Height Street Skilled Care
HEIGHT STREET SKILLED CARE in BAKERSFIELD, CA — inspection on April 27, 2026.
Found 10 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited HEIGHT STREET SKILLED CARE in BAKERSFIELD, CA for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2026-04-27.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of HEIGHT STREET SKILLED CARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-04-29.
Federal health inspectors cited HEIGHT STREET SKILLED CARE in BAKERSFIELD, CA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2026-04-27.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of HEIGHT STREET SKILLED CARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-04-29.
Federal health inspectors cited HEIGHT STREET SKILLED CARE in BAKERSFIELD, CA for a deficiency under regulatory tag F-F0676 during a standard health inspection conducted on 2026-04-27.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of HEIGHT STREET SKILLED CARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-04-29.
Federal health inspectors cited HEIGHT STREET SKILLED CARE in BAKERSFIELD, CA for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2026-04-27.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of HEIGHT STREET SKILLED CARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-04-29.
potential to result in Resident 6 developing skin breakdown.Findings:During a review of Resident 6's
Skin Risk Score (used to assess a resident's risk for developing a pressure ulcer [damage to the skin usually over bony areas caused by prolonged pressure]) of 13 (score of 13-14 means at moderate risk for skin breakdown).During a review of Resident 6's Order Summary Report (OSR), dated 4/23/26, the OSR indicated, Resident 6 had a physician order for Calmoseptine ointment (used to protect and heal irritated skin) to be applied on his left and right buttocks, and perineum (area between the genitals and the anus) every two hours for skin maintenance.During a concurrent interview and record review on 4/23/26 at 11:59 a.m. with Treatment Nurse (TN), Resident 6's Treatment Administration Record (TAR), dated April 2026 was reviewed.
The TAR indicated, there was no documentation Calmoseptine was administered to Resident 6 on 4/14/26 at 12 p.m., 2 p.m., 8 p.m., 10 p.m. TN stated if there was no documentation on the TAR, the Calmoseptine was not administered. TN stated if the Calmoseptine was not administered as ordered by the physician, it would put Resident 6 at risk for skin breakdown.During a concurrent interview and record review on 4/27/26 at 1:09 p.m. with Director of Nursing (DON), the facility's policy and procedure (P&P) titled, Wound Management, dated 1/1/26 was reviewed.
The P&P indicated, A resident who has a wound will receive necessary treatment and services to promote healing, prevent infection and prevent new pressure ulcers from developing.
Implement a wound treatment per physician's order. DON stated the P&P was not followed.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
555902 04/27/2026
Height Street Skilled Care 1611 Height Street Bakersfield, CA 93305
especially Resident 92 because she was the only resident with a wander guard who could walk. DON
titled, Elopement and Wandering, dated [DATE] was reviewed.
The P&P indicated, Purpose To enhance the safety of residents of the Facility.
The resident's risk for elopement and preventative interventions will be documented in the resident's medical record.
Response to Resident Elopement A.
The facility Staff member who finds that a resident is missing will alert Facility Staff. B.
The Charge Nurse will call CODE [NAME] and organize a search.
Facility Staff will search areas of the Facility, including common areas, bathrooms, showers, outside areas. DON stated the P&P was not followed.
Federal health inspectors cited HEIGHT STREET SKILLED CARE in BAKERSFIELD, CA for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2026-04-27.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of HEIGHT STREET SKILLED CARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-04-29.
Federal health inspectors cited HEIGHT STREET SKILLED CARE in BAKERSFIELD, CA for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2026-04-27.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of HEIGHT STREET SKILLED CARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-04-29.
Federal health inspectors cited HEIGHT STREET SKILLED CARE in BAKERSFIELD, CA for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2026-04-27.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of HEIGHT STREET SKILLED CARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-04-29.
Federal health inspectors cited HEIGHT STREET SKILLED CARE in BAKERSFIELD, CA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-04-27.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of HEIGHT STREET SKILLED CARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2026-04-29.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.