Health inspection·May 7, 2025

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 implement their policy and procedure (P&P) titled, Abuse, Neglect & Exploitation Policy, when: Residents Affected - Few 1. The allegation of psychological/mental abuse was not reported timely to the California Department of Public Health (CDPH the state survey and certification agency) and local ombudsman (representatives assist residents in long-term care facilities with issues related to day-to-day care, health, safety, and personal preferences) for one of three sampled residents (Resident 1). This failure had the potential for Resident 1 not to be protected from further abuse. 2. A 5-day investigation report (written report of the results of abuse investigation) was not sent to CDPH or local ombudsman within 5-days of the incident for one of three sampled residents (Resident 1). This failure had the potential for an incomplete investigation for Resident 1. Findings: 1. During a review of Resident 1 ' s Report of Suspected Dependent Adult/Elder Abuse, (SOC – a written report of suspected of abuse or neglect of elders or dependent adults) dated 4/25/25, the SOC indicated Resident 1 was the alleged victim of psychological/mental abuse. During a concurrent interview and record review, on 5/14/25 at 1:35 p.m. with the Administrator, Resident 1 ' s SOC, dated 4/25/25 was reviewed. The Administrator stated the SOC was not sent to CDPH or the local ombudsman within 24 hours. 2. During an interview on 5/14/25 at 1:35 p.m. with the Administrator, the Administrator stated she did not send the 5-day investigation report to CDPH or the local ombudsman within 5-days. During a review of the facility's P&P titled, Abuse, Neglect & Exploitation Policy, revised 10/22, the P&P indicated, Brookdale is committed to maintaining a safe environment for residents, . Instances or allegations of abuse . should be treated seriously and reported to the administrator the supervisor on duty for investigation and appropriate follow-up. 7. As required, the Administrator should provide a written report of the results of abuse investigations, and appropriate action taken to the state survey and certification agency, the local police department, the ombudsman, and others as may be required by state or local laws, within five (5) working days of reported incident. G. External Reporting 1. Alleged violations involving abuse . should be reported: . b. No later than 24 hours if the events that caused the allegations do not involve abuse and do not result in serious bodily injury. During a review of the facility provided document titled, Report of Suspected Dependent Adult/Elder Page 1 of 2 555771 555771 05/07/2025 Brookdale Riverwalk Snf (CA) 350 Calloway Drive, Building C Bakersfield, CA 93312

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Abuse, revised 2/2024, the document indicated, Report Of Suspected Dependent Adult/Elder Abuse General Instructions Purpose of Form This form, as adopted by California Department of Social Services . is required under Welfare and Institutions Code (WIC) Sections 15630 and 15658(a)(1). This form documents the information given by the reporting party on the suspected incident of abuse or neglect of an elder or dependent adult. Dependent Adult means any person residing in this state, . between the ages of 18 and 59, who is admitted as an inpatient to a 24-hour health facility . Reporting Responsibilities And Time Frames: . In all other instances of abuse that occurred in a Long-Term Care (LTC) facility . Send the written report to local law enforcement agency, the local Long-Term Care Ombudsman Program (LTCOP), and the appropriate licensing agency (for long-term health care facilities, the California Department of Public Health . within twenty-four (24) hours of observing, obtaining knowledge of or suspecting physical abuse. 555771 Page 2 of 2