Hallmark of Bakersfield

Maintain records of centrally stored medication dosages

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in that the centrally stored log for R2 and R3 did not have a start date for some medications, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation and inrterview, the licensee did not comply with the section cited above in that LPA observed four oxygen tanks in R3's closet that were not secured in a stand or to the wall, which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain fire clearance before retaining specified persons

87202(a) - Fire Clearance(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidenced by: LPA observed R1's sliding glass door be secured closed with a wooden stick placed on the slider track, preventing the door being opened. In addition, LPA observed a reclining chair obstructing the sliding glass door.

Keep prescriptions in original containers

87465(h)(5)- Incidental Medical and Dental CareEach resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement was not met as evidenced by: LPA reviewed a sample of resident medications and MARS and observed that medication for tomorrow morning were missing from the bubble packs for the sample of medications LPA reviewed. The administrator stated that the morning medication for the residents were transferred to a separate container to be ready to be dispensed/ administered to residents the following day.

Report specified resident events within seven days

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by observation and interviews, R1 had a fall on 11/18/2025, and was not reported to the responsible party and licensing.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This regulation was not met as evidenced by R1's medications were not administered timely on several dates. For ex. R1's medications were to be administered at 8 am on May6, 2025 and were not administered until 10:25 am. R1's medication was not ordered timely causing R1's to miss the medication on May1, 2025 which poses an immediate health safety and or personal rights risk to residents in care.

Care and supervision as defined by statute and rules

87464 Basic Services (f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as evidenced by: Licensee did not ensure care and supervision for R1 who eloped from the facility on 3/1/25, which resulted in hospitalization which poses an immediate health safety and or personal rights risk.

Dignity in personal relationships

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by Licensee did not ensure S1 spoke approprately to residents in care which poses a potential health, safety and or personal rights risk to residents in care.

Onsite food stock levels for nonperishables and perishables

Based on [(observation) (interview), the licensee did not comply with the section cited above in Licensee did not have a 7 day non perishible supply if food for 60 residents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Facility must keep complete hospice care plan on file

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have a completed care plan for R1 listing facility staff responsibilities which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in S1 did not have 20 hours of required training which poses/posed a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R7 did not start Vitamin D until 2/19/25 and should have started 2/15/25 which poses an immediate health, safety or personal rights risk to persons in care.

Maintain records of centrally stored medication dosages

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have centrally stored logs for medications for residents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by R5 was administered Acetaninophen on 11/3/24 at 8:07 PM and at 10:43 PM when the dr order states administer every 4 hours but not more than twice daily which poses an immediate health safety and or personal rights risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in that facility staff did not have specific training regarding Resident 3 needs, which poses a potential health, safety or personal rights risk to persons in care.

Dignity in personal relationships

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. The following requirement has not been met as evidenced by: Resident 1 has violated the personal rignts on Resident 2 on several during several separate documented incidents, which poses a potential, health, safety, or personal rights risk to residents in care.