Health inspection·December 8, 2025

F 0600 Level of Harm - Actual harm Residents Affected - Few outlines an individual's specific health conditions, needs, goals, and preferences), initiated 5/24/24 and revised on 8/30/25, the CP indicated, (Resident 1) is/has episodes to demonstrate physical behaviors (swinging at staff when assisting with ADL function) r/t (related to) Alzheimer's disease. Interventions (any treatment or action that staff perform to enhance resident outcomes) . Provide physical and verbal cues to alleviate anxiety (feeling of worry); give positive feedback (to appreciate certain acts or behaviors), encourage to verbalize source of agitation (feeling of irritability, mental distress or restlessness).During a review of Resident 1's Change in Condition Evaluation (CCE), documented by Licensed Vocational Nurse (LVN) 1 on 8/26/25 at 7:14 a.m., dated 8/26/25, the CCE indicated, (LVN 1) were called from the office around 6:05 am regarding an allegation of a witnessed of physical abuse with the resident (1) and a CNA (1) involved. MD (Medical Doctor) was notified; on Neuro check (evaluates brain and nervous system [network of nerve cells and fibers that transmits nerve impulses between parts of the body] functioning) per policy and monitoring for any skin changes and psychosocial (mental and emotional state) changes. The CCE indicated there were no injuries noted on Resident 1.During an interview on 9/9/25 at 4:08 p.m. with Executive Director (ED), ED stated, (CNA 1) was interviewed three of four times, (CNA 1) did admit to the incident (CNA 1 hitting Resident 1 on the right side of his face on 8/26/25 at around 5:40 a.m.). ED stated the physical abuse incident (CNA 1 hitting Resident 1 on the right side of his face on 8/26/25 at around 5:40 a.m.) was substantiated (verified with investigation, and CNA 1 and CNA 2 interviews) on 8/31/25.During an interview on 10/8/25 at 2:45 p.m. with CNA 1, CNA 1 stated on 8/26/25 at around 5:45 a.m., CNA 1 was helping CNA 2 (CNA assigned to Resident 1 on 8/25/25 night shift) change Resident 1's brief. CNA 1 stated Resident 1 held CNA 1's hands and tried to bite CNA 1. CNA 1 stated, My one hand hit (Resident 1's) face (right side). CNA 1 stated after she hit Resident 1's face, Resident 1 was not fighting too much then CNA 1 and CNA 2 finished changing Resident 1's brief. CNA 1 stated maybe hitting Resident 1 on the right side of his face was considered physical abuse. CNA 1 stated she did not report the physical abuse incident (CNA 1 hitting Resident 1 on the right side of his face on 8/26/25 at around 5:40 a.m.) to anybody.During an interview on 10/8/25 at 4:31 p.m. with CNA 2, CNA 2 stated she was the CNA assigned to Resident 1 on 8/25/25 night shift (10 p.m. to 6 a.m.). CNA 2 stated on 8/26/25 at around 5:40 a.m., CNA 2 asked CNA 1 to help her change Resident 1's brief. CNA 2 stated Resident 1 agreed to have CNA 1 and CNA 2 change his adult brief. CNA 2 stated Resident 1 started getting agitated when CNA 1 and CNA 2 started changing Resident 1's adult brief and hit CNA 1 and CNA 2. CNA 2 stated CNA 1 raised her left hand and slapped Resident 1 on the right side of his face. CNA 2 stated Resident 1 did not try to bite CNA 1. CNA 2 stated, (CNA 1) did (hit Resident 1 on the right side of his face) out of anger. I saw (CNA 1's) expression (CNA 1) was really mad. CNA 2 stated CNA 1 told her, (Resident 1's) like this (agitated during ADL care). Next time we'll close the door. CNA 2 stated Resident 1 got upset and started to cry. CNA 2 stated she noticed redness on Resident 1's right cheek. CNA 2 stated she reported CNA 1 hitting Resident 1 on the right side of his face to the Administrator on 8/26/25 at around 6 a.m. when the Administrator arrived at the facility.During an interview on 12/1/25 at 4:33 p.m. with Administrator, Administrator stated on 8/26/25 at 6 a.m., CNA 2 reported, while CNA 2 and CNA 1 were changing Resident 1's adult brief (on 8/26/25 at around 5:40 a.m.), Resident 1 grabbed CNA 1's hands, CNA 1 was in pain and pulled her hand (left) away and hit Resident 1 on the face (right side). Administrator stated CNA 2 used the word hit but CNA 2 motioned like a slap. Administrator stated she went to see if CNA 1 was still in the building, but CNA 1 had already left. Administrator stated she informed LVN 1 (nurse assigned to Resident 1 on 8/25/25 night shift) of the physical abuse incident (CNA 1 hitting Resident 1 on the right side of his face on (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 555771 If continuation sheet Page 2 of 3 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 12/08/2025 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)

F 0600 Level of Harm - Actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete 8/26/25 at around 5:40 a.m.), to complete a skin assessment immediately, and to advise her of LVN 1's findings. Administrator stated she interviewed CNA 1 and CNA 2 twice (no dates provided). Administrator stated CNA 1 initially stated CNA 1 was pushing Resident 1's face away because Resident 1 was trying to bite CNA 1, but on CNA 1's second interview, CNA 1 did a demonstration of how she hit Resident 1's face, and she hit herself on the face with a slapping motion. Administrator stated CNA 1 and Administrator role played the incident (CNA 1 hitting Resident 1 on the right side of his face on 8/26/25 at around 5:40 a.m.) in an empty room, and CNA 1 hit Administrator on the right side of her face with CNA 1's left hand.During a review of the facility's policy and procedure (P&P) titled, Abuse, Neglect & Exploitation Policy, dated October 2022, the P&P indicated, Residents have the right to be free from abuse, neglect, mistreatment, misappropriation of resident property, and exploitation. Event ID: Facility ID: 555771 If continuation sheet Page 3 of 3