Meadows Senior Living, The

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not ensure resident received sufficient beverages, resulting in dehydration. Licensee did not adhere to resident's admission agreement. Staff did not follow resident's diet order. Unlawful eviction.

On 1/21/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced to conduct a follow-up compaint investigation and deliver findings regarding the allegations noted above. LPA met with Kaushik Sharma, Business Manager (S1) and stated the purpose of the visit. This visit was conducted concurrently with their annual inspection. The Executive Director/Administrator, Alyssa Sellers (AD) was notified and unable to be present during this visit. Throughout the investigation, LPA conducted observations of the facility, interviews with staff and residents in care and record reviews relevant to this complaint. {1 of 5} Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 21, 2026 · control 27-AS-20250625155709

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Licensee is retaining a resident that requires a higher level of care.

On 10/2/2025, Licensing Program Analyst, Arvin Villanueva (LPA), arrived at this facility unannounced to conduct a follow up visit and deliver findings regarding the allegation noted above. LPA met with the Administrator/Executive Director, Alyssa Sellers (AD) and stated the purpose of the visit. The complaint alleged that the licensee was retaining a resident who required a higher level of care than the facility is licensed to provide. The investigation into this allegation consisted of interviews, and record reviews of available documentation. Through staff interviews, it was explained that residents are assessed prior to admission, then reassessed 30 days after admission, every six months, and when there is a change in condition or hospitalization. The assessments are completed by the Director of Health and Wellness (S1), who is a licensed vocational nurse (LVN) who receives ongoing training from the company’s regional nurse. {9099-1} Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 2, 2025 · control 27-AS-20250108170719

Allegation investigated: Staff do not prevent resident from developing multiple pressure injuries. Staff are retaining a resident who needs a higher level of care. Staff do not assist resident with obtaining medical care. Staff do not monitor resident for change in condition. Staff do not ensure that resident's incontinence needs are met. Staff do not assist resident with ambulation. Staff do not ensure that resident's showering needs are met. Staff do not ensure that resident's dietary needs are met.

On 8/22/2025, Licensing Program Analyst Arvin Villanueva (LPA) arrived at this facility to conduct a follow-up complaint visit and deliver findings regarding the allegations noted above. LPA met with Kaushik Sharma, Business Manager, and stated the purpose of the visit. Allegation: Staff do not prevent resident from developing multiple pressure injuries – The investigation into this allegation consisted of interviews and record reviews. Records show that staff were aware of R1’s risk for skin breakdown and made ongoing efforts to address it. R1’s care notes indicate that staff offered daily assistance to transfer R1 out of bed and reposition R1, but R1 frequently refused these interventions. When staff noticed an “open sore” on R1’s skin on 7/12/2024, they promptly contacted R1’s physician for further orders and notified R1’s family. Staff continued to monitor the “sore”, communicate with R1’s sibling about medical follow-up, and request home health services. {LIC9099-1} Unsubstantiatethe state’s words, verbatim · CDSS document, Aug 22, 2025 · control 27-AS-20240828103826

Allegation investigated: Questionable death

On 8/22/2025, Licensing Program Analyst Arvin Villanueva (LPA) arrived unannounced at this facility to conduct a follow-up complaint visit regarding the allegation noted above. LPA met with Kaushik Sharma, Business Manager, and stated the purpose of the visit. The investigation into the above allegation consisted of record reviews. Through review of records, R2, a resident of this care facility, passed away on 8/13/2024 at approximately 0514 hours at a hospital Emergency Room. The death certificate lists coronary artery disease as the immediate cause of death, with hypertension as another significant condition. Other health conditions noted include urinary tract infection and sepsis, but none are indicated as the immediate cause of death. The certificate does not suggest any unusual circumstances contributing to R2’s passing. {LIC9099-1} Unfoundedthe state’s words, verbatim · CDSS document, Aug 22, 2025 · control 27-AS-20240904151144

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not ordering resident medications in a timely manner.

On 6/20/2025, Licensing Program Analyst Arvin Villanueva (LPA) arrived at this facility unannounced to condut a follow up complaint visit and deliver findings related to the allegation noted above. LPA met with Kaushik Sharma, Business Manager, and stated the purpose of the visit. The Administrator, Alyssa Sellers is unable to attend this visit. The investigation into the above allegation consisted of staff interviews, including the Administrator (AD) and staff (S1, S3, S4, S5), and a review of facility practices and records. During the investigation, staff confirmed that medication ordering is their priority at the facility and is conducted in a proactive manner. The AD explained that when a resident’s medication supply is low, staff make efforts to notify the resident's doctor, the responsible party, or the resident themselves if they manage their own medications. {1 of 2} Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 20, 2025 · control 27-AS-20241223153138

Allegation investigated: Staff did not administer medication as prescribed.

On 6/20/2025, Licensing Program Analyst Arvin Villanueva (LPA) arrived at this facility unannounced to conduct a follow up complaint visit regarding the allegation noted above. LPA met with Business Manager Kaushik Sharma (S1) and stated the purpose of the visit. The Administrator/Executive Director Alyssa Sellers (AD) is not available during this visit. The investigation into the above allegation consisted of document reviews of Resident (R1)’s records, including, but not limited to, Care Notes, Medication Administration Record (MAR) from 3/6/2024 to 9/6/2024, and Controlled Drug Record. {1 of 2} Substantiatedthe state’s words, verbatim · CDSS document, Jun 20, 2025 · control 27-AS-20240904151144

Allegation investigated: Staff is not properly assessing residents in care.

On 4/3/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived at this facility unannounced to conduct a follow up complaint visit regarding the allegations noted above. LPA met with Administrator Alyssa Sellers (AD) and stated the purpose of this visit. The investigation into the above allegation consisted of interviews and record reviews. Through record review, it was determined that the staff at the facility, including (S2) and (S1), are responsible for assessing residents in care and fulfilling their duties as required. S2, the Transition Specialist (TS), is responsible for guiding prospective residents through the move-in process and conducting assessments as part of their role. S2 is qualified with a current 1st aid/CPR certificate and plays a role in bridging the gap between new residents and the community. S2’s involvement in assessing residents is consistent with the position, and S2 ensures that proper care plans are in place before residents transition into the facilithe state’s words, verbatim · CDSS document, Apr 3, 2025 · control 27-AS-20241223153138

Allegation investigated: Facility does not report incidents to the Department in a timely manner.

On 2/5/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced at this facility to conduct the initial complaint visit regarding the allegation noted above. LPA initially met with the Director of Health and Wellness, Ashley Melendez (DHW) and stated the purpose of the visit. The Adminsitrator, Alyssa Sellers (AD) was notified and arrived shortly after. The investigation into the above allegation consisted of record review of written incident reports and staff interviews. Record reviews of the incident reports submitted to (or received by) the Department over the past six months (from August 2024 to February 2025) reveals 13 instances where written reports were submitted later than the required seven-day reporting timeframe: {con't to LIC9099-C} Substantiatedthe state’s words, verbatim · CDSS document, Feb 5, 2025 · control 27-AS-20250131133323

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff caused injury to resident in care.

On 12/24/2024 at 2:50pm, Licensing Program Analyst (LPA) arrived unannounced to this facility to conduct a follow up complaint visit and deliver findings regarding the allegation noted above. LPA met with the designated staff, Ashley Melendez, Director of Health and Wellness, and stated the purpose of this visit. On October 31, 2024, the facility self-reported an incident involving Resident 1 (R1) and staff member (S1). The incident occurred when R1 attempted to take a walker from another resident’s room. S1 intervened, resulting in a physical altercation during which R1 fell and sustained injuries. The facility conducted an internal investigation, deemed the fall suspicious, and notified local law enforcement, the Ombudsman, and other relevant authorities. This investigation consisted of interviews with relevant parties, reviews of relevant documents and an analysis of surveillance footage capturing the incident. {1 of 2} Substantiatedthe state’s words, verbatim · CDSS document, Dec 24, 2024 · control 27-AS-20241113165119

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.