Inspection Reports for Hallmark Of Bakersfield

The inspection was an unannounced complaint investigation triggered by allegations received on 2025-06-06 regarding medication administration and elevator maintenance at the facility.

The investigation substantiated that staff did not administer resident medications in a timely manner and mismanaged medication orders, resulting in missed doses. The allegation regarding elevator maintenance was unsubstantiated as the facility took prompt corrective actions.

The complaint investigation was substantiated for allegations that staff did not administer medications timely and mismanaged medication orders, specifically for resident R1. The elevator maintenance allegation was unsubstantiated. A civil penalty was issued for repeat medication violations.

An unannounced complaint investigation was conducted based on complaints alleging that a resident eloped from the facility due to lack of care or supervision and that staff did not give resident medication as prescribed.

The investigation substantiated the allegation that the facility failed to provide adequate care and supervision, resulting in a resident eloping and being hospitalized. The medication administration complaint was found to be unfounded and dismissed.

The complaint investigation was substantiated for the allegation that a resident eloped due to lack of care or supervision. The allegation that staff did not give resident medication as prescribed was found to be unfounded and dismissed.

An unannounced complaint investigation was conducted due to allegations that staff spoke inappropriately to residents in care.

The investigation substantiated that staff spoke inappropriately to residents, with consistent statements from residents and evidence that staff responses to resident arguments were inappropriate.

The complaint alleging inappropriate staff speech to residents was substantiated based on interviews and records review.

The inspection was an unannounced required annual inspection conducted by Licensing Program Analyst Shawna Doucette to evaluate compliance with licensing regulations at the facility.

The inspection found several deficiencies including lack of a labeled prescription for aspirin for resident R7, absence of centrally stored medication logs, incomplete hospice care plans, insufficient staff training hours, and inadequate food supply of nonperishable items. The facility also had some safety features in place such as fire alarms and extinguishers.

The inspection was an unannounced complaint investigation triggered by an allegation that staff mishandled residents' medications.

The investigation substantiated the allegation that a resident (R5) was administered medication more frequently than prescribed, violating medication administration orders. Another allegation regarding staff behavior posing a risk to residents was unsubstantiated due to lack of evidence.

The complaint investigation was substantiated for medication mishandling based on records and interviews. The allegation that staff behavior posed a risk to residents was unsubstantiated due to insufficient evidence.

Unannounced complaint investigation visit conducted in response to allegations including failure to prevent the spread of COVID, facility disrepair, unmet laundry needs, restricted restroom access, and inadequate nutrition.

The investigation found the facility was following COVID-19 protocols, had repaired the elevator, provided laundry services including use of a laundromat, allowed resident access to restrooms with a key system, and provided nutritious meals. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.

The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.

The inspection was a continuation annual visit conducted to review facility files, including resident and employee records, and assess compliance with training requirements.

The inspection found that while general diabetes training was provided, the facility staff did not have specific training regarding the needs of Resident 3, resulting in a cited deficiency.

An unannounced Annual inspection visit was conducted to evaluate the facility's compliance with licensing requirements.

The Licensing Program Analyst observed the facility to be generally clean and in good repair, with operational safety systems and required postings present. Due to insufficient time, the analyst was unable to review files and facility documents and will return to complete the inspection.

An unannounced Case Management visit was conducted to review incidents involving aggressive behavior between residents and to assess compliance with Title 22 regulations.

The inspection found that Resident 1 violated the personal rights of Resident 2 on multiple occasions, posing potential health, safety, and personal rights risks. The facility was unable to provide an itemized list of Resident 1's personal belongings.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 01/25/2024 regarding staff preventing residents from having visits and not safeguarding residents' personal items.

The complaint that staff were preventing residents from having visits was found to be unfounded with no basis. The allegation that staff did not safeguard residents' personal items was unsubstantiated due to lack of preponderance of evidence, with some confusion over clothing items corrected by staff. No deficiencies were cited.

The complaint investigation involved two allegations: 1) Staff preventing resident visits, which was found to be unfounded, and 2) Staff not safeguarding resident's personal items, which was unsubstantiated. The investigation included interviews with facility staff and review of evidence. No violations were confirmed.

The inspection was a pre-licensing visit conducted to evaluate the facility prior to issuing a license.

The facility was toured and observed to have appropriate safety measures, sanitary kitchen conditions, locked storage for medications and chemicals, and adequate resident accommodations. Seven staff files were reviewed and confirmed for criminal record clearances. No license was issued at the time, and the report will be forwarded for further review.

The visit was conducted as part of the Component II completion for a Change in Ownership (CHOW) application for the Residential Care Facility for Elderly (RCFE).

The applicant successfully completed Component II, demonstrating understanding of community care facility licensing laws and regulations. The evaluation confirmed the applicant's knowledge in areas including facility operation, admission policies, staffing, emergency preparedness, and complaints reporting.