Health inspection·September 3, 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 sanitary environment for two of three residents (Resident 1 and Resident 2) when:Resident 1's bathroom had a foul smell. The bathroom tiles in three of four shower rooms used by Resident 2 and other residents were not cleaned.These failures had the potential for unpleasant experience for Resident 1 and Resident 2.Findings:1. During a concurrent observation and interview on 9/3/25 at 10:40 a.m. with Resident 1 in his room, Resident 1 was in his bed facing the bathroom. Resident 1 stated the bathroom had a strong foul and unpleasant smell. The bathroom smelled of urine and bleach like smell.During a concurrent observation and interview on 9/3/25 at 10:55 a.m. with Housekeeping Staff (HS), HS entered Resident 1's bathroom and stated the smell was not pleasant. HS stated another resident used to urinate on the floor in that bathroom and housekeeping was having a difficult time removing the urine odor.2. During an interview on 9/3/25 at 11:10 a.m. with Resident 2 in her room, Resident 2 stated the shower rooms were soiled (not cleaned) and stated had disgusted her.During a concurrent observation and interview on 9/3/25 at 11:15 a.m. with Housekeeping Supervisor (HSUP), HSUP stated there were four resident shower rooms in the facility. The tiles in Shower room [ROOM NUMBER], Shower room [ROOM NUMBER], and Shower room [ROOM NUMBER] had dark stains. HSUP stated the dark stains were buildup from steam, and that staff should wash the tiles and remove them.During a review of the facility's policy and procedure (P&P) titled, Housekeeping - General, dated the August 16, 2023, the P&P indicated, All room of the Facility are kept clean and as free as possible of germs and other contaminating agents at all times, while maintaining a pleasant and homelike atmosphere for our residents. 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 4 Event ID: 555902 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 555902 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Height Street Skilled Care 1611 Height Street Bakersfield, CA 93305 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)