Height Street Skilled Care
Inspection Findings
F-Tag F0558
F 0558
Reasonably accommodate the needs and preferences of each resident.
Level of Harm - Minimal harm or potential for actual harm
Based on interview and record review, the facility failed to answer the call light timely for two of three sampled residents (Resident 1 and Resident 2). This failure had the potential for delay in care and needs not addressed promptly.Findings:During a review of Resident 1's Order Summary Report (OSR), dated 8/29/25, the OSR indicated Resident 1 had diagnoses of Hemiplegia and Hemiparesis (complete loss of muscle function) affecting left non-dominant side (weaker side of the body), Muscle Weakness, other abnormalities of gait (manner of walking) and mobility.During an interview on 8/28/25 at 1:20 p.m. with Resident 1, Resident 1 stated the night nurses were not supportive, they (night staff) didn't answer the call light. Resident 1 stated he felt ridiculed and helpless because the nurse had taken hours to answer his call light. Resident 1 stated he wanted his brief to be changed.During a review of Resident 1's BIMS (Brief
Interview for Mental Status- cognitive assessment tool used to evaluate a resident's mental status), dated 7/25/25, the BIMS indicated Summary Score of 15 (score of 13-15 means cognitively intact).During a
review of Resident 1's Care Plan (CP), dated 8/6/28, the CP indicated Resident 1 had functional bowel and bladder incontinence [inability to control bladder and rectum] related to current medical diagnoses. Clean peri-area with each continence episode. The CP indicated, ADL (Activities of Daily Living such as bathing, toileting) self-care performance deficit (a person's inability to perform basic self-care tasks) related to Activity intolerance, Hemiplegia, Impaired balance, Limited Mobility.During an interview on 8/28/25 at 1:31 p.m. with Resident 2, Resident 2 stated it took a long time for staff to answer the call light. Resident 2 stated
it would take 45 minutes at night when she asked for water.During a review of Resident 2's BIMS dated 8/27/25, the BIMS indicated Summary Score of 15.During an interview on 9/17/25 at 2:58 p.m. with Director of Nursing (DON), DON stated a 45-minute, or an hour wait was not an acceptable waiting time for a call light to be answered when residents were needing a change of briefs or when asking for water.During a
review of the facility's P&P titled, Communication - Call System, dated 10/24/22, the P&P indicated, Nursing staff will answer call bells promptly, in a courteous manner. When answering a request, nursing staff will return to resident with the item or reply promptly.
Residents Affected - Few
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
Event ID:
HEIGHT STREET SKILLED CARE in BAKERSFIELD, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BAKERSFIELD, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HEIGHT STREET SKILLED CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.