HALLMARK OF BAKERSFIELD

Official classification

Type B

Official code

87618(b)(3)(E)

Regulation authority

CCR

What the official deficiency says

(3) Ensuring that the use of oxygen equipment meets the following requirements: (E) Oxygen tanks that are not portable shall be secured in a stand or to the wall. This requirement is not met as evidenced by: LPA toured the facility with the Administrator and observed 12 out of 13 oxygen tanks in a resident room were not secured to the wall or in a stand, which poses/posed a potential health, safety or personal rights risk to persons in care. Photographs were taken.

Official plan of correction

The faclity put in place stands and secured all oxygen tanks. POC cleared during visit.

Deadline recorded: Aug 28, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(d)

Regulation authority

CCR

What the official deficiency says

(d) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement (LIC 508 [Rev. 1/03]) under penalty of perjury. This requirement was not met as evidenced by: A staff was not associated to the facility and the facility did not have a signed LIC508.

Official plan of correction

Administrator associated staff to facility during vist.POC cleared during visit.

Deadline recorded: Aug 22, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in that the centrally stored log for R2 and R3 did not have a start date for some medications, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/22/2026 Plan of Correction Administrator stated that they will audit current centrally stored medication logs and conduct an inservice training for all med techs. Administrator will provide a sign in sheet, with the topics discussed and the participants attending by POC due date of 04/22/2026.

Official classification

Type B

Official code

87618(b)(3)(E)

Regulation authority

CCR

What the official deficiency says

(3) Ensuring that the use of oxygen equipment meets the following requirements: (E) Oxygen tanks that are not portable shall be secured in a stand or to the wall. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and inrterview, the licensee did not comply with the section cited above in that LPA observed four oxygen tanks in R3's closet that were not secured in a stand or to the wall, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/15/2026 Plan of Correction Administrator stated that she purchased a stand online to secure the oxygen tanks that willl be deivered tomorrow, and will provide proof to CCLD by POC due date of 04/15/2026.

Official classification

Type A

Official code

87202(a)

Regulation authority

CCR

What the official deficiency says

87202(a) - Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement was not met as evidenced by: LPA observed R1's sliding glass door be secured closed with a wooden stick placed on the slider track, preventing the door being opened. In addition, LPA observed a reclining chair obstructing the sliding glass door.

Official plan of correction

.Administrator immediately removed the wooden stick that was preventing the sliding glass door from opening and repositioned the reclining chair to not obstruct the sliding glass door exit. In addition, Administrator stated that chimes will be installed. Administrator will obtain a quote and will let CCLD know when chimes have been installed.

Deadline recorded: Feb 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

87465(h)(5)- Incidental Medical and Dental Care Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement was not met as evidenced by: LPA reviewed a sample of resident medications and MARS and observed that medication for tomorrow morning were missing from the bubble packs for the sample of medications LPA reviewed. The administrator stated that the morning medication for the residents were transferred to a separate container to be ready to be dispensed/ administered to residents the following day.

Official plan of correction

Administrator stated that training will be conducted with staff regarding regulation 87465(h)(5). Administrator will provide proof of the topic of the training conducted and a list of all participants by POC due Date of 03/02/2026.

Deadline recorded: Mar 2, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by observation and interviews, R1 had a fall on 11/18/2025, and was not reported to the responsible party and licensing.

Official plan of correction

Per Administrator, an inservice training will be conducted by the POC date.

Deadline recorded: Dec 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This regulation was not met as evidenced by R1's medications were not administered timely on several dates. For ex. R1's medications were to be administered at 8 am on May6, 2025 and were not administered until 10:25 am. R1's medication was not ordered timely causing R1's to miss the medication on May1, 2025 which poses an immediate health safety and or personal rights risk to residents in care.

Official plan of correction

Plan of correction Licensee agrees to conduct a medication training and will submit a date the training will occur and who is conducting the training by POC due date 08/18/25. Civil Penalty was issued for repeat violation.

Deadline recorded: Aug 18, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).This requirement was not met as evidenced by: Licensee did not ensure care and supervision for R1 who eloped from the facility on 3/1/25, which resulted in hospitalization which poses an immediate health safety and or personal rights risk.

Official plan of correction

Licensee installed additional alarms on the doors and have staff wear pagers from 10 pm to 8 am which pagers alert staff when any facility door opens. POC cleared during visit. LPA observed additional alarms and Administrator demonstrated how pagers work. Civil Penalties were issued.

Deadline recorded: Mar 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by Licensee did not ensure S1 spoke approprately to residents in care which poses a potential health, safety and or personal rights risk to residents in care.

Official plan of correction

POC Licensee agrees to conduct a staff training on personal rights by POC date 04/08/25.

Deadline recorded: Apr 8, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R7 did not start Vitamin D until 2/19/25 and should have started 2/15/25 which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/06/2025 Plan of Correction Licensee agrees to conduct a staff training and will provide date of training with agenda by 3/6/25. Licensee will submit proof of training with staff certificates by 3/21/25.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in S1 did not have 20 hours of required training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/28/2025 Plan of Correction LIcensee agrees to conduct staff training for S1 that will meet this regulation by POC due date 3/28/25.

Official classification

Type B

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview), the licensee did not comply with the section cited above in Licensee did not have a 7 day non perishible supply if food for 60 residents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/07/2025 Plan of Correction Licensee agrees to get a supply of nonperishable to meet this regulation by 03/07/25.

Official classification

Type B

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have centrally stored logs for medications for residents, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/21/2025 Plan of Correction Licensee agrees to send copies of the centrally stored logs for 7 residents by POC due date 03/21/25.

Official classification

Type B

Official code

87633(b)

Regulation authority

CCR

What the official deficiency says

(b) A current and complete hospice care plan shall be maintained in the facility for each hospice resident and include the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in Licensee did not have a completed care plan for R1 listing facility staff responsibilities which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/12/2025 Plan of Correction Licensee agrees to submit a care plan to meet this regulation by 3/12/25.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by R5 was administered Acetaninophen on 11/3/24 at 8:07 PM and at 10:43 PM when the dr order states administer every 4 hours but not more than twice daily which poses an immediate health safety and or personal rights risk to residents in care.

Official plan of correction

Plan of Correction POC Licensee agrees to do medication training 11/8/24 for all medication technicians

Deadline recorded: Nov 8, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87613(a)(A)

Regulation authority

CCR

What the official deficiency says

(A)Training shall include hands-on instruction in both general procedures and resident-specific procedures. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that facility staff did not have specific training regarding Resident 3 needs, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/05/2024 Plan of Correction Administrator agreed to identify a licensed skilled professional to provide specific training regarding Resident 3's needs. Administrator to submit training records to Department by POC due date of 4/5/2024. LPA reviewed regulation with Administrator.

Official classification

Type B

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. The following requirement has not been met as evidenced by: Resident 1 has violated the personal rignts on Resident 2 on several during several separate documented incidents, which poses a potential, health, safety, or personal rights risk to residents in care.

Official plan of correction

Administrator will make a plan to keep Resident 1 from violating the rights of Resident 1, and sybmit proof to LPA by 02/10/2024.

Deadline recorded: Feb 10, 2024. A deadline is not proof that correction was completed.