Kern River Transitional Care
KERN RIVER TRANSITIONAL CARE in BAKERSFIELD, CA — inspection on April 29, 2026.
Found 2 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
(injury/decline/room, etc.) that affect the resident.
in condition for one of two sampled residents (Resident 1).
This failure had the potential for delay in
review on 4/29/26 at 4:04 p.m. with Director of Nursing (DON), DON reviewed Resident 1's SBAR (Situation, Background, Appearance, Review and Notify) Communication Form, dated 2/24/26, the SBAR indicated, Resident [1] was noted in the AM [morning] with small raised bumps on scalp close to ear on both sides of head.
Pink/red, small lump under skin, pea size, slightly tender when pushed on.During a review of Resident 1's Progress Notes (PN), dated 2/27/26, the PN indicated, Resident [1] on to continue monitoring for red bumps, to head, does not seem in pain, no face grimacing noted, no moaning of pain noted.
Red bumps still present.
During an interview on 4/29/26 at 4:04 p.m. with DON, DON stated she was unable to find documentation of physician was notified of the continuous red bumps still present. DON stated, It (red bumps) should have been followed up with MD [Medical Doctor/Physician].During a review of the facility's policy and procedure (P&P) titled, Change in a Resident's Condition or Status, dated November 2015, the P&P indicated, 1.
The Nurse Supervisor/Charge Nurse will notify the resident's Attending Physician or On-Call physician when there has been: d. A significant change in resident's physical/mental condition. 2. A significant change of condition is a decline or improvement in the resident's status that: a.
Will not normally resolve without intervention by staff or by implementing standard disease-related clinical interventions (not self-limiting).
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
555912 04/29/2026
Kern River Transitional Care 5151 Knudsen Drive Bakersfield, CA 93308
Background, Appearance, Review, and Notify) Communication Form, dated 2/24/26, the SBAR indicated, Resident [1] was noted in AM [morning] with small, raised bumps on scalp close to ear on both sides of head.
Pink/red, small lump under the skin, pea size, slightly tender when pushed on.During a review of Resident 1's Treatment Administration Record (TAR), dated February and March 2026, the TAR indicated there was no documentation of treatment for Resident 1's red bumps on scalp.
During a concurrent interview and record review on 4/29/26 at 4:04 p.m. with Director of Nursing (DON), DON reviewed Resident 1's Care Plan (CP), dated 2/24/26, the CP indicated, [Resident 1] has small, raised bumps to scalp close to ears and is at risk for infection, worsening, and pain or discomfort.
Intervention: Moisturize dry and flaky skin to rehydrate skin. DON stated there was no documentation of moisturizing of Resident 1's dry and flaky skin. DON stated the care plan was not followed/implemented.During a review of the facility's policy and procedure (P&P) titled, Care Plans-Comprehensive, dated September 2010, the P&P indicated, Care plan interventions are designed after careful consideration of the relationship between the resident's problem areas and their causes.
When possible, interventions address the underlying source(s) of the problem area(s), rather than addressing only symptoms or triggers.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.