Palm Desert, CA

Desert Springs Post Acute

1-star overall rating with 1-star inspections with $74,424 in total fines with 47 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

74-350 Country Club Drive, Palm Desert, CA

(760) 341-0261

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

178

Certified beds

Average residents

168

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-02-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

Hours and turnover

RN hours / resident day

0.26

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.47

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.50

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.23

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.73

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.97

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.20

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

0.24

CMS adjusted RN staffing hours

Adjusted total hours

3.79

CMS adjusted total nurse staffing hours

Case-mix index

1.53

Higher values indicate more complex resident acuity

RN turnover

55%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,486

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

12.01

Composite VBP score used to determine payment impact.

Payment multiplier

0.9811

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 17.64% · Performance 22.47% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 6.75% · Performance 10.39% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.44

Baseline 64.06% · Performance 53.72% · Measure score 2.44 · Achievement 2.44 · Improvement 2.14

Adjusted total nurse staffing

2.37

Baseline 4.28 hours · Performance 3.75 hours · Measure score 2.37 · Achievement 2.37 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.36%
10.72%
0.4 pts better
No Different than the National Rate · Eligible stays 79 · Observed rate 8.86% · Lower 95% interval 6.31%
Discharge to community 49.47%
50.57%
1.1 pts worse
No Different than the National Rate · Eligible stays 82 · Observed rate 43.9% · Lower 95% interval 40.47%
Medicare spending per beneficiary 1.23
1.02
0.2 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 176 · Denominator 176
Falls with major injury 1.14%
0.77%
0.4 pts worse
Numerator 2 · Denominator 176
Discharge self-care score 44.19%
53.69%
9.5 pts worse
Numerator 38 · Denominator 86
Discharge mobility score 44.19%
50.94%
6.8 pts worse
Numerator 38 · Denominator 86
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 176 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 10.39%
7.12%
3.3 pts worse
Worse than the National Rate · Eligible stays 95 · Observed rate 13.68% · Lower 95% interval 7.15%
Staff COVID-19 vaccination coverage 36.49%
8.2%
28.3 pts better
Numerator 108 · Denominator 296
Staff flu vaccination coverage 37.27%
42%
4.7 pts worse
Numerator 60 · Denominator 161
Discharge function score 48.84%
56.45%
7.6 pts worse
Numerator 42 · Denominator 86
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 78 · Denominator 78
Transfer of health information to patient 94.03%
96.28%
2.2 pts worse
Numerator 63 · Denominator 67
Resident COVID-19 vaccinations up to date 37.39%
25.2%
12.2 pts better
Numerator 43 · Denominator 115

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
2.3
0.3 pts better
1.9
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.5 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.9
1.6
0.3 pts worse
1.8
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.0 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.8%
98.5%
1.3 pts better
93.4%
6.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.2% · 4Q avg 99.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.1%
1.6%
0.5 pts worse
3.3%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.6% · Q3 2.7% · Q4 2.4% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 6.1%
6.8%
0.7 pts better
11.4%
5.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 7.8% · Q3 3.0% · Q4 8.8% · 4Q avg 6.1%
Percentage of long-stay residents who lose too much weight 1.3%
4.1%
2.8 pts better
5.4%
4.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.0% · Q3 1.0% · Q4 0.0% · 4Q avg 1.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.8%
13.7%
5.1 pts worse
19.6%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 23.3% · Q3 16.0% · Q4 18.5% · 4Q avg 18.8%
Percentage of long-stay residents who received an antipsychotic medication 14.8%
14.2%
0.6 pts worse
16.7%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 16.1% · Q3 15.2% · Q4 11.1% · 4Q avg 14.8% · 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 4.6%
11.0%
6.4 pts better
16.3%
11.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 7.6% · Q3 6.0% · Q4 3.0% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 2.5%
10.7%
8.2 pts better
14.9%
12.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.0% · Q3 4.1% · Q4 1.9% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.8%
1.0%
0.8 pts worse
1.0%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.2% · Q3 0.7% · Q4 2.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.2%
1.2%
1 pts better
1.7%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.4%
10.9%
3.5 pts better
19.8%
12.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 10.0% · Q3 9.4% · Q4 2.3% · 4Q avg 7.4%
Percentage of long-stay residents with pressure ulcers 4.9%
4.7%
0.2 pts worse
5.1%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.8% · Q3 2.7% · Q4 5.2% · 4Q avg 4.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
94.0%
3.3 pts better
81.7%
15.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 97.5% · Q3 97.1% · Q4 96.3% · 4Q avg 97.3%
Percentage of short-stay residents who had an outpatient emergency department visit 10.7%
11.2%
0.5 pts better
12.0%
1.3 pts better
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 11.1% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.5%
1.1 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.7%
93.2%
2.5 pts better
79.7%
16 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.8%
23.2%
7.6 pts worse
23.9%
6.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 30.8% · Observed 31.7% · Expected 24.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-10 · Fire 2025-01-10

47 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-06-23 · Fire 2023-06-23

43 health deficiencies

Top issue: Quality of Life and Care (14 deficiencies)

4 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2019-12-16 · Fire 2019-12-16

33 health deficiencies

Top issue: Quality of Life and Care (16 deficiencies)

9 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-10

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-01-17

E · Potential for more than minimal harm 2025-01-10

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-01-16

E · Potential for more than minimal harm 2025-01-10

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-01-16

E · Potential for more than minimal harm 2025-01-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-01-17

E · Potential for more than minimal harm 2025-01-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-01-14

D · Potential for more than minimal harm 2025-01-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-24

C · Minimal harm 2025-01-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-22

C · Minimal harm 2025-01-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-24

F · Potential for more than minimal harm 2023-06-23

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-07-25

F · Potential for more than minimal harm 2023-06-23

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-07-25

D · Potential for more than minimal harm 2023-06-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-25

C · Minimal harm 2023-06-23

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2023-07-25

E · Potential for more than minimal harm 2019-12-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-16

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-16

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-16

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-16

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-16

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-16

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-16

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2020-02-03

D · Potential for more than minimal harm 2019-12-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-02-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-10

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-23

D · Potential for more than minimal harm 2025-12-10

F688 · Quality of Life and Care Deficiencies

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 2026-01-23

D · Potential for more than minimal harm 2025-08-27

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-09-08

D · Potential for more than minimal harm 2025-08-27

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-09-08

E · Potential for more than minimal harm 2025-06-25

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-07-07

D · Potential for more than minimal harm 2025-06-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-07

D · Potential for more than minimal harm 2025-04-24

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-05-10

D · Potential for more than minimal harm 2025-04-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-10

D · Potential for more than minimal harm 2025-04-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-10

D · Potential for more than minimal harm 2025-04-24

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-05-10

E · Potential for more than minimal harm 2025-04-09

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-29

D · Potential for more than minimal harm 2025-04-09

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-29

D · Potential for more than minimal harm 2025-03-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-10

D · Potential for more than minimal harm 2025-03-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-10

D · Potential for more than minimal harm 2025-03-04

F688 · Quality of Life and Care Deficiencies

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 2025-03-10

D · Potential for more than minimal harm 2025-01-31

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-01-24

F · Potential for more than minimal harm 2025-01-10

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-02-05

E · Potential for more than minimal harm 2025-01-10

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F578 · Resident Rights Deficiencies

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 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F584 · Resident Rights Deficiencies

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 2025-02-05

E · Potential for more than minimal harm 2025-01-10

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F761 · Pharmacy Service Deficiencies

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 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-10

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-02-05

D · Potential for more than minimal harm 2025-01-10

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F756 · Pharmacy Service Deficiencies

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 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F758 · Pharmacy Service Deficiencies

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 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-10

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-02-05

E · Potential for more than minimal harm 2024-11-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-11-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-14

D · Potential for more than minimal harm 2024-09-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-10-23

E · Potential for more than minimal harm 2024-09-13

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-10-05

E · Potential for more than minimal harm 2024-09-13

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-10-05

D · Potential for more than minimal harm 2024-09-13

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2024-10-05

D · Potential for more than minimal harm 2024-09-13

F578 · Resident Rights Deficiencies

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 2024-10-05

D · Potential for more than minimal harm 2024-09-13

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-10-05

D · Potential for more than minimal harm 2024-09-13

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-10-05

G · Actual harm 2024-07-15

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-06-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-07-19

D · Potential for more than minimal harm 2024-06-28

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-07-19

D · Potential for more than minimal harm 2024-06-28

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-07-19

D · Potential for more than minimal harm 2024-06-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-06-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-06-03

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-06-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-05-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-04-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-11

D · Potential for more than minimal harm 2024-04-09

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-04-11

D · Potential for more than minimal harm 2024-04-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-11

D · Potential for more than minimal harm 2024-04-09

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2024-04-11

D · Potential for more than minimal harm 2024-04-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-11

E · Potential for more than minimal harm 2024-02-22

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-04-07

D · Potential for more than minimal harm 2024-01-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-16

G · Actual harm 2024-01-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-01-25

D · Potential for more than minimal harm 2024-01-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-25

D · Potential for more than minimal harm 2024-01-12

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-01-25

D · Potential for more than minimal harm 2023-11-08

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-11-17

D · Potential for more than minimal harm 2023-10-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-31

D · Potential for more than minimal harm 2023-10-25

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-01

E · Potential for more than minimal harm 2023-09-07

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-09-14

D · Potential for more than minimal harm 2023-08-15

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-09-14

H · Actual harm 2023-06-23

F688 · Quality of Life and Care Deficiencies

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 2023-08-02

E · Potential for more than minimal harm 2023-06-23

F578 · Resident Rights Deficiencies

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 2023-08-02

E · Potential for more than minimal harm 2023-06-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-08-02

E · Potential for more than minimal harm 2023-06-23

F758 · Pharmacy Service Deficiencies

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 2023-08-02

E · Potential for more than minimal harm 2023-06-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-08-02

E · Potential for more than minimal harm 2023-06-23

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-08-02

E · Potential for more than minimal harm 2023-06-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-23

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-08-02

D · Potential for more than minimal harm 2023-06-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-23

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-23

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-23

F756 · Pharmacy Service Deficiencies

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 2023-08-02

D · Potential for more than minimal harm 2023-06-23

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-23

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-23

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-06-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-04-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-04-27

D · Potential for more than minimal harm 2023-04-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-04-19

D · Potential for more than minimal harm 2023-03-22

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-03-31

D · Potential for more than minimal harm 2019-12-16

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F578 · Resident Rights Deficiencies

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 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F688 · Quality of Life and Care Deficiencies

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 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2020-01-29

D · Potential for more than minimal harm 2019-12-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-29

Penalties and ownership

What sits behind the stars

$16,675 2024-05-16

Fine

Fine · fine $16,675

Fine

$57,749 2024-01-12

Fine

Fine · fine $57,749

Fine

$0 2024-01-12

Payment Denial

Payment Denial · denial start 2024-01-27 · 75 days

75 day denial

Ownership

Nearby options

Other facilities in reach

#1

Monterey Palms Health Care Center

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

Overall
3 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$0
#2

Rancho Mirage Health And Rehabilitation Center

Rancho Mirage, CA

3-star overall rating with 3-star inspections with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$0
#3

Bayshire Rancho Mirage

Rancho Mirage, CA

4-star overall rating with 4-star inspections with $15,524 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$15,524

Jump out

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