Medicare flags this nursing home for abuse. Medicare adds this flag when a home was cited for abuse that harmed a resident, or for potential abuse more than once. Ask the home what changed.
Inspection citations
22’23
29’24
49’25
29’26
129 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jul 21, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jul 1, 2026 | G · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jul 1, 2026 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Complaint |
| Apr 24, 2026 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Apr 24, 2026 | 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 |
| Apr 24, 2026 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Apr 24, 2026 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Apr 24, 2026 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Apr 24, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Apr 24, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Apr 24, 2026 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Apr 24, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Apr 24, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Apr 24, 2026 | E · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Apr 24, 2026 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Apr 24, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Apr 24, 2026 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Apr 24, 2026 | 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 |
| Apr 24, 2026 | D · potential | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Routine |
| Apr 24, 2026 | D · potential | Provide routine and 24-hour emergency dental care for each resident. | Routine |
| Apr 24, 2026 | E · potential | 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. | Routine |
| Apr 24, 2026 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Apr 24, 2026 | D · potential | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Routine |
| Apr 24, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 24, 2026 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Apr 15, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Feb 6, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 6, 2026 | 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. | Complaint |
| Feb 6, 2026 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Dec 24, 2025 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Dec 10, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Dec 10, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Dec 10, 2025 | D · 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. | Complaint |
| Aug 27, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Aug 27, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jun 25, 2025 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jun 25, 2025 | E · potential | Implement a program that monitors antibiotic use. | Complaint |
| Apr 24, 2025 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Apr 24, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 24, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Apr 24, 2025 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| Apr 9, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Apr 9, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Mar 4, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Mar 4, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Mar 4, 2025 | D · 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. | Complaint |
| Jan 31, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jan 21, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jan 10, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jan 10, 2025 | E · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Jan 10, 2025 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jan 10, 2025 | E · 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 |
| Jan 10, 2025 | 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. | Routine |
| Jan 10, 2025 | E · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| Jan 10, 2025 | E · potential | Provide activities to meet all resident's needs. | Routine |
| Jan 10, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jan 10, 2025 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Jan 10, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Jan 10, 2025 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jan 10, 2025 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Jan 10, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jan 10, 2025 | 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 |
| Jan 10, 2025 | 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 |
| Jan 10, 2025 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jan 10, 2025 | 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 |
| Jan 10, 2025 | D · potential | Provide or obtain dental services for each resident. | Routine |
| Jan 10, 2025 | D · potential | 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. | Routine |
| Jan 10, 2025 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Jan 10, 2025 | E · potential | 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. | Routine |
| Jan 10, 2025 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Jan 10, 2025 | E · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Jan 10, 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 |
| Jan 10, 2025 | E · potential | 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. | Routine |
| Jan 10, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 10, 2025 | F · potential | Dispose of garbage and refuse properly. | Routine |
| Jan 10, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 10, 2025 | D · potential | Keep all essential equipment working safely. | Routine |
| Jan 10, 2025 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Nov 25, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 14, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Nov 4, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Sep 30, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Sep 13, 2024 | D · potential | Give the resident's representative the ability to exercise the resident's rights. | Complaint |
| Sep 13, 2024 | E · potential | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Complaint |
| Sep 13, 2024 | 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. | Complaint |
| Sep 13, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Sep 13, 2024 | D · potential | 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. | Complaint |
| Sep 13, 2024 | E · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Jul 15, 2024 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 28, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Complaint |
| Jun 28, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Jun 28, 2024 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Jun 11, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jun 11, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jun 3, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jun 3, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| May 16, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 10, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 9, 2024 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Apr 9, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Apr 9, 2024 | D · potential | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Complaint |
| Apr 4, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 22, 2024 | E · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Complaint |
| Jan 19, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Jan 12, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jan 12, 2024 | G · harm | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Jan 12, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Nov 8, 2023 | D · potential | Assure that each resident’s assessment is updated at least once every 3 months. | Complaint |
| Oct 27, 2023 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Oct 27, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Oct 26, 2023 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Oct 25, 2023 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jun 23, 2023 | E · 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 |
| Jun 23, 2023 | 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 |
| Jun 23, 2023 | 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 |
| Jun 23, 2023 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jun 23, 2023 | H · harm | 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 |
| Jun 23, 2023 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jun 23, 2023 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Jun 23, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jun 23, 2023 | 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 |
| Jun 23, 2023 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Jun 23, 2023 | E · 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 |
| Jun 23, 2023 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Jun 23, 2023 | E · potential | 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. | Routine |
| Jun 23, 2023 | 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 23, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jun 23, 2023 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Jun 23, 2023 | D · potential | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | 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 Springs Post Acute
74-350 Country Club Drive, Palm Desert, CA 92260 · (760) 341-0261
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555339
- Certified beds
- 178
- Legal owner
- Legal Business Name Not Available
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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