Meadowbrook Village Christian Retirement Community
100 Holland Glen, Escondido, CA 92026
Meadowbrook Village Christian Retirement Community is a nursing home in Escondido, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionFebruary 13, 2026 (8 months ago)
- Health citations since November 30, 202317 (California average 50)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 7.5 to 6.1 hours per resident per day.
CMS update of October 8, 2026
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5.
CMS update of June 24, 2026
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Health citation
CMS removed citation F0605 from the health inspection on February 13, 2026.
Health citation
CMS removed citation F0655 from the health inspection on February 13, 2026.
Health citation
CMS removed citation F0730 from the health inspection on February 13, 2026.
Health citation
CMS removed citation F0812 from the health inspection on February 13, 2026.
Health citation
CMS removed citation F0825 from the health inspection on February 13, 2026.
Health citation
CMS removed citation F0865 from the health inspection on February 13, 2026.
Health citation
CMS removed citation F0867 from the health inspection on February 13, 2026.
Health citation
CMS removed citation F0880 from the health inspection on February 13, 2026.
Fire safety citation
CMS removed citation K0355 from the fire safety inspection on February 13, 2026.
Fire safety citation
CMS removed citation K0918 from the fire safety inspection on February 13, 2026.
CMS update of May 27, 2026
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Health inspection on February 13, 2026
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation F0655. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on March 13, 2026.
Citation F0730. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Observe each nurse aide's job performance and give regular training.
CMS lists it as corrected on March 13, 2026.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 13, 2026.
CMS has cited this home for F0812 2 times since 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 13, 2026.
CMS has cited this home for F0880 2 times since 2023.
Citation F0605. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS lists it as corrected on March 13, 2026.
Citation F0825. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or get specialized rehabilitative services as required for a resident.
CMS lists it as corrected on March 13, 2026.
Citation F0865. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on March 13, 2026.
Citation F0867. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on March 13, 2026.
Fire safety inspection on February 13, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on March 6, 2026.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on March 11, 2026.
CMS has cited this home for K0918 3 times since 2023.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on October 31, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 18, 2024.
Citation F0814. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Dispose of garbage and refuse properly.
CMS lists it as corrected on November 18, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 18, 2024.
CMS has cited this home for F0761 2 times since 2023.
Fire safety inspection on October 31, 2024
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on November 27, 2024.
CMS has cited this home for K0353 2 times since 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on November 27, 2024.
Citation E0004. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on November 15, 2024.
Citation E0032. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Provide primary/alternate means for communication.
CMS lists it as corrected on November 15, 2024.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Staffing
Total nurse staffing reported to CMS went from 6.6 to 5.9 hours per resident per day.
Health inspection on November 30, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 4, 2024.
Citation F0727. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on January 4, 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on January 4, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on January 4, 2024.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on January 4, 2024.
Citation F0758. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on January 4, 2024.
Fire safety inspection on November 30, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 15, 2023.
Citation K0918. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 15, 2023.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on December 15, 2023.
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 15, 2023.
Citation K0753. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on December 15, 2023.
Citation K0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on December 15, 2023.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (760) 746-2500
- Last standard health inspection
- February 13, 2026 (8 months ago)
- Certified beds
- 19
- Residents per day, on average
- 16.9
- Ownership type
- Non profit - Other
- Legal business name
- Meadowbrook Village Christian Retirement Community
- Chain
- Not listed by CMS
- Takes part in
- Medicare
Fewer health citations than the California average (17 vs 50).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- MEADOWBROOK VILLAGE CHRISTIAN RETIREMENT COMMUNITY5% or greater direct ownership interest · no percentage provided · since 04/18/2017
- BROUWER, JACOBOperational/managerial control · not applicable · since 04/18/2017
- COOPER, JOANNEOperational/managerial control · not applicable · since 04/18/2017
- DENBOER, DERKINAOperational/managerial control · not applicable · since 04/18/2017
- FRANCIS, LISAOperational/managerial control · not applicable · since 04/18/2025
Show 5 more
- HOEKSEMA, LARRYOperational/managerial control · not applicable · since 04/18/2017
- JANSMA, JAMESOperational/managerial control · not applicable · since 04/18/2017
- MEMMELAAR, MARKOperational/managerial control · not applicable · since 04/18/2017
- PRINS, RONOperational/managerial control · not applicable · since 04/18/2017
- VELDKAMP, ARNOLDOperational/managerial control · not applicable · since 04/18/2017
Questions
When was Meadowbrook Village Christian Retirement Community last inspected?
CMS lists February 13, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Meadowbrook Village Christian Retirement Community have?
CMS lists 17 health citations since November 30, 2023. CMS also calls these deficiencies.
Has Meadowbrook Village Christian Retirement Community been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Meadowbrook Village Christian Retirement Community?
Its CMS overall star rating is 4 of 5.
Is Meadowbrook Village Christian Retirement Community a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.