Meadowbrook Behavioral Health Center
Inspection Findings
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
record review, Resident 8's MDS dated [DATE REDACTED], indicated Resident 8 was cognitively intact. The MDS indicated Resident 6 is independent with ADLs. During a record review Resident 8's SBAR, dated 8/19/2025, at 10:19 P.M., indicated that Resident 8 tested positive to COVID 19. During a record review Resident 9's admission Record indicated the facility admitted Resident 9 on 3/10/2025 with diagnoses including schizoaffective disorder (a mental health condition that combines symptoms of a psychotic disorder, like schizophrenia [a condition where someone has trouble telling what's real from what's not, experiencing intense paranoia, like believing they're being targeted or watched], with symptoms of a mood disorder, such as bipolar disorder [a mental health condition characterized by extreme shifts in mood, energy, and behavior] or depression [persistent feelings of sadness, hopelessness, and loss of interest]), HTN, and hyperlipidemia (a condition where there are high levels of fats [lipids] in the blood). During a
record review, Resident 9's MDS dated [DATE REDACTED], indicated Resident 9 was cognitively impaired. The MDS indicated Resident 9 is independent with ADLs. During a record review, Resident 9's SBAR, dated 8/19/2025, at 7:03 P.M., indicated that Resident 9 tested positive to COVID 19. During an interview on 8/20/2025, at 2:34 P.M., with Certified nursing assistant 3 (CNA 3), CNA 3 stated that on Saturday, 8/16/2025, she did not feel well, she was having body aches, her throat was hurting and was feeling congested. On Monday, CNA 3 stated that she continued to feel unwell, had a runny nose and was coughing. On Tuesday, 8/19/2025, CNA 3 stated she still did not feel well and that's when she took a COVID test tested at the facility and tested positive for COVID. CNA 3 stated she was not supposed to come into work feeling sick and that she did not make the right decision. CNA 3 stated she should have stayed home to prevent spreading the infection in the facility. During an interview on 8/20/2025, at 4:30 P.M., with the infection prevention nurse (IPN), IPN stated that if a staff member if feeling sick and is having symptoms of runny nose, sore throat, coughing, sneezing, headache, teary eyes, red eyes or any other signs and symptoms of respiratory illness the staff need to stay home because if they come into the building with these symptoms it may cause the symptoms to go around the building and we need to keep
the resident safe as the resident in the facility are vulnerable. The IPN stated that she called CNA 1 and asked her why she came to work when she was sick. IPN stated CNA 1 should not have come to work.
During an interview on 8/20/2025, at 12 P.M., with Registered Nurse Supervisor (RNS) 1, RNS 1 stated that staff should stay away from work if they are exhibiting any signs and symptoms of respiratory infection such as sneezing, runny nose, fever to prevent them from passing the infection to the residents. During a record review, the facility Policy and Procedure (P&P), titled, Infection Prevention and Control Program effective 9/18/2024, indicated, PurposeAn infection prevention and control program (IPCP) is established and maintained to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.a. The facility has established policies and procedures regarding infection control among employees, contractors, vendors, visitors, and volunteers, including:1. Situations when these individuals should report their infections or avoid the facility (for example, . respiratory infections with considerable coughing and sneezing.
Event ID:
Facility ID:
05A269
If continuation sheet
MEADOWBROOK BEHAVIORAL HEALTH CENTER in LOS ANGELES, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LOS ANGELES, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MEADOWBROOK BEHAVIORAL HEALTH CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.