13 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Indio, CA
4-star overall rating with 4-star inspections with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
47-763 Monroe Avenue, Indio, CA
(760) 347-0750
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
93
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
1999-09-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
329 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.58
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
2.28
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.48
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
5.35
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.87
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.94
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.41
CMS adjusted total nurse staffing hours
Case-mix index
2.15
Higher values indicate more complex resident acuity
RN turnover
52%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
9,651
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23
Composite VBP score used to determine payment impact.
Payment multiplier
0.9830
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.38
Baseline 19.11% · Performance 18.94% · Measure score 5.38 · Achievement 5.38 · Improvement 0.32
Healthcare-associated infections
0
Baseline 7.10% · Performance 8.48% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.14
Performance 50.85% · Measure score 3.14 · Achievement 3.14 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.68
Baseline 2.66 hours · Performance 3.03 hours · Measure score 0.68 · Achievement 0 · Improvement 0.68
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.23% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 86 · Observed rate 9.3% · Lower 95% interval 7.04% |
| Discharge to community | 59.53% |
50.57%
9 pts better
|
No Different than the National Rate · Eligible stays 89 · Observed rate 52.81% · Lower 95% interval 48.82% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 95 · Denominator 95 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 95 |
| Discharge self-care score | 64.1% |
53.69%
10.4 pts better
|
Numerator 25 · Denominator 39 |
| Discharge mobility score | 74.36% |
50.94%
23.4 pts better
|
Numerator 29 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 1.05% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 95 · Adjusted rate 0.66% |
| Healthcare-associated infections requiring hospitalization | 8.48% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 58 · Observed rate 12.07% · Lower 95% interval 4.56% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 179 |
| Staff flu vaccination coverage | 39.37% |
42%
2.6 pts worse
|
Numerator 87 · Denominator 221 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 26 · Denominator 39 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 43 · Denominator 43 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 39 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 51.79% |
25.2%
26.6 pts better
|
Numerator 29 · Denominator 56 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
98.2%
0.4 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.8% |
6.8%
2 pts better
|
11.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 5.1% · Q3 4.9% · Q4 0.0% · 4Q avg 4.8% |
| Percentage of long-stay residents who lose too much weight | 0.4% |
4.1%
3.7 pts better
|
5.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.3% |
13.7%
12.6 pts worse
|
19.6%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 28.8% · Q3 26.2% · Q4 24.6% · 4Q avg 26.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.3% |
14.2%
11.9 pts better
|
16.7%
14.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.3% · Q3 2.6% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.1% |
11.0%
6.1 pts worse
|
16.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 17.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.4% |
10.7%
3.3 pts better
|
14.9%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 6.9% · Q3 6.9% · Q4 0.0% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% |
1.0%
1.7 pts worse
|
1.0%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.5% · Q3 3.9% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.2%
0.4 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.0% |
10.9%
2.9 pts better
|
19.8%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 5.5% · Q3 9.9% · Q4 5.3% · 4Q avg 8.0% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
4.7%
3.2 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.8% · Q3 10.1% · Q4 8.9% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
94.0%
4.4 pts better
|
81.7%
16.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.5% · Q3 99.1% · Q4 94.3% · 4Q avg 98.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.0% |
11.2%
0.8 pts worse
|
12.0%
About the same
|
Short Stay · 20240701-20250630 · Adjusted 12.0% · Observed 15.1% · Expected 14.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.5%
0.6 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.8% · Q3 0.9% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.4% |
93.2%
0.8 pts worse
|
79.7%
12.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.2% |
23.2%
6 pts worse
|
23.9%
5.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.2% · Observed 39.6% · Expected 32.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (5 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-06-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-07
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-06-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-06-07
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-06-07
Fire Safety
Establish staff and initial training requirements.
Corrected 2021-09-13
Fire Safety
Conduct testing and exercise requirements.
Corrected 2021-09-13
Fire Safety
Use approved construction type or materials.
Corrected 2021-09-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-09-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-09-13
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2021-09-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-09-13
Inspection history
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-02
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-07-02
Health
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.
Corrected 2025-07-02
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-07-02
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-07-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-02
Health
Keep all essential equipment working safely.
Corrected 2025-07-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-04
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2025-05-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-06
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-02
Health
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.
Corrected 2024-08-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-16
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-06-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-30
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-12
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2021-09-23
Health
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.
Corrected 2021-09-23
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-23
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-09-23
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2021-09-23
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2021-09-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-09-23
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-09-23
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-09-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-09-23
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-09-23
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-09-23
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2021-09-23
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2021-09-23
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2021-09-23
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2021-09-23
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Nearby options
Indio, CA
4-star overall rating with 3-star inspections with $73,594 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Palm Desert, CA
5-star overall rating with 4-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Palm Desert, CA
3-star overall rating with 3-star inspections with 13 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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