Health inspection·February 10, 2026

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 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 interview and record review, the facility failed to ensure one of three sampled residents (Resident 2) received all their personal belongings upon discharge. This failure had the potential for Resident 2 to have missing items upon discharge.Findings: During a review of Resident 2's admission Record, (AR) the AR indicated, Resident 2 was admitted on [DATE] and discharged on 12/1/25. During a review of Resident 2's Inventory List, (IL) dated 11/6/2, the IL indicated Resident 2 had two grey t-shirts and one white sheet upon admission. During a concurrent interview and record review on 1/12/26 at 3:38 p.m. with Director of Nursing (DON), Resident 2's IL, dated 11/6/25 was reviewed. DON stated there was no evidence that Resident 2 received his belongings upon discharge on [DATE]. During a review of the facility's policy and procedure (P&P) titled, Theft Prevention, revised 11/1/17, the P&P indicated, The facility is committed to preventing the misappropriation of resident property. The facility will exercise reasonable care for the protection of resident's property from theft and loss. II. Measures to secure Personal Property A. At the time of admission and discharge, Facility staff complete . Resident Inventory. i. Upon admission and upon request thereafter, the Facility provides the resident and/or his/her representative with a copy of the Resident Inventory. G. Upon the discharge . the facility provides the resident or his/her representative with a copy of the Resident Inventory and the resident's property and obtains a signed receipt from the recipient. Page 1 of 2 555902 555902 02/10/2026 Height Street Skilled Care 1611 Height Street Bakersfield, CA 93305

F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Based on interview and record review, the facility failed to provide a home medication list for one of three sampled residents (Resident 1). This failure had the potential for Resident 1 not to understand how and when to take his needed home medications. Findings: During an interview on 1/12/26 at 3:17 with Licensed Vocational Nurse (LVN) 1, LVN 1 stated upon discharge residents were provided with their medications, with a list of home medications with instruction on how to take the medication. LVN 1 stated the nurses educated the resident on the home medication list and instructions, once the education is completed, she has the resident sign the home medication list to prove the education was completed. During a concurrent interview and record review on 1/12/26 at 3:38 p.m. with Director of Nursing (DON), Resident 1's Discharge Instruction Form, (DIF) dated 12/8/25, was reviewed. The DIF, indicated, Resident 1's medications were provided at discharge, none were listed on Resident 1's DIF. The DIF, indicated See Attachment. DON confirmed no evidence Resident 1 received home medications list upon discharge. The facility's policy and procedure were requested on 1/27/26, 1/28/26 and 2/3/26 but none were received. 555902 Page 2 of 2