Health inspection·August 28, 2024

F 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to provide wound treatment as ordered by the physician for one of three sampled residents (Resident 1). This failure had the potential to result in delayed wound healing for Resident 1. Residents Affected - Few Findings: During a review of Resident 1 ' s Skin Assessment (SA), dated 7/25/24, the SA indicated Resident 1 had glue stitches on her right groin and right upper thigh. During a review of Resident 1 ' s SBAR (Situation, Background, Assessment, Recommendation), dated 8/2/24, the SBAR indicated Resident 1 had wound dehiscence (complication where a cut made during a surgical procedure, opens) on her right groin and right thigh. During a review of Resident 1 ' s Order Summary Report (OSR), dated 8/2/24, the OSR indicated, Cleanse surgical site to the right groin with NS (normal saline [mixture of salt and water]), pat dry, apply santyl (medicated ointment used for treating wounds), if unavailable, apply hydrogel (medicated cream used for treating wounds), apply calcium alginate (medicated gel used for treating wounds) and cover with dry dressing QD (daily) and PRN (as needed). During a review of Resident 1 ' s OSR, dated 8/2/24, the OSR indicated, Cleanse surgical site to the right thigh with NS, pat dry, apply santyl, if unavailable, apply hydrogel, apply calcium alginate, and cover with dry dressing QD and PRN. During a review of Resident 1 ' s SBAR, dated 8/5/26, the SBAR indicated Resident 1 had a low-grade fever (increase in the body ' s temperature in response to an illness) which started on 8/5/24 at 6:00 p.m. During a review of Resident 1 ' s SBAR, dated 8/6/24, the SBAR indicated Resident 1 was sent to the hospital from her appointment because of wound dehiscence. During a concurrent interview and record review on 8/8/24 at 2:33 p.m. with Licensed Vocational Nurse (LVN) 1, Resident 1 ' s Treatment Administration Record (TAR), dated August 2024 was reviewed. LVN 1 stated, (Resident 1) ' s treatment are daily and prn when soiled. TAR indicated there was no wound treatment provided for Resident 1 on 8/5/24 and 8/6/24. During an interview on 8/27/24 at 12:30 p.m. with Assistant Director of Nursing (ADON), ADON stated, The nurses should follow up if it (wound treatment) was done. The next shift should have done the treatment if the resident had an appointment in the morning. (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: 555702 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 555702 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/28/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE The Orchards Post-Acute 730 34 Street 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)