Health inspection·July 2, 2025

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some 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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide a safe, sanitary, and comfortable environment for five of five sampled residents (Resident 1, Resident 2, Resident 3, Resident 4,and Resident 5). This failure had the potential to cause resident harm, decrease resident comfort, and affect resident dignity. During an observation on 7/2/25 at 1:31 p.m. in Resident 1's room, the following was observed in the shared resident restroom/shower room (Resident 1's restroom is also used by the facility to provide showers for the other residents): a. On the ceiling directly over the sink was an oval shaped approximately 12-inch (a unit of measurement) area of multiple orange and black shaped dots scattered around. b. On the ceiling toward the shower stall entry was approximately 24-inch in length by 24-inch in width area of exposed wood with three exposed screws.c. The tile ramp leading into the shower stall was a triangular shaped approximately two-inch piece of missing tile. d. The shower stall by the entrance, there were two hexagonal (a shape) shaped tiles missing that are approximately two-inch in length and two-inch in width each.e. The shower drain had three hexagonal shaped tiles missing, each tile measuring approximately two inches in length and two inches in width. f. In the bottom left corner of the shower is approximately a 10-inch circular area of grout (a substance that fills in the gaps between tile) that was discolored with an unknown slimy texture green to black in color.During an observation on 7/2/25 at 2:04 p.m. in Resident 2 and Resident 3's room, the following were observed:a. The right side of the room window had approximately 40-inch length of window which was not attached or sealed, creating a gap that is approximately one-inch wide allowing for hot air from outside to come into the room.b. The middle portion of the room window was approximately 12-inch in length and one-inch in width area of window that is not attached or sealed in creating a gap that is allowing hot air from outside to come through.c. The window by left side of the room was approximately 60 inches in length and one inch in width gap that allowed hot air from the outside to come through. During a review of the state cell phone weather application (app - a software program designed for a specific purpose) on 7/2/25 at 2:08 p.m., the app indicated the current weather conditions outside of the facility was 98 degrees Fahrenheit (a unit of measurement). During an interview on 7/2/25 at 2:14 p.m. with Resident 2, Resident 2 stated he sleeps in the bed closest to the room window which causes discomfort from the hot air coming through. During a review of Resident 2's Minimum Data Set (MDS) Assessment (comprehensive assessment tool), dated 4/4/25, the MDS indicated Brief Interview for Mental Status (BIMS - an assessment of cognition, how well a person thinks, remembers, and learns) score was 15 (score of 13-15 means cognitively intact).During an observation on 7/2/25 at 2:20 p.m. in Resident 4's room, the following were observed: a. The wall behind Resident 4's bed had three large deep scratches exposing the drywall (an interior facing panel used for walls and ceilings) approximately 12 inches in length, two inches in width, and one inch in depth. b. In Resident 4's restroom, 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: 555229 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 555229 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/02/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Valley Healthcare Center 1205 8th Street 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)