Health inspection·August 27, 2025

F 0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review the facility failed to follow its policy and procedure (P&P) titled, Referrals, Social Services, when the facility failed to schedule a follow-up surgeon's (a doctor who removes or repairs a part of the body by operating on the patient) appointment for one of four sampled residents (Resident 1). This failure had the potential for a delay in follow-up care for Resident 1 after surgery (the branch of medical practice that treats injuries, diseases, and deformities by the physical removal, repair, or readjustment of organs and tissues, often involving cutting into the body). Findings:During a review of Resident 1's History and Physical Reports (HPR), dated 7/5/25, the HPR indicated, [Resident 1] who is direct transfer back after suffering a fall resulting in C5-6 fracture [broken neck bone] requiring discectomy [removal] and fusion [joining] as well as R V2 vertebral artery stenosis [artery blockage] at injury site.f/u [follow up] w/ [with] their surgeon in 2 weeks. During a concurrent interview and record review on 8/27/25 at 9:41 a.m. with Licensed Vocational Nurse (LVN) 1, Resident 1's clinical records were reviewed. There was no documentation of follow-up appointment scheduled with the surgeon. LVN 1 stated, I don't see any follow up appointments. LVN 1 stated when a resident is admitted , the admission nurse reviews the transfer paperwork, which included the history and physical, and if a follow-up appointment is needed the information is sent to social services to schedule the appointment. During a concurrent interview and record review on 8/27/25 at 9:50 a.m. with Director of Nursing (DON), Resident 1's Social Service Notes (SSN), undated were reviewed. The SSN indicated Resident 1 did not have a scheduled follow-up appointment with the surgeon. DON stated there was no follow-up appointment with the surgeon for Resident 1. During an interview on 8/27/25 at 10:05 a.m. with Resident 1, Resident 1 stated he had a neck surgery in (name of city) around June 30th (2025). Resident 1 stated after the surgery he was transferred to a hospital in (name of city) for recovery. Resident 1 stated he was then admitted to this facility for physical therapy. Resident 1 stated there were no follow up appointments since his admission (to the skilled nursing facility). Resident 1 stated he spoke with social services inquiring (seeking knowledge) about a follow-up appointment with the surgeon. Resident 1 stated no appointment has been scheduled. During a concurrent interview and record review on 8/28/25 at 8:51 a.m. with Social Services Director (SSD), Resident 1's HPR dated 7/2/25 was reviewed. Resident 1's HPR indicated, . f/u [follow-up] w/their surgeons in 2 weeks. SSD stated she spoke to Resident 1 approximately two weeks ago as Resident 1 inquired (seeking information) about a follow-up appointment with his surgeon. SSD stated she was unable to find any information in Resident 1's chart to schedule a follow-up appointment. SSD stated she asked Resident 1 to contact family to see if they had the information to the surgeon. SSD stated when a resident is admitted to the facility her responsibility is to review the hospital paperwork, which was uploaded into the resident's medical record, and note any follow up appointments which need to be scheduled. SSD stated she reviewed Resident 1's HPR but did not see the follow up appointment. SSD stated after further review of Resident 1's HPR, she should Residents Affected - Few (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: 056294 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 056294 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE San Joaquin Nursing Center and Rehabilitation Cent 3601 San Dimas Bakersfield, CA 93301 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)