Medicare flags this nursing home for abuse. Medicare adds this flag when a home was cited for abuse that harmed a resident, or for potential abuse more than once. Ask the home what changed.
Inspection citations
8’22
5’23
31’24
19’25
8’26
71 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 4, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Aug 4, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Aug 4, 2026 | F · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Complaint |
| Aug 4, 2026 | E · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Aug 4, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jul 29, 2026 | F · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Complaint |
| Mar 2, 2026 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Feb 11, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Dec 8, 2025 | G · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Dec 4, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Dec 4, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Dec 4, 2025 | D · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Complaint |
| Dec 4, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Dec 4, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Dec 4, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Dec 4, 2025 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Dec 4, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Dec 4, 2025 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Dec 4, 2025 | E · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Dec 4, 2025 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Dec 4, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 4, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 4, 2025 | E · potential | Implement a program that monitors antibiotic use. | Routine |
| Jul 29, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| May 7, 2025 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Jan 28, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jan 17, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Nov 7, 2024 | E · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Nov 7, 2024 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Nov 7, 2024 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Routine |
| Nov 7, 2024 | E · potential | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Routine |
| Nov 7, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Nov 7, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Nov 7, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Nov 7, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Nov 7, 2024 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Nov 7, 2024 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Nov 7, 2024 | D · potential | Provide routine and 24-hour emergency dental care for each resident. | Routine |
| Nov 7, 2024 | D · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Nov 7, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Nov 7, 2024 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 7, 2024 | E · potential | Implement a program that monitors antibiotic use. | Routine |
| Nov 7, 2024 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Nov 7, 2024 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Jun 28, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jun 28, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jun 5, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| May 24, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Apr 29, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 19, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Mar 14, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Mar 14, 2024 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Feb 12, 2024 | D · potential | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Complaint |
| Feb 12, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 12, 2024 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| Feb 6, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Feb 6, 2024 | E · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Feb 6, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Dec 7, 2023 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Dec 7, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Dec 1, 2023 | E · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Dec 1, 2023 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Nov 21, 2023 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Dec 8, 2022 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Dec 8, 2022 | D · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Dec 8, 2022 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Dec 8, 2022 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Dec 8, 2022 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Dec 8, 2022 | E · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Dec 8, 2022 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 8, 2022 | E · potential | Keep all essential equipment working safely. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Bayshire Riverwalk Post-Acute
350 Calloway Drive, Building C, Bakersfield, CA 93312 · (661) 587-0182
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555771
- Certified beds
- 120
- Legal owner
- Blc Glenwood Gardens SNF Lh LLC
- Part of
- Brookdale Senior Living
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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