Inspection Reports for
Riverstone Terrace Senior Living
3209 Brookside Dr, Bakersfield, CA 93311, CA, 93311
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
3.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
10% better than California average
California average: 4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
38% occupied
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Annual Inspection
Census: 21
Capacity: 55
Deficiencies: 7
Date: Aug 6, 2025
Visit Reason
The inspection visit was an unannounced continuation of the Annual Inspection to evaluate compliance with licensing requirements at Riverstone Terrace Senior Living Facility.
Findings
Multiple deficiencies were cited including immediate risks such as un-cleared fingerprinting of staff, unsecured hazardous chemicals accessible to residents, lack of slip-resistant mats in showers, missing staff training and orientation records, and missing health screenings and tuberculosis test results for staff.
Deficiencies (7)
Staff member S1 was not fingerprinted clear and not associated with the facility, posing an immediate risk to residents.
Hydrogen Peroxide bottle was found unlocked and accessible to residents in a bathroom, posing an immediate health and safety risk.
No slip-resistant mats or strips in bathroom showers in multiple rooms, posing an immediate health and safety risk.
Personnel records lacked verification of required staff training and orientation, posing a potential health and safety risk.
Staff S1 and S2 did not have current First Aid training, posing an immediate health and safety risk.
Staff member S1 did not have a tuberculosis (TB) test result on file, posing a potential health and safety risk.
Staff S1 and S2 did not have health screenings on file, posing a potential health or personal rights risk.
Report Facts
Capacity: 55
Census: 21
Deficiency count: 7
Plan of Correction due dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Rice | Administrator | Met with Licensing Program Analyst during inspection |
| S1 | Staff member cited for fingerprint clearance, TB test, First Aid training, and health screening deficiencies | |
| S2 | Staff member cited for First Aid training and health screening deficiencies |
Inspection Report
Annual Inspection
Census: 21
Capacity: 55
Deficiencies: 2
Date: Jul 24, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with licensing requirements.
Findings
The facility was generally clean, comfortable, and well-equipped with safety features such as fire sprinklers and extinguishers. However, some nonskid mats or strips were missing in bathrooms of rooms 102, 202, and 407, and a chemical bottle was observed in a resident's bedroom.
Deficiencies (2)
Nonskid mat/strips were not observed in room 102, room 202, and room 407 bathrooms.
A chemical bottle was observed in resident R1's bedroom.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Douglas Rice | Administrator | Met with Licensing Program Analyst during inspection and named in report. |
| Mai Yang | Licensing Program Analyst | Conducted the annual inspection and authored the report. |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 55
Deficiencies: 0
Date: Mar 27, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2025-03-06 regarding staff response times, facility alarm disrepair, and administrator certification status.
Complaint Details
The complaint allegations included staff not responding timely to resident calls, facility alarm disrepair, and lack of a certified administrator. The investigation concluded these allegations were unsubstantiated.
Findings
The investigation found that staff responded to call signals in a timely manner, the fire alarm was operational, and the administrator's certification was valid. Therefore, the allegations were found to be unsubstantiated.
Report Facts
Capacity: 55
Census: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Douglas G. Rice | Administrator | Named in complaint allegations and investigation |
| Angelina Rodriguez | Benched Executive Director | Met with Licensing Program Analyst during investigation |
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 23
Capacity: 55
Deficiencies: 0
Date: Nov 6, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-10-02 regarding staff causing bruising, handling residents roughly, and forcing residents out of bed against their will.
Complaint Details
The complaint allegations included staff causing bruising to a resident, handling residents in a rough manner, and forcing residents out of bed against their will. The investigation concluded these allegations were unsubstantiated.
Findings
The investigation found that the allegations were unsubstantiated. Interviews and record reviews confirmed that bruising was not caused by staff, staff assist residents as needed, and residents are not forced out of bed against their will.
Report Facts
Capacity: 55
Census: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation |
| Kelli Porter | Memory Care Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 25
Capacity: 55
Deficiencies: 3
Date: Jul 9, 2024
Visit Reason
The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate compliance with state regulations.
Findings
The facility was generally clean, well-maintained, and equipped with necessary safety features. However, deficiencies were cited related to unlocked cleaning chemicals and tools accessible to residents, unlocked medication in a resident's room, and mold found inside the ice machine.
Deficiencies (3)
Janitor cart with cleaning chemicals unlocked and set aside in hall between receptionist desks and facility bathroom; two tool sets with box cutter unlocked in room 106; knife and sharp from blender unlocked in room 107 kitchen accessible to residents.
Medication on top of resident’s nightstand in room 107 unlocked and accessible to residents.
Mold inside facility’s ice machine.
Report Facts
Capacity: 55
Census: 25
POC Due Date: Jul 10, 2024
POC Due Date: Jul 15, 2024
Fire extinguisher service date: Sep 15, 2023
Refrigerator temperature: 40
Freezer temperature: -7
Bathroom hot water temperature range: 109.6-113.3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angela Ohanian | Administrator | Met with Licensing Program Analyst during inspection and involved in observations related to deficiencies |
| Mai Yang | Licensing Program Analyst | Conducted the inspection and documented findings |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 55
Deficiencies: 0
Date: Mar 19, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation of lack of care and supervision resulting in a resident being hospitalized with unexplained traces of drug found.
Complaint Details
The complaint was unsubstantiated based on the investigation findings.
Findings
The investigation included interviews and record reviews, and found insufficient evidence to prove or disprove the allegation. Therefore, the complaint was determined to be unsubstantiated.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Angela Ohanian | Administrator | Met with the Licensing Program Analyst during the investigation. |
Inspection Report
Complaint Investigation
Census: 28
Capacity: 55
Deficiencies: 0
Date: Jan 2, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-11-13 regarding overcharging a resident and termination of physical therapy services without consent.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, and/or were without reasonable basis.
Findings
The investigation found that the allegations were unfounded as the resident in question did not reside at the facility and the physical therapy was discontinued by the resident’s Home Health Agency. The complaint was dismissed.
Report Facts
Capacity: 55
Census: 28
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation |
| Angela Ohanian | Administrator | Met via telephone during investigation |
| Petra Vargas | Business Office | Met during investigation and authorized to receive and sign report |
Inspection Report
Complaint Investigation
Census: 27
Capacity: 55
Deficiencies: 0
Date: Aug 17, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff did not keep the facility free of pests, resulting in residents sustaining multiple ant bites.
Complaint Details
The complaint was investigated and found to be unfounded based on observations, records, and interviews.
Findings
The investigation included a facility tour, record review, and interviews. It was found that the facility had ongoing monthly pest control services and weekly bedroom checks for ants since January 2023. The allegation was determined to be unfounded and the complaint was dismissed.
Report Facts
Capacity: 55
Census: 27
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation |
| Irma Langston | Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Annual Inspection
Census: 29
Capacity: 55
Deficiencies: 0
Date: Jul 19, 2023
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations at the facility.
Findings
The facility was found to be clean, in good repair, and compliant with safety and health standards. No deficiencies were issued during this inspection. Resident and staff files were reviewed and found to be in order.
Report Facts
Fire extinguisher service date: Dec 14, 2022
Last fire drill date: Jun 15, 2023
Refrigerator temperature: 37
Freezer temperature: -7
Hot water temperature range: 108.7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Irma Langston | Executive Director | Met with Licensing Program Analyst during inspection |
| Don Marchel | Memory Care Director | Met with Licensing Program Analyst during inspection |
| Mai Yang | Licensing Evaluator | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 29
Capacity: 55
Deficiencies: 0
Date: Jul 19, 2023
Visit Reason
The visit was conducted to address an incident reported to the department that occurred on 06/24/23 involving a resident's change of condition which required emergency room transfer.
Complaint Details
The visit was complaint-related, triggered by an incident report regarding Resident 1's change of condition on 06/24/23. The responsible party arrived and the resident was sent to the emergency room. The complaint was investigated with interviews conducted.
Findings
No deficiencies were issued during the visit after interviews and case management activities were conducted.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Irma Langston | Executive Director | Met with Licensing Program Analyst during the visit and involved in interviews related to the incident. |
Inspection Report
Complaint Investigation
Capacity: 55
Deficiencies: 1
Date: Jan 9, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 2022-12-22 regarding pest presence and staff behavior at Pacifica Senior Living Bakersfield.
Complaint Details
The complaint investigation was substantiated for the allegation of pests in the facility, specifically ants found in residents' rooms. The allegation that facility staff yelled at residents and did not treat them with respect was unsubstantiated.
Findings
The investigation substantiated the allegation of pest presence, specifically ants observed in residents' rooms, posing a potential health and safety risk. The allegation that staff yelled at residents and did not treat them with respect was found to be unsubstantiated due to insufficient evidence.
Deficiencies (1)
Maintenance and Operation a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by ants present in residents' rooms posing a potential health, safety or personal rights risk.
Report Facts
Capacity: 55
Census: 40
Census: 41
Plan of Correction Due Date: Jan 16, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mai Yang | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Irma Langston | Assistant Executive Director | Met with Licensing Program Analyst during investigation and discussed plan of correction |
| Melinda Hoffmann | Supervisor | Supervisor overseeing the complaint investigation |
| Cassondra Bradford | Administrator | Facility administrator named in the report |
Inspection Report
Annual Inspection
Census: 39
Capacity: 55
Deficiencies: 0
Date: Aug 29, 2022
Visit Reason
The inspection was an unannounced required annual infection control inspection conducted to assess compliance with infection control practices.
Findings
The facility was found to be in compliance with all required infection control practices, including symptom screenings, PPE use, visitation policies, and hygiene measures. No deficiencies were cited during the inspection.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassondra Bradford | Executive Director | Met with Licensing Program Analyst and identified as Infection Control lead for the facility. |
| Lisa Salazar | Licensing Program Analyst | Conducted the annual infection control inspection. |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 55
Deficiencies: 1
Date: May 4, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-01-20 regarding the facility's failure to refund a resident's authorized person according to the Admission Agreement and the timely return of resident's durable medical equipment.
Complaint Details
The complaint was substantiated regarding the refund delay, with the facility refunding the Estate of Resident R1 on 12/29/21 but not within the required 15 days. The allegation regarding the untimely return of durable medical equipment was dismissed as unfounded.
Findings
The investigation substantiated that the facility did not issue a refund within 15 days of the resident's removal of personal belongings, violating the admission agreement. However, the allegation that the facility did not return the resident's durable medical equipment in a timely manner was found to be unfounded.
Deficiencies (1)
Failure to comply with all applicable terms and conditions set forth in the admission agreement, including timely refund issuance.
Report Facts
Capacity: 55
Census: 39
Deficiencies cited: 1
Plan of Correction Due Date: May 13, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Salazar | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Cassondra Bradford | Executive Director | Facility representative met during the investigation |
| Melinda Hoffmann | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Plan of Correction
Census: 37
Capacity: 55
Deficiencies: 0
Date: Mar 11, 2022
Visit Reason
The visit was an unannounced Plan of Correction inspection to verify correction of a deficiency cited on 01/27/2022.
Findings
The Licensing Program Analysts reviewed the Plan of Correction and observed correspondence regarding a refund to a family. Civil penalties of $100 per day were being assessed from March 1 through March 11, 2022, continuing until correction.
Report Facts
Civil penalties per day: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassondra Bradford | Executive Director | Met with Licensing Program Analysts during Plan of Correction inspection |
| Irma Langston | Assistant Executive Director | Met with Licensing Program Analysts during Plan of Correction inspection |
| Lisa Salazar | Licensing Evaluator | Conducted the Plan of Correction inspection |
| Melinda Hoffmann | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Plan of Correction
Capacity: 55
Deficiencies: 0
Date: Jan 27, 2022
Visit Reason
The visit was conducted as a Plan of Correction (POC) follow-up related to a deficiency cited on 01/14/2022 for violation of Title 22, Section 87468.1. The purpose was to verify correction of the cited deficiency.
Findings
No deficiencies were cited during this unannounced Plan of Correction visit. The due date for the correction was extended to 02/04/2022 to allow the facility to submit a plan detailing visitation schedule compliance.
Report Facts
Capacity: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Salazar | Licensing Program Analyst | Conducted the Plan of Correction visit |
| Irma Langston | Assistant Executive Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Capacity: 55
Deficiencies: 2
Date: Jan 27, 2022
Visit Reason
The visit was an unannounced case management inspection based on a Trust audit conducted by the Department.
Findings
The facility raised Resident 1's rates on two occasions without obtaining required signatures, resulting in a refund owed of $6,637.50. Additionally, the facility charged for tray service for 8 months without written acknowledgement, resulting in a refund owed of $2,000. Deficiencies were cited for violations of Title 22, Division 6, Chapter 8, Section 87507.
Deficiencies (2)
Facility raised Resident 1's monthly rate on 2/1/18 and 2/1/19 without obtaining required signatures, violating admission agreement terms.
Facility charged Resident 1 for tray service for 8 months without written acknowledgement.
Report Facts
Refund amount owed for unagreed rate increases: 6637.5
Refund amount owed for tray service charges: 2000
Capacity: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lisa Salazar | Licensing Evaluator | Conducted the inspection and signed the report |
| Melinda Hoffmann | Supervisor | Supervisor overseeing the inspection |
| Cassondra Bradford | Administrator | Facility administrator named in the report header |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 55
Deficiencies: 1
Date: Jan 14, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted due to a complaint received on 2022-01-07 regarding restricted visitation at the facility.
Complaint Details
The complaint was substantiated. The allegation was that the facility was restricting visitation. The investigation found that visitation hours were restricted to times not available to family members, violating residents' personal rights.
Findings
The allegation that the facility was restricting visitation was substantiated based on interviews with the reporting party and the Executive Director. A deficiency was cited for not permitting visitors during reasonable hours without prior notice, infringing on residents' personal rights.
Deficiencies (1)
Failure to permit visitors, including ombudspersons and advocacy representatives, to visit privately during reasonable hours and without prior notice, restricting visitation hours not available to family members.
Report Facts
Capacity: 55
Census: 39
Plan of Correction Due Date: Jan 21, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassondra Bradford | Executive Director | Met with Licensing Program Analyst during investigation and involved in findings regarding visitation restrictions |
| Lisa Salazar | Licensing Program Analyst | Conducted the complaint investigation visit |
| Melinda Hoffmann | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Routine
Census: 38
Capacity: 55
Deficiencies: 0
Date: Jul 19, 2021
Visit Reason
Licensing Program Analyst conducted an unannounced Infection Control Inspection as part of the required 1-year visit to evaluate compliance with infection control procedures.
Findings
The facility was found to be in compliance with required infection control practices, including symptom screenings, testing, visitation protocols, PPE use and training, and social distancing measures. No deficiencies were cited during the inspection.
Report Facts
Inspection duration (hours and minutes): 4.07
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassondra Bradford | Executive Director | Met with Licensing Program Analyst during infection control inspection and identified as Infection Control Lead |
| Lisa Salazar | Licensing Program Analyst | Conducted the infection control inspection |
| Melinda Hoffmann | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Capacity: 55
Deficiencies: 0
Date: Jul 19, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that facility staff were not assisting residents with transferring needs and were chemically restraining residents.
Complaint Details
The complaint was unsubstantiated based on interviews and records review. There was no preponderance of evidence to prove the alleged violations occurred.
Findings
The investigation included interviews and record reviews which revealed that a resident was in charge of their own care and refused treatment. Medication changes were documented. The allegations were found to be unsubstantiated with no deficiencies cited.
Report Facts
Facility capacity: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassondra Bradford | Executive Director | Met with Licensing Program Analyst during investigation |
| Lisa Salazar | Licensing Program Analyst | Conducted the complaint investigation |
| Melinda Hoffmann | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 55
Deficiencies: 1
Date: Mar 31, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility did not release a resident's records to an authorized representative.
Complaint Details
The complaint was substantiated based on the preponderance of evidence standard. The allegation involved failure to release resident records to an authorized representative in a timely manner.
Findings
The investigation found the allegation substantiated as the facility failed to provide the requested resident records within the required timeframe, with records being archived and awaiting release from the corporate office. The Executive Director produced the records upon request during the visit.
Deficiencies (1)
Failure to provide prompt access to resident records and photocopies within two business days as required by Health and Safety Code §1569.269(21).
Report Facts
Capacity: 55
Census: 39
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cassondra Bradford | Executive Director | Interviewed regarding the allegation and involved in producing resident records |
| Lisa Salazar | Licensing Program Analyst | Conducted the complaint investigation visit |
| Melissa | Office Manager | Provided resident file for copying |
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