Federal inspection record · CMS data as of October 1, 2026
The Springs Healthcare Center At The Carlotta
41505 Carlotta Drive, Palm Desert, CA · (760) 610-0295
- CMS high-performer trophy
- Certified beds
- 59
- Residents per day
- 42
- Ownership
- For-Profit
- Chain
- Aspen Skilled Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 27, 1986
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
The Springs Healthcare Center At The Carlotta carries 49 inspection points. That is fewer than 79% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care6D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Dispose of garbage and refuse properly.
- D
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service4D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
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.
- D
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.
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspection history
2025-06-06
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2024-05-02
7 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-02-03
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 35 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
4 h 35 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 17% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 0.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 0.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.1 pts better | 0.0% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.8 pts better | 7.9% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.3 pts better | 0.0% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.6 pts better | 2.6% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse | 11.5% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.3 pts better | 0.0% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts better | 99.6% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts worse | 11.9% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.3% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.7 pts better | 97.8% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts worse | 27.2% | 22.6% | 23.4% |
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Who owns and runs it
35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Apdc, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Apdc, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Apdc, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Aspen Healthcare Services LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Bradshaw, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 34 facilities |
| Bradshaw, Jeffrey | Adp Of The SNF · Individual | 0% | 34 facilities |
| Bradshaw, Peter | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Brady, Vern | Adp Of The SNF · Individual | 0% | 32 facilities |
| Case, Ryan | Adp Of The SNF · Individual | 0% | 31 facilities |
| Caslmon, Timothy | Corporate Officer · Individual | 0% | 14 facilities |
| Caslmon, Timothy | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Caslmon, Timothy | Adp Of The SNF · Individual | 0% | 14 facilities |
| East West Bank | Adp Of The SNF · Organization | 0% | 23 facilities |
| Elsner, Eric | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Epc Trevi LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Garibay, Mercedes | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Garibay, Mercedes | Adp Of The SNF · Individual | 0% | 1 facilities |
| Guerra, Monica | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Guerra, Monica | Adp Of The SNF · Individual | 0% | 2 facilities |
| Jacaranda Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Jurado, Frank | Adp Of The SNF · Individual | 0% | 31 facilities |
| Kirkwood, Jared | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Moss Adams Llp | Adp Of The SNF · Organization | 0% | 32 facilities |
| Orgill, Craig | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Parti, Rajesh | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Parti, Shruty | Indirect Ownership Interest · Individual | 0% | 29 facilities |
| Paxman, Marcus | Indirect Ownership Interest · Individual | 0% | 32 facilities |
| Paxman, Marcus | Adp Of The SNF · Individual | 0% | 32 facilities |
| Thakur, Chahat | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Thakur, Chahat | Adp Of The SNF · Individual | 0% | 1 facilities |
| Thompson, Stephen | Corporate Officer · Individual | 0% | 18 facilities |
| Thompson, Stephen | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Thompson, Stephen | Adp Of The SNF · Individual | 0% | 18 facilities |
| Wells Fargo Bank, National Association | Adp Of The SNF · Organization | 0% | 13 facilities |
| Welltower Op LLC | Adp Of The SNF · Organization | 0% | 158 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
- C
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems3F
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous2D
- D
Provide a written emergency evacuation plan.
- D
Have simulated fire drills held at unexpected times.
Emergency Preparedness2F
- F
Establish staff and initial training requirements.
- C
Conduct testing and exercise requirements.
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