Meadowbrook Village Christian Retirement Community

Name: Meadowbrook Village Christian Retirement Community
Address: 100 HOLLAND GLEN, Escondido, CA, 92026, US
Telephone: 7607462500

100 Holland Glen, Escondido, CA 92026 · San Diego County · 19 certified beds · avg 14 residents/day · certified since Nov 1, 2017

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

7.94

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (17)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 13, 2026	E · Potential for harm, repeated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 13, 2026	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Feb 13, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 13, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 13, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Feb 13, 2026	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Oct 31, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 31, 2024	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Oct 31, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 30, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 30, 2023	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Nov 30, 2023	B · Minimal risk, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 8).

Year	Citations	Worst severity that year
2023	6	F
2024	3	E
2026	8	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	7.94	4.31	3.95	top 1% in California; top 1% in the U.S.
Registered Nurse hours	0.78	0.61	0.69	top 18% in California; top 29% in the U.S.
Weekend total nurse staffing	7.36	3.90	3.50	top 1% in California; top 1% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.89	0.51	0.48	top 10% in California; top 8% in the U.S.
Total nursing staff turnover (%)	30.0	36.7	45.8	top 29% in California; top 14% in the U.S.
RN turnover (%)	0.0	38.1	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 7.48, RN 0.74, weekend 6.93. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Other

Owner / manager	Type	Role	Stake	Since
Meadowbrook Village Christian Retirement Community	Organization	5% or Greater Direct Ownership Interest	—	04/18/2017
Brouwer, Jacob	Individual	Corporate Officer	NOT APPLICABLE	08/02/2004
Brouwer, Jacob	Individual	Operational/Managerial Control	NOT APPLICABLE	04/18/2017
Brouwer, Jacob	Individual	ADP of the SNF	NOT APPLICABLE	04/18/2017
Cooper, Joanne	Individual	Corporate Officer	NOT APPLICABLE	08/02/2004
Cooper, Joanne	Individual	Operational/Managerial Control	NOT APPLICABLE	04/18/2017
Cooper, Joanne	Individual	ADP of the SNF	NOT APPLICABLE	04/18/2017
Denboer, Derkina	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Denboer, Derkina	Individual	Operational/Managerial Control	NOT APPLICABLE	04/18/2017
Denboer, Derkina	Individual	ADP of the SNF	NOT APPLICABLE	04/18/2017
Francis, Lisa	Individual	Corporate Director	NOT APPLICABLE	09/21/2015
Francis, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	04/18/2025
Francis, Lisa	Individual	ADP of the SNF	NOT APPLICABLE	04/18/2017
Hoeksema, Larry	Individual	Corporate Officer	NOT APPLICABLE	08/02/2004
Hoeksema, Larry	Individual	Operational/Managerial Control	NOT APPLICABLE	04/18/2017
Hoeksema, Larry	Individual	ADP of the SNF	NOT APPLICABLE	04/18/2017
Jansma, James	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Jansma, James	Individual	Operational/Managerial Control	NOT APPLICABLE	04/18/2017
Jansma, James	Individual	ADP of the SNF	NOT APPLICABLE	04/18/2017
Memmelaar, Mark	Individual	Corporate Director	NOT APPLICABLE	05/09/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Escondido Post Acute	1.8 mi	Escondido, CA	★★★★★	4/5
Palomar Vista Healthcare Center	2.5 mi	Escondido, CA	★★☆☆☆	2/5
Palomar Heights Post Acute	2.6 mi	Escondido, CA	★★★☆☆	2/5
Valley Vista Post Acute	3.0 mi	Escondido, CA	★★★★☆	3/5
Redwood Terrace Health Center	3.5 mi	Escondido, CA	★★★★★	5/5
Ocean View Post Acute	4.1 mi	Escondido, CA	★★★★☆	3/5
Village Square Healthcare Center	6.6 mi	San Marcos, CA	★★★★☆	4/5
Casa de Las Campanas	7.5 mi	San Diego, CA	★★☆☆☆	2/5
Santa Fe Post-Acute	9.8 mi	Vista, CA	★★☆☆☆	2/5
Vista View Post Acute	10.3 mi	Vista, CA	★★★★☆	3/5
Villa Rancho Bernardo Care Center	10.5 mi	San Diego, CA	★★★★★	4/5
The Villas at Poway	11.2 mi	Poway, CA	★★★★★	3/5

Compare this facility with the 3 closest →

All facilities in Escondido →

Facility data as of CMS processing date 2026-08-01. CCN 555906.

The Care File

Visit checklist — Meadowbrook Village Christian Retirement Community

100 Holland Glen, Escondido, CA 92026 · 7607462500

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555906 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)