Meadowood Nursing Center

During an observation on 4/30/26 at 2:46 p.m. Resident 1 was observed in her wheelchair and stopped in front of Resident 2's doorway. Resident 2 yelled, Keep going! Resident 1 stated, Oh yea! and continued to wheel herself down the hallway. A facility staff member was seated approximately 10 feet (ft.- a unit of measure) away and paid no attention to the interaction that transpired between Resident 1 and Resident 2.

During an interview on 4/30/26 at 3:02 p.m., CNA 1 confirmed that she witnessed the resident-to-resident incident that occurred between Resident 1 and Resident 2 by the nurse station. CNA 1 stated Resident 1 had rolled up to the nurse station in her wheelchair and yelled for help for her nurse. CNA 1 stated Resident 2 was already seated in her wheelchair at the nurse's station and that Resident 2 yelled at Resident 1 to go away. CNA 1 stated that Resident 2 then kicked Resident 1 in the knee and that the kick was intentional to get Resident 1 away from her. CNA 1 further stated, [Resident 2] could have verbalized to get her away before deciding to kick her [Resident 1] because she [Resident 2] can let her needs be known, but she just kicked her instead.

During an interview on 4/30/26 at 3:25 p.m., Registered Nurse 1 (RN 1) stated that Resident 1 had a history of altercations with other residents. RN 1 confirmed that it was the responsibility of the facility staff to protect all residents from abuse.

During an interview on 5/04/26 at 1:49 p.m., the Social Service Director (SSD) stated abuse was physical, financial, verbal, neglect, isolation, withholding medications, or withholding visitations.

The SSD stated, If staff noticed the verbal altercation and yelling, they should had separated the resident's immediately.

The SSD further stated that she considered the physical contact between Resident 1 and Resident 2 as abuse, Because one of the resident's actually physically touched the other resident and because of the verbal- because they were both cursing at each other.

The SSD confirmed that it was the facility's responsibility to protect residents from all forms of abuse.

During an interview on 5/04/26 at 2:19 p.m., the Assistant Director to Nursing (ADON) stated abuse was verbal, financial, physical and sexual.

The ADON stated the resident-to-resident incident between Resident 1 and Resident 2 was considered verbal and physical abuse.

The ADON further stated it was verbal abuse because Resident 1 and Resident 2 were talking vulgarly to each other, and it was considered physical abuse because the kick made physical contact. A review of the facility's policy and procedure titled, Abuse, Neglect, and Exploitation, dated 2025, indicated, It is the policy of this facility to provide protections for health, welfare and rights of each resident.Physical Abuse includes.kicking.Verbal Abuse means the use of oral, written or gestured communication or sounds that willfully includes disparaging and derogatory terms to residents.Prevention of Abuse, Neglect and Exploitation.Identifying, correcting and intervening in situations in which abuse.is more likely to occur.Possible indicators of abuse include.Verbal abuse of a resident overheard.Physical abuse of a resident observed. A review of the facility's document titled, Certified Nursing Assistant-Job Description, dated 2020, indicated, Protects residents from abuse. A review of the facility's document titled, Registered Nurse- Job Description, dated 2023, indicated, Protects residents from abuse.

555490 04/30/2026

Meadowood Nursing Center 3805 Dexter Lane Clearlake, CA 95422