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Inspection visit

Inspection

PARKVIEW JULIAN HEALTHCARE CENTERCMS #0556011 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to follow their policy and procedure (P&P) titled, Abuse Prevention and Prohibition Program, when the facility failed to: Residents Affected - Some 1. Submit the SOC 341 (California Report of Suspected Dependent/Elder Abuse) to the California Department of Public Health (CDPH - local state agency) and local ombudsman for two of five sampled residents (Resident 1 and Resident 2). This failure had the potential for Resident 1 and Resident 2 to experience further abuse. 2. Submit the 5-day investigation report to the local ombudsman and the CDPH within 5-days of the incident for one of five sampled residents (Resident 3). This failure had the potential for an incomplete investigation for Resident 3. 3. Notify the attending physician (AP) for one of five sampled residents (Resident 3) allegation of financial abuse. This failure resulted in Resident 3's AP to be unaware of the financial abuse. 4. Develop a care plan for one of five sampled residents (Resident 3) when the financial abuse was discovered. This failure had the potential for Resident 3 mental or psychosocial change to go unnoticed and Resident 3 mental or psychosocial needs to go unmet. Findings: 1. During an interview on 2/26/25 at 11:34 a.m. with Director of Nursing (DON), DON confirmed Resident 1 and Resident 2 had an unwitnessed resident to resident altercation on 2/17/25. DON was unable to provide documentation the SOC 341 was sent timely to CDPH or local ombudsman. DON stated there was an error in communication and the SOC 341 was not sent timely. 2. During a concurrent interview and record review on 3/4/25 at 3 p.m. with DON, the SOC 341 dated 2/26/25 indicated, Resident 3 was a victim of financial abuse. DON stated the 5-day investigation report was not available at this time (6 days). 3. During a concurrent interview and record review on 3/4/25 at 2:14 p.m. with DON, Resident 3 medical record was reviewed. DON confirmed there was no documentation Resident 3's AP was notified of the allegation of financial abuse. DON stated Resident 3's AP should have been notified. 4. During a concurrent interview and record review on 3/4/25 at 2:14 p.m. with DON, Resident 3's medical record was reviewed. DON stated there was no care plan developed or implemented to assess or monitor for mental or psychosocial outcomes or needs after Resident 3's financial abuse was discovered. (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: 055601 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 055601 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Parkview Julian Healthcare Center 1801 Julian Avenue Bakersfield, CA 93304 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)
F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete During a review of the facility's policy and procedure (P&P) titled, Abuse Prevention and Prohibition Program, revise 8/1/23, the P&P indicated, To ensure the Facility establishes, operationalizes, and maintains and Abuse Prevention and Prohibition Program designed to . protect residents, and ensure a standardized methodology for the . reporting of abuse . in accordance with federal and state requirements. III. The Administrator is responsible for coordinating and implementing the Facility's abuse prevention policies, procedures, . and systems. Reporting/Response . The Facility will report allegations of abuse . using . California Report of Suspected Dependent/Elder Abuse (SOC 341) . i. immediately, but no later than 2 hours after forming the suspicion- if the alleged violation involves abuse . to the state survey agency, adult protective services, law enforcement and Ombudsman. ii. No later than 24 hours after forming the suspicion - if the alleged violation .does not involve abuse and does not result in serious bodily to the state survey agency, adult protective services, law enforcement and Ombudsman. iii. Reporting requirements are based on real (clock) time, not business hours. iv. The Administrator will provide the state survey agency, law enforcement and the Ombudsman with a copy of the investigation report within 5 days of the incident. vi. The resident's Attending Physician . will also be notified of the allegation and outcome of the investigation. XI. The Facility will reassess the resident following the investigation to determine if the resident's medical, nursing, physical, mental or psychosocial needs or preferences have changed as a result of the incident and initiate or update the care plan as indicated. Event ID: Facility ID: 055601 If continuation sheet Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0607GeneralS&S Epotential for harm

    F607 - The facility must develop and implement written policies and procedures that:

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

FAQ · About this visit

Common questions about this visit

What happened during the March 4, 2025 survey of PARKVIEW JULIAN HEALTHCARE CENTER?

This was a inspection survey of PARKVIEW JULIAN HEALTHCARE CENTER on March 4, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at PARKVIEW JULIAN HEALTHCARE CENTER on March 4, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.