Kern River Transitional Care
KERN RIVER TRANSITIONAL CARE in BAKERSFIELD, CA — inspection on April 24, 2025.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F623) not provided as identified by the survey team.
These failures placed all 126 facility residents at risk for acquiring infectious diseases and not receiving medically necessary services.
Findings:
During a concurrent interview and record review on 4/24/25 at 3:09 p.m. with the Administrator, the minutes of the facility's QAPI (a committee that identifies quality deficits and implements corrective plans) meeting dated 4/18/25 and 1/19/25 were reviwed.
The Administrator stated meetings were held every Tuesday to review new residents assessments.
The facility's deficient practices reviewed included failure to assess each resident and care planning of residents.
The Administrator stated the above resident assessment deficient practices had not been identified by the facility and were not covered during the most recent (
F-F658).
Dental referral for one of one sampled resident (Resident 133) had not been made for a resident admitted on [DATE]. A physician order dated 4/4/25 indicated dental referral. (Cross-reference to
F-F687). SSD stated she had not visited one of one resident (Resident 133) who expressed concerns about his mail and his ability to pay his bill. SSD stated she does not do resident visits in the room but waits for the residents in care conferences. SSD stated she does not do just-in-time documentation. SSD stated she documents after two days in medical records. SSD had not completed Resident 133's Initial Social History Assessment to determine Resident 133's needs. (Cross-reference to
F-F790).
Podiatry referral for one of one sampled resident (Resident 72) had not been made for Resident 72 who showed signs and symptoms of foot problem, possible fungal infection, and toenail deformity. (Cross-refence to
F-F842).
The Notice of Transfer and Discharge to the Ombudsman (representatives who assist residents in long-term care facilities with issues related to day-to-day care, health, safety and personal preferences) for one of six sampled resident's (Resident 40) was not completed and sent to the Ombudsman. SSD stated it was not her responsibility to notify the Ombudsman. (Cross-reference to
During an interview on 4/24/25 at 3:13 p.m.with the Administrator, Administrator stated previous Social Services Director (SSD) was not competent in job duties and was let go in December of 2024.
Administer stated the Director of Nursing had taken on duties and our admission records are reviewed every Tuesday.
Administer stated we are at 100% compliance.
During a review of the facility policy and procedure (P&P) titled Quality Assurance and Performance Improvement (QAPI) program dated February 2020, the P&P indicated, This facility shall develop, implement, and maintain an ongoing, facility-wide, data-driven QAPI Program that is focused on indicators of the outcome of care and quality of life for our residents.
555912
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 555912 B.
Wing 04/24/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Kern River Transitional Care 5151 Knudsen Drive Bakersfield, CA 93308