Inspection citations
16’21
1’23
7’24
14’25
7’26
45 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| May 27, 2026 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| May 13, 2026 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Apr 17, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Feb 18, 2026 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| Feb 18, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Feb 18, 2026 | D · potential | Keep all essential equipment working safely. | Complaint |
| Feb 18, 2026 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| Jun 26, 2025 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Jun 26, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jun 26, 2025 | D · potential | 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. | Routine |
| Jun 26, 2025 | D · potential | Provide routine and 24-hour emergency dental care for each resident. | Routine |
| Jun 26, 2025 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Jun 26, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 26, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jun 26, 2025 | D · potential | Keep all essential equipment working safely. | Routine |
| Jun 4, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Apr 22, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 22, 2025 | E · potential | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Complaint |
| Apr 22, 2025 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Apr 1, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jan 23, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 5, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jul 30, 2024 | E · potential | 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. | Complaint |
| Jul 30, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Jun 4, 2024 | E · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Complaint |
| Apr 25, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 14, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jan 29, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 3, 2023 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Aug 27, 2021 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Aug 27, 2021 | D · potential | 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. | Routine |
| Aug 27, 2021 | D · potential | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Routine |
| Aug 27, 2021 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Aug 27, 2021 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Aug 27, 2021 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 27, 2021 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Aug 27, 2021 | E · potential | 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. | Routine |
| Aug 27, 2021 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 27, 2021 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Aug 27, 2021 | D · potential | 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. | Routine |
| Aug 27, 2021 | E · potential | 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. | Routine |
| Aug 27, 2021 | D · potential | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Routine |
| Aug 27, 2021 | D · potential | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Routine |
| Aug 27, 2021 | D · potential | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Routine |
| Aug 27, 2021 | E · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Desert Mountain Care Center
47-763 Monroe Avenue, Indio, CA 92201 · (760) 347-0750
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555742
- Certified beds
- 99
- Legal owner
- Stagecoach Healthcare, INC.
- Part of
- The Ensign Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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