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MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY

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MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY is a non profit - corporation facility in ESCONDIDO, CA with 19 certified beds and a 5-star overall CMS rating. The facility has 11 deficiency records on file.

100 HOLLAND GLEN, ESCONDIDO, CA 92026

Phone: 7607462500

Overall Rating

5/5

Health Inspection

5/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
555906
Ownership
Non profit - Corporation
Provider Type
Medicare
Beds
19
Residents
14
In Hospital
No
County
San Diego
Last Inspection
Oct 31, 2024

Staffing Data

RN Hours
0.65 (nat'l avg: 0.68)
LPN Hours
2.51
CNA Hours
4.35
Total Nursing Hours
7.52 (nat'l avg: 3.89)
PT Hours
0.19
Nursing Turnover
26.9%

What the CMS Record Reveals About MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY

MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY operates 19 certified beds in ESCONDIDO, CA with approximately 14 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 7.52 total nursing hours per resident day (national average 3.89), with RN coverage at 0.65 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare" provider, MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 26.9%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

E — Pattern - Minimal harm Oct 31, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 18, 2024

E — Pattern - Minimal harm Oct 31, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 18, 2024

D — Isolated - Minimal harm Oct 31, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Nov 18, 2024

F — Widespread - Minimal harm Nov 30, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 4, 2024

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 4, 2024

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jan 4, 2024

B — Pattern - No harm Nov 30, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Jan 4, 2024

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jan 4, 2024

E — Pattern - Minimal harm Nov 30, 2023 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 4, 2024

E — Pattern - Minimal harm Sep 15, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 17, 2022

E — Pattern - Minimal harm Sep 15, 2022 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 17, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 23.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 10.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 10.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 6.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY?
MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY?
MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY reports 7.52 total nursing hours per resident day (national average: 3.89). RN hours are 0.65 per resident day (national average: 0.68). Nursing staff turnover is 26.9%.
How many beds does MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY have?
MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY has 19 certified beds with approximately 14 residents. The facility is located at 100 HOLLAND GLEN, ESCONDIDO, CA 92026.
Does MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY have any deficiencies on record?
Yes, MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY has 11 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY received any fines or penalties?
No, MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY has no fines or penalties on record.
Who owns MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY?
MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY is classified as "Non profit - Corporation" ownership. The facility type is "Medicare".
When was MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY last inspected?
The most recent health inspection for MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY was on Oct 31, 2024. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY?
MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial