Health inspection·September 5, 2024

F 0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to provide ADL (Activities of Daily Living [tasks people do to manage one's basic needs, including personal hygiene or grooming, dressing, toileting, transferring or ambulating, and eating]) care assistance for one of four sampled residents (Resident 2) when Resident 2's fingernails were not cleaned and trimmed. This failure had the potential to result in Resident 2 developing infection due to the spread of germs from fingernails. Residents Affected - Few Findings: During a review of Resident 2's admission Record (AR), dated 9/4/24, the AR indicated, Diagnosis Information. Need for assistance with personal care. During a concurrent observation and interview on 9/5/24 at 10:45 a.m. with Resident 2 in Resident 2's room, Resident 2 had dark gray debris underneath her long fingernails. Resident 2 stated her fingernails had not been cleaned and trimmed for days. Resident 2 stated, They're (fingernails) quite long and sharp. Resident 2 stated she needs assistance with cleaning and trimming her fingernails. During a review of Resident 2's Minimum Data Set (MDS [An assessment tool]), dated 8/8/24, the MDS indicated Resident 2 had a BIMS (Brief Interview for Mental Status) score of 15 (score of 13-15 indicates a resident is cognitively intact). During an interview on 9/5/24 at 10:49 a.m. with Certified Nursing Assistant (CNA) 1, CNA 1 stated Resident 2 had long fingernails. During a review of Resident 2's CNA Weekly Skin Report (CWSR), dated 8/26/24-9/2/24, the CWSR indicated: a. On 8/26/24, Resident 2 refused nail care. b. On 8/27/24 and 8/28/24, there was no documentation of nail care provided for Resident 2. c. On 8/29/24, nail trimming was not applicable or not needed for Resident 2. d. On 8/30/24 to 9/1/24, there was no documentation of nail care provided for Resident 2. e. On 9/2/24, nail trimming was not applicable or not needed for Resident 2. (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 3 Event ID: 555116 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 555116 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/05/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Rosewood Health Facility 1401 New Stine Road Bakersfield, CA 93309 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)