Health inspection·December 11, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure residents were provided with a safe, clean, comfortable, and homelike environment for one of five sampled residents (Resident 1) by failing to provide a clean shower room.This deficient practice violated the resident's right to a comfortable, homelike environment and had the potential to negatively impact their quality of life.Findings:During a review of Resident 1's admission Record, the admission Record indicated that the facility originally admitted the resident on 12/10/2024 and readmitted the resident on 2/1/2025 with diagnoses including osteoarthritis (a progressive disorder of the joints, caused by a gradual loss of cartilage) of left hip and immunodeficiency (a condition where the immune system is weakened, making the body unable to fight off infections and diseases effectively, leading to frequent or severe illnesses from germs that a healthy immune system would normally handle).During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool) dated 12/5/2025, the MDS indicated that Resident 1's cognition (the mental action or process of acquiring knowledge and understanding through thought, experience, and senses) was intact. The MDS indicated that Resident 1 required setup or clean-up staff assistance with shower/bathe self and supervision or touching staff assistance with tub/shower transfer. During an interview on 12/10/2025 at 1:15 p.m., with Resident 1 in Resident 1's room, Resident 1 stated that the facility had a total of four shower booths in two shower rooms. Resident 1 stated the shower rooms were not clean all of the time and Resident 1 could smell mold (a type of fungus that grows as fuzzy spots on damp organic stuff [like food, wood, or drywall] often smelling musty and potentially causing allergies or breathing problems if sensitive) while taking a shower and made her uncomfortable. Resident 1 stated when Resident 1 took a shower on the morning of 12/10/2025, Resident 1 observed black spots on the corners of the floors where the walls met and around the soap rest that was mounted in shower booth 1.During a concurrent observation and interview on 12/10/2025 at 2:28 p.m., with Maintenance Assistant 1 (MA 1) and MA 2 in shower room [ROOM NUMBER], MA 1 and MA 2 observed the following black color discolorations in shower booth 1 of shower room [ROOM NUMBER]:- Around the soap rest mounted to the wall under the hand bar.- On the cracks on the corners of both right and left sides where the mosaic tile floors and the tile walls met.- On the left corner edge of the tiled wall where the drywall met next to the stainless-steel grab bar.Both MA 1 and MA 2 checked the mentioned areas above and stated that they were discolored but the facility needed to clean them.During a concurrent observation and interview on 12/10/2024 at 3:13 p.m., with the Maintenance Supervisor (MS), the Administrator (ADM), and the Director of Nursing (DON) in shower room [ROOM NUMBER], observed black discolorations in shower booth 1 around the soap rest that is mounted to the wall under the hand bar, on the cracks on the corners on both right and left sides where the mosaic tile floors and the tiled walls met, and on the left corner edge of the tiled wall where the drywall met next to the stainless-steel (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 056137 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 056137 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Meadows Post Acute 14857 Roscoe Boulevard Panorama City, CA 91402 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)