Joshua Tree, CA

Hi-Desert Medical Center D/P SNF

4-star overall rating with 4-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

6601 White Feather Rd, Joshua Tree, CA

(760) 366-6437

Compare this facility

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

Facility snapshot

Beds

92

Certified beds

Average residents

84

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-01-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.76

Registered nurse staffing

LPN hours / resident day

1.15

Licensed practical nurse staffing

Aide hours / resident day

1.89

Nurse aide staffing

Weekend hours

3.28

Weekend nurse staffing

RN turnover

63%

Annual RN turnover

Total nurse turnover

56%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
2.3
1.3 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.6
About the same
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
98.5%
1.2 pts better
93.4%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.8%
98.2%
1.4 pts worse
95.5%
1.3 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.9%
1.6%
0.7 pts better
3.3%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.5%
6.8%
5.3 pts better
11.4%
9.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.9%
4.1%
4.8 pts worse
5.4%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.5%
13.7%
5.2 pts better
19.6%
11.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 20.9%
14.2%
6.7 pts worse
16.7%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 19.0%
11.0%
8 pts worse
16.3%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 14.0%
10.7%
3.3 pts worse
14.9%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.2%
1.0%
1.2 pts worse
1.0%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.7%
1.2%
4.5 pts worse
1.7%
4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 12.0%
10.9%
1.1 pts worse
19.8%
7.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.8%
4.7%
3.1 pts worse
5.1%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
94.0%
5.2 pts better
81.7%
17.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 2.6%
1.5%
1.1 pts worse
1.6%
1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78.6%
93.2%
14.6 pts worse
79.7%
1.1 pts worse
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-05 · Fire 2024-12-05

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2023-12-08 · Fire 2023-12-08

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

18 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)

Cycle 3 Health 2022-11-03 · Fire 2022-11-03

13 health deficiencies

Top issue: Resident Rights (5 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-05

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-12-19

F · Potential for more than minimal harm 2024-12-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-18

E · Potential for more than minimal harm 2024-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-17

E · Potential for more than minimal harm 2024-12-05

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 2024-12-17

D · Potential for more than minimal harm 2024-12-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-17

F · Potential for more than minimal harm 2023-12-08

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-01-19

F · Potential for more than minimal harm 2023-12-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-01-19

F · Potential for more than minimal harm 2023-12-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-19

F · Potential for more than minimal harm 2023-12-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-19

F · Potential for more than minimal harm 2023-12-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-19

F · Potential for more than minimal harm 2023-12-08

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-01-19

F · Potential for more than minimal harm 2023-12-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-01-19

F · Potential for more than minimal harm 2023-12-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-01-19

E · Potential for more than minimal harm 2023-12-08

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-01-19

E · Potential for more than minimal harm 2023-12-08

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-08

E22 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for sheltering.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-08

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-08

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-08

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-08

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-01-19

D · Potential for more than minimal harm 2023-12-08

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 2024-01-19

D · Potential for more than minimal harm 2023-12-08

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2024-01-19

E · Potential for more than minimal harm 2022-11-03

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-11-28

E · Potential for more than minimal harm 2022-11-03

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-11-28

D · Potential for more than minimal harm 2022-11-03

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2022-11-28

D · Potential for more than minimal harm 2022-11-03

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-11-28

D · Potential for more than minimal harm 2022-11-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-11-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-29

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2026-02-20

D · Potential for more than minimal harm 2025-09-22

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 2025-10-17

D · Potential for more than minimal harm 2025-08-25

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 2025-09-24

D · Potential for more than minimal harm 2025-08-06

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 2025-09-05

D · Potential for more than minimal harm 2025-08-06

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 2025-09-05

E · Potential for more than minimal harm 2024-12-05

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 2025-01-05

E · Potential for more than minimal harm 2024-12-05

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 2025-01-05

D · Potential for more than minimal harm 2024-12-05

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 2025-01-05

D · Potential for more than minimal harm 2024-12-05

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 2025-01-05

D · Potential for more than minimal harm 2024-08-29

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-29

F · Potential for more than minimal harm 2024-08-26

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 2024-09-16

D · Potential for more than minimal harm 2024-08-26

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-09-16

D · Potential for more than minimal harm 2024-03-26

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-04

D · Potential for more than minimal harm 2024-01-23

F551 · Resident Rights Deficiencies

Health

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

Corrected 2024-02-12

F · Potential for more than minimal harm 2023-12-08

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 2024-01-08

F · Potential for more than minimal harm 2023-12-08

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-01-08

F · Potential for more than minimal harm 2023-12-08

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 2024-01-08

E · Potential for more than minimal harm 2023-12-08

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 2024-01-08

D · Potential for more than minimal harm 2023-12-08

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 2024-01-08

D · Potential for more than minimal harm 2023-12-08

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 2024-01-08

D · Potential for more than minimal harm 2023-12-08

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 2024-01-08

D · Potential for more than minimal harm 2023-12-08

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-12-08

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-01-08

E · Potential for more than minimal harm 2023-09-19

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 2023-09-26

D · Potential for more than minimal harm 2023-08-03

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-04-28

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2023-05-16

D · Potential for more than minimal harm 2023-04-28

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-05-16

F · Potential for more than minimal harm 2022-11-03

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 2022-12-08

F · Potential for more than minimal harm 2022-11-03

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 2022-12-08

E · Potential for more than minimal harm 2022-11-03

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-12-08

D · Potential for more than minimal harm 2022-11-03

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2022-12-08

D · Potential for more than minimal harm 2022-11-03

F582 · Resident Rights Deficiencies

Health

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

Corrected 2022-12-08

D · Potential for more than minimal harm 2022-11-03

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-08

D · Potential for more than minimal harm 2022-11-03

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 2022-12-08

D · Potential for more than minimal harm 2022-11-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-12-08

Penalties and ownership

What sits behind the stars

Ownership

Faulis, Karen

Corporate Officer · Individual

0% 1 facilities 2016-02-22
Faulis, Karen

W-2 Managing Employee · Individual

0% 1 facilities 2016-02-22
Hdmc Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2015-07-15
Health Services Network Hospitals, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2015-07-15
Mack, Kristina

Corporate Officer · Individual

0% 2 facilities 2015-05-21
Pagano, Angelo

Corporate Officer · Individual

0% 2 facilities 2024-07-01
Smith, Sharilee

Corporate Director · Individual

0% 2 facilities 2024-03-01
Strupp, Diana

Corporate Officer · Individual

0% 1 facilities 2022-03-28
Tenet California Inc

5% Or Greater Direct Ownership Interest · Organization

0% 2 facilities 2015-07-15
Tenet Healthcare Corporation

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2015-07-15

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