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Complaint Investigation

Meadow Creek Post-acute

December 22, 2025 · Paramount, CA · 7039 Alondra Blvd
Citations 2
CMS Rating 1/5
Beds 104
Provider ID 056166
Healthcare Facility
Meadow Creek Post-acute
Paramount, CA  ·  View full profile →
Inspection Summary

MEADOW CREEK POST-ACUTE in PARAMOUNT, CA — inspection on December 22, 2025.

Found 2 citations. 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.

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Inspection Findings

FF0726
Nursing and Physician Services Deficiencies
Potential for More Than Minimal Harm

During an interview on 12/19/2025 at 3:41 p.m., family member of Resident 1 (FM) 1 stated Resident 1 had been complaining to FM 1 about having diarrhea causing her skin to burn. FM 1 stated she was worried that Resident 1 would get worsening skin breakdown due to the constant moisture from the diarrhea.

During an interview on 12/22/2025 at 9:20 a.m., Resident 1 stated she still had diarrhea.

During an interview on 12/22/2025 at 1:03 p.m., CNA 3 stated she was caring for Resident 1 that day and Resident 1 had loose stools, CNA 3 stated Resident 1 had had two loose stools that morning. CNA 3 stated and she informed the charge nurses (unknown LVN) about the loose stools. CNA 3 stated Resident 1 had redness (indication of skin irritation) on the peri area (most commonly refers to the perineum, the space between the anus and genitals), possibly from the loose stools and CNA 3 stated Resident 1 sometimes complained of some discomfort and burning from the loose stool touching her skin.

During an interview on 12/22/2025 at 1:24 p.m., LVN 4 stated he was caring for Resident 1 for the day, and CNA 3 did not inform him Resident 1 was having loose stools and he gave Resident 1 all her medications including the docusate sodium. LVN 4 stated if he was aware Resident 1 was having loose stool he would have held the docusate sodium and if it was more than one loose stool, he would have made a change of condition (COC) report.

During an interview and concurrent record review on 12/22/2025 at 3:15 p.m., the Director of Nursing (DON) stated the CNA's notify the nurses assigned to pass medications (LVNs) when patients are having loose stools.

The DON stated the LVN would not know the resident was having loose stool unless the CNA informed them.

The DON stated stool softeners and laxatives should be held if a resident was having loose/ watery stools.

The DON reviewed Resident 1's Survey Report for bowel movements for the month of 12/2025 and confirmed Resident 1 had multiple episodes of loose watery stool.

The DON reviewed Resident 1's MAR for the month of 12/2025 and confirmed Resident 1 was receiving docusate sodium and senna including the days she was experiencing loose/ watery stools.

The DON stated docusate sodium and senna should not have been given on the days Resident 1 was having loose/ watery stool because the physician's order stated to HOLD for loose watery stools.

The DON stated the potential outcome of giving senna and docusate sodium when a resident was having loose/ watery stools was the risk for skin breakdown, dehydration, and emotional distress.

During a review of the facility's Job Description titled: Certified Nursing Assistant undated indicated the CNAs were to report all changes of condition (COC) to the Nurse supervisor or Charge Nurse as soon as practical and to record all entries on the flow sheets (tasks) for bowel and bladder.

During a review of the facility's Job Description: Licensed Vocational Nurse undated indicated the LVN was to administer medications as prescribed by the healthcare provider.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/22/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Meadow Creek Post-Acute

7039 Alondra Blvd Paramount, CA 90723

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 12/22/2025 at 1:24 p.m., LVN 4 stated CNA 3 did not inform him Resident 1 was having loose stools that day. LVN 4 stated he gave Resident 1 all her medications including the docusate sodium. LVN 4 stated if he was aware Resident 1 was having loose stool he would have held the docusate sodium and if it was more than one loose stool, he would have made a change of condition (COC) report.

During an interview and concurrent record review on 12/22/2025 at 3:15 p.m., with the Director of Nursing (DON), Resident 1's MAR dated 12/2025 and Documented Survey Reports dated 12/2025 was reviewed.

The DON stated the CNA's notify the nurses assigned to pass medications (LVNs) when patients are having loose stools.

The DON stated the LVN could also pull up the task for bowel movements and check if the resident was having loose stools, but the quickest and most efficient way was for the CNAs to report the loose stools to the medication nurse.

The DON stated stool softeners and laxatives should be held if a resident was having loose/ watery stools.

The DON reviewed Resident 1's Survey Report for bowel movements for the month of 12/2025 and confirmed Resident 1 had multiple episodes of loose watery stools.

The DON reviewed Resident 1's MAR for the month of 12/2025 and confirmed Resident 1 was receiving docusate sodium and senna including on the days she was experiencing loose/ watery stools.

The DON stated docusate sodium and senna should not have been given on the days Resident 1 was having loose/ watery stools because the physician's order stated to HOLD for loose watery stools.

The DON stated the potential outcome of giving senna and docusate sodium when a resident was having loose/ watery stools was the risk for skin breakdown, dehydration, and emotional distress. A review of the facility procedure and policy (P&P) titled, Administering Medications, Revised April 2019 indicated medications were to be administered safe and as prescribed by the physician.

The P&P indicated a medication dosage believed to be inappropriate or excessive for the resident, the person to administer the medication would contact the prescriber to discuss the concerns.

Facility ID:

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 PARAMOUNT, 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 MEADOW CREEK POST-ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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