 6 wasn't alone. Inspectors found that at least two other residents, identified as Resident 4 and Resident 5, had also not received their medications on time that day.
The facility's own Director of Staff Development acknowledged the problem when inspectors interviewed her at 4:23 that same afternoon. She said she had been notified that day that medications were late or had not been given at all. She reviewed the records for all three residents herself and confirmed the medications were late. LVN 2, she said, would notify the doctor.
What the Director of Staff Development said next is worth sitting with. She explained that the facility allows medications to be administered up to one hour before or one hour after the scheduled time. She then described what happens when that window is missed, particularly for certain kinds of medication. If the medication is for pain, she said, the resident can be in pain. If it's for high blood pressure or high blood sugar, missing or delaying the dose can result in a negative reaction for the resident and their health.
She was describing, in measured administrative language, exactly what Resident 6 had already told an inspector two hours earlier in plain terms. He was in pain. He had been waiting. Nobody had come.
The facility's own written policy, last reviewed as recently as July 31, 2025, states that medications are to be administered within 60 minutes of the scheduled time. The policy also states medications are administered as prescribed, in accordance with good nursing principles and practices, and in accordance with the written orders of the attending physician.
The inspection cited this violation under F0755, tagged at a level of minimal harm or potential for actual harm, with some residents affected. That classification reflects the regulatory framework inspectors work within. It does not change what Resident 6 experienced on the afternoon of November 18.
Pain scales in clinical settings exist for a reason. A rating of 8 out of 10 sits near the top of what patients are asked to describe, a level typically associated with severe, difficult-to-ignore pain that interferes with basic functioning. Resident 6 used that number to describe where he was, hours into a day when his medication had not arrived.
The nurse said she would call the doctor. The director said the medications were late. The policy said this shouldn't happen.
Resident 6 said he was still waiting.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Meadows On Sunset Post Acute from 2025-11-18 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: August 31, 2026 · Our methodology
The Meadows on Sunset Post Acute in LOS ANGELES, CA was cited for violations during a health inspection on November 18, 2025.
That conversation happened at 2:29 in the afternoon on November 18, 2025, at The Meadows on Sunset Post Acute.
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.