F 0585
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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.
Based on interview and record review, the facility failed to follow their policy and procedure (P&P) titled,
Grievance and Complaints for one of three sampled residents (Resident 1) when the facility did not inform
Resident 1of the outcome of the investigation and actions taken to resolve the grievance. This failure had
the potential for Resident 1 to feel his grievances were not investigated or resolved.Findings:During an
interview on 8/12/25 at 11:53 a.m. with Resident 1, Resident 1 stated he asked a certified nursing assistant
(CNA) to speak to the administrator on Friday (8/8/25). Resident 1 stated the Administrator still has not
come to talk to him (on 8/12/25). Resident 1 stated he wanted to speak to the Administrator about noise.
Resident 1 stated his roommate next to him is only Spanish speaking and his TV is loud. Resident 1 stated
no one comes. Resident 1 stated, For breakfast it says orange juice I am really particular about juice, but I
still get pineapple juice. Resident 1 stated he recently asked to speak to someone in the kitchen on Friday
and no one has been out yet. During a review of Resident 1's Resident Grievance/Complaint Investigation
Report, [RGCIR] dated 7/28/25, the RGCIR indicated, [Resident 1] c/o (complained of) receiving items on
his tray that he dislikes. The RGCIR indicated Dietary staff were in serviced on food preferences for
Resident 1. The RGCIR indicated, Grievance Official Signature: [blank] date: [blank] Concerned Party
Notified on: [blank] By: [blank]. During a review of Resident 1's RGCIR. dated 8/7/25, the RGCIR indicated,
[Resident 1] c/o [complained of] roommates TV volume. Grievance Report Assigned to [Name, Department]
[blank] Investigation Initiated (Date): [blank] . Department Head Signature: [blank] Date: [blank] Grievance
Official Signature: [blank] date: [blank] Concerned Party Notified on: [blank] By: [blank].During an interview
on 8/20/25 at 12:40 p.m. with the Director of Nursing (DON), DON stated the grievances go to Social
Services Director, she will distribute the grievance to the department that was responsible for resolving the
grievance. DON stated the Administrator was responsible for ensuring the grievance was investigated,
resolved, and the outcome was discussed with the resident. During a concurrent interview and record
review on 8/20/25 at 1:03 p.m. with DON, Resident 1 RGCIR dated 7/28/25 and 8/7/25 were reviewed. DON
stated no follow up with Resident 1 was documented and the RGCIR was not signed off by Resident 1 or
the Administrator. During a review of the facility's policy and procedure (P&P) titled, Grievances and
Complaints, revised 11/1/17, the P&P indicated, VI. Duties and Obligations of Staff A. When a Facility Staff
member overhears or receives a complaint from a resident, . concerning the resident's medical care,
treatment, food, clothing, or behavior of other residents, etc., the Facility Staff member is encouraged to
advise the resident that the resident may file a complaint or grievance without fear of reprisal or
discrimination, and will assist the resident . in filling a written complaint with the facility. VIII. Designation of
Grievance Official A. The Facility will identify a Grievance Official who is responsible for: i. Overseeing the
grievance process; ii. Receiving and tracking grievances through to their conclusion; iii. Leading any
necessary investigations by the
(continued on next page)
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
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
055601
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
055601
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/12/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Parkview Julian Healthcare Center
1801 Julian Avenue
Bakersfield, CA 93304
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0585
Level of Harm - Minimal harm
or potential for actual harm
facility; . v. Issuing written grievance decisions to the resident .VIII. Grievance Investigation . C. The
Administrator will be provided with a completed Resident Grievance/Complaint Investigation Report within
five (5) working days of the incident . D. If follow up is required, the Administrator is responsible for ensuring
that the follow-up action is taken in a timely manner. F. The Facility will inform the resident . of the findings of
the investigation and any corrective actions recommended in a timely manner.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
055601
If continuation sheet
Page 2 of 2