Meadowbrook Behavioral Health Center
MEADOWBROOK BEHAVIORAL HEALTH CENTER in LOS ANGELES, CA — inspection on August 20, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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], 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.
Facility ID:
05A269
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.