Health inspection·October 15, 2024

F 0774 Help the resident with transportation to and from laboratory services outside of the facility. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to provide safe transportation for one of three sampled residents (Resident 1). This failure resulted in Resident 1 being dropped off alone at a wrong address and had the potential for harm. Residents Affected - Few Findings: During a review of Resident 1 ' s Minimum Data Set (MDS- an assessment tool) under the section BIMS (Brief Interview for Mental Status – an assessment of cognition [mental processes including perception, memory, and thought]), dated 9/10/24, the BIMS indicated, Resident 1 had a score of 4 (severe cognitive impairment). During a review of Resident 1 ' s admission RECORD (AR), dated 10/15/24, the AR indicated, Resident 1 was a [AGE] year-old male with the following diagnosis: a. Hemiplegia (weakness or inability to move one side of the body) and Hemiparesis (inability to move the arm, leg, and trunk of one side of the body) following cerebral infarction (loss of blood flow to part of the brain) affecting the right dominant side. b. Memory deficit following cerebral infarction (lack of blood flow to part of the brain). c. Cognitive communication deficit (difficulty communicating due to cognition issues). d. Dysphagia (difficulty swallowing). e. Lack of coordination. f. Need for assistance with personal care. g. Chronic pain syndrome (a condition that involves consistent pain). During a review of Resident 1 ' s MDS under the section GG (an assessment of the level a care a resident requires), dated 9/10/24, the GG indicated, Resident 1 required: a. Resident one had impairment to one side of his body for upper and lower extremities. b. Resident 1 required maximum assistance from staff to sit up in bed. (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: 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 10/15/2024 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)