Medication handling and storage
Cited in 2 reports, with 5 deficiencies in total.
10005 COBBLESTONE AVE, Bakersfield CA 93311
6 bedsLatest official report Feb 4, 2026Licensed
The available records show 5 Type A and 5 Type B deficiencies for this facility.
No later report is available, so the records do not show what happened afterward.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
Counts cover the five-year public record. Typical figures are the median for the 125 Kern County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 3 inspections, 0 complaint investigations, and 2 licensing or administrative records.
Those records contain 5 Type A and 5 Type B deficiencies.
4 deficiencies have explicit official correction or clearance evidence in the loaded records.
Fewer than the typical 5
1 in the last 12 months
Well above the typical 3
4 in the last 12 months
More than the typical 1
0 in the last 12 months
More than the typical 2
4 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Cited in 2 reports, with 5 deficiencies in total.
All preserved reports from the most recent to the oldest, sortable by report type.
87608 (a)(3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interviews conducted, and records reviewed, R1 and R2 uses half bed rail on hospital bed with no doctor’s order, which poses/posed a potential health and safety and personal rights risk to the resident in care.
POC Due Date: 02/05/2026 Plan of Correction Licensee removed R1 and R2’s half bed rails during visit. POC cleared during visit.
87608(a)(5)(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and records reviewed, R1 and R2 are on hospice care lying bed using a hospital bed with full rail with no doctor’s order, which poses/posed a potential health and safety and personal rights risk to the resident in care.
POC Due Date: 02/13/2026 Plan of Correction Licensee shall obtain doctor orders full rails for R4 whose receiving hospice care that specific the need for full bed rails by POC due date. If doctor does not indicate the reason for the need for the full bed rails, the full bed rails must be removed by POC due date. Doctor’s order for full bed rails or proof of full bed rails removed will be submitted to the Fresno CCL by POC due date 02/13/26.
87465 (c)(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Deficient Practice Statement Based on records reviewed and interview conducted with Licensee, R3's Senna Plus medication was not administered as prescribed by physician, which poses/ posed a potential health and safety risk for the person in care.
POC Due Date: 02/06/2026 Plan of Correction Licensee will submit a written statement of steps the facility will take to ensure to meet the regulation. The written statement of steps will be submitted to Fresno CCL by POC due date 02/06/25.
87405(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: This requirement is not met as evidenced by: Deficient Practice Statement Based on records reviewed, the licensee did not comply with the section cited above when staff not having Hoyer lift training for R3's Hoyer lift, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/17/2026 Plan of Correction Licensee agrees to conduct Hoyer lift training and submit to LPA by POC due date 02/17/26.
87465(h)(2) Centrally stored medicines shall be kept in a safe and locked place... not accessible to persons other than employees... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when LPA observed at 10:24AM, medications stored in the medication unlock. Licensee checked and confirmed medication closet was not lock which poses/ posed an immediate health, safety or personal rights risk to person in care.
POC Due Date: 02/20/2025 Plan of Correction Licensee immediately locked medication cabinet and removed staff medications. POC cleared during visit.
87465(c)(3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement was not met as evidenced by: Deficient Practice Statement Based on observation, records reviewed, and interview conducted, R1’s medication Guaifenesin ER 600mg was filled on 02/11/25 has been administered 12 tablets, medication not record in the resident’s MAR. R3’s medication Brimonidine Tart 5ml Sol was administered 02/19/25 at 7AM and not recorded by staff which poses/posed a potential health and safety risk to the resident in care.
POC Due Date: 02/20/2025 Plan of Correction Staff immediately recorded in R3’s MAR medication Brimonidine Tart administered. Licensee will submit document of R1’s medication Guaifenesin ER 600mg documented in the MARs to Fresno CCL office by POC due date 02/20/25.
87465 (c)(2) Once ordered by the physician the medication is given according to the physician's directions. This requirement was not met as evidenced by: Deficient Practice Statement Based on records review and observation, R1’s MARs were reviewed, and medications were checked. R1’s medications Metoprolol 50 mg, Memantine 5 mg, Fexofenadine 180 mg, Aspirin 81mg, and Beta Prostate were not accounted for. R2’s medications Mirtazapine 30 mg, Metformin 500mg, Esomeprazole/ Magnesium 20 mg, and Vitamin D2 1.25mg were not accounted for. R2’s medication Mirtazapine 30 mg in the MARs was recorded 15 mg, Metformin Hcl 500mg doctor order take 1 tablet by mouth twice daily was administered and record in R2’s MAR administered daily once daily for the month of February 2025, and GNP stool softener doctor order take 1 tablet by mouth every day as needed and record in R2’s MAR administered once daily for the month of February 2025, which poses an immediate health and safety risk for the person in care.
POC Due Date: 02/20/2025 Plan of Correction Licensees agree to write statement of steps facility will take to ensure regulations is met. Statement will be submitted to Fresno CCL by POC due date 02/20/25. Licensee shall have all staff retrained on medication training which include administering medications, documentation, recording centrally stored medications, and review medications. Licensee will submit documentation of training topics with staff attendance rooster to the Fresno CCL office by 03/04/25.
87465(h)(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when LPA checked R1’s Potassium medication and observed 12 unknown tablets that were a different stored in the same bottle which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/20/2025 Plan of Correction Licensee immediately removed the 12 unknown tablets out of the Potassium medication bottle. POC cleared during visit.
87705 (f)(1) Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above when LPA observed at 12:16PM, tools stored in kitchen drawer under kitchen counter unlock and accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/20/2025 Plan of Correction Licensee immediately removed tools into lock shelf. POC cleared during visit.
87411(F) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: 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 when LPA reviewed S1 file and observed no health screening were on file, which poses a potential health or personal rights risk to persons in care.
POC Due Date: 03/18/2024 Plan of Correction Licensee will submit proof of S1’s health screening to CCL by POC due date 3/18/24.
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
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