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 (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: 555771 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 555771 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Brookdale Riverwalk Snf (CA) 350 Calloway Drive, Building C Bakersfield, CA 93312 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)