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The Meadows on Sunset Post Acute Inspection Report, Violations & Safety Grade (LOS ANGELES, California)

5154 SUNSET BLVD, LOS ANGELES, California 90027

Phone: 3236633951

CMS Overall:1/5

Overview & Bed Count

Certified Beds

159

Avg Residents/Day

130.1

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Los Angeles

Sprinkler Systems

Yes

Special Focus

None

Abuse Citation

CMS Star Ratings

Overall1/5

Health1/5

Staffing3/5

Quality4/5

Nurse Staffing Check

Metric	This Facility	California Avg	Difference
RN Hours per Resident per Day	0.46	0.68	-0.22
Total Nurse Hours per Resident per Day	4.05	4.54	-0.50
CMS Staffing Rating	3/5	3.3/5	-
Nursing Staff Turnover	41.6%	36.6%	-

Health Citation History

101 health citations on record

Date	Category	Description	Severity
2026-06-22	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D – Moderate Harm Potential
2026-04-10	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E – Moderate Harm Potential
2026-04-10	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E – Moderate Harm Potential
2026-04-10	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	E – Moderate Harm Potential
2026-04-10	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E – Moderate Harm Potential
2026-04-10	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E – Moderate Harm Potential
2026-04-10	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	E – Moderate Harm Potential
2026-04-10	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E – Moderate Harm Potential
2026-04-10	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E – Moderate Harm Potential
2026-04-10	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2026-04-10	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2026-04-10	Resident Rights Deficiencies	Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.	D – Moderate Harm Potential
2026-04-10	Resident Rights Deficiencies	Ensure residents have reasonable access to and privacy in their use of communication methods.	D – Moderate Harm Potential
2026-04-10	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D – Moderate Harm Potential
2026-04-10	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D – Moderate Harm Potential
2026-04-10	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D – Moderate Harm Potential
2026-04-10	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2026-04-10	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D – Moderate Harm Potential
2026-04-10	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2026-04-10	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2026-04-10	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D – Moderate Harm Potential
2026-04-10	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D – Moderate Harm Potential
2026-04-10	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2026-04-10	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D – Moderate Harm Potential
2026-04-10	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2026-04-10	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D – Moderate Harm Potential
2026-04-10	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D – Moderate Harm Potential
2026-04-10	Environmental Deficiencies	Keep all essential equipment working safely.	D – Moderate Harm Potential
2026-03-04	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	E – Moderate Harm Potential
2026-02-04	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2026-01-14	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2025-12-15	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E – Moderate Harm Potential
2025-12-15	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D – Moderate Harm Potential
2025-12-15	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D – Moderate Harm Potential
2025-12-15	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2025-12-15	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2025-12-08	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E – Moderate Harm Potential
2025-11-18	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E – Moderate Harm Potential
2025-11-18	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D – Moderate Harm Potential
2025-11-18	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D – Moderate Harm Potential
2025-10-10	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J – Immediate Jeopardy
2025-10-10	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	E – Moderate Harm Potential
2025-10-10	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2025-10-10	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2025-10-10	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2025-06-17	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D – Moderate Harm Potential
2025-06-17	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2025-05-06	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	E – Moderate Harm Potential
2025-05-06	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E – Moderate Harm Potential
2025-05-06	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential

Showing 50 of 101 citations.

Fire Safety Citation History

18 fire safety citations on record

Date	Category	Description	Severity
2026-04-10	Smoke Deficiencies	Construct fire resistant interior walls.	E – Moderate Harm Potential
2026-04-10	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	E – Moderate Harm Potential
2026-04-10	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2026-04-10	Egress Deficiencies	Have corridors or aisles that are unobstructed and are at least 8 feet in width.	D – Moderate Harm Potential
2026-04-10	Smoke Deficiencies	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.	D – Moderate Harm Potential
2025-01-03	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	E – Moderate Harm Potential
2025-01-03	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	E – Moderate Harm Potential
2025-01-03	Egress Deficiencies	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	D – Moderate Harm Potential
2025-01-03	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2025-01-03	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	D – Moderate Harm Potential
2023-12-29	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2023-12-29	Egress Deficiencies	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	E – Moderate Harm Potential
2023-12-29	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2023-12-29	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2023-12-29	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	E – Moderate Harm Potential
2023-12-29	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	E – Moderate Harm Potential
2023-12-29	Smoke Deficiencies	Have an enclosure around a vertical opening shaft.	D – Moderate Harm Potential
2023-12-29	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential

Total Penalties & Fines

$21,681

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2024-08-09	Fine	$21,681	-

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Verified Helpline

Care & Coverage Review

Researching facilities in LOS ANGELES, California? Speak with a licensed specialist to review your Medicare or health insurance benefits at no cost.

📞 Call (866) 227-7595
Medicare & Benefits Review
(Ages 64.5+)📞 Call (866) 228-4856
Health Insurance Helpline
(Ages 26–64)

Free, confidential consultation. We may receive referral compensation.