Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Desert Regional Medical Center D/p Snf during CMS and state inspections, most recent first.
A resident with a fungal infection was transferred to the ED due to agitation and confusion, but the facility failed to notify the resident's representative as required by policy. The DON confirmed that staff should have informed the representative and documented the notification, but RN 1 admitted to forgetting to do so.
The facility failed to provide dementia training to a CNA hired in early 2024, as discovered during an unannounced visit investigating abuse allegations. The CNA's personnel file lacked documentation of the required training, which was confirmed by the Regulatory Manager and Assistant Director of Nursing. The facility's policy mandates dementia-specific training for all CNAs, which was not adhered to in this case.
The facility experienced several sanitation and food safety issues in the kitchen area, including rodent droppings and nesting evidence in the cooking line, grease and grime accumulation on kitchen equipment, and cross-contamination of raw meats in the walk-in refrigerator. Additionally, missing drawers under food prep tables led to food crumbs accumulation, and uncovered frozen food items were found in the freezer. A staff member handling ready-to-eat food did not practice proper hand hygiene. These conditions posed a risk of foodborne illness, particularly for medically compromised residents.
The facility failed to meet the nutritional needs of 15 out of 16 residents by not following the established menu for lunch, serving significantly smaller portions than required. Additionally, a resident reported receiving incorrect portions and experiencing delays in meal service.
The facility failed to maintain an effective pest control program, resulting in rodent droppings and evidence of nesting in the kitchen. Recommendations from the pest control company were not implemented, and gaps in doors and damaged walls provided entry points for rodents. The facility's policy on pest control was not followed.
The facility failed to ensure proper infection control practices were followed by two employees. RN 2 and CNA 1 were observed not performing hand hygiene before donning gloves, after removing gloves, and between providing care to different residents. Both employees admitted to not following the hand hygiene protocol, which was confirmed by the Infection Preventionist.
The facility failed to maintain essential kitchen equipment, with multiple pieces out of service and not being clean or maintained. Observations revealed rust, food grime, rodent droppings, and missing drawers. Interviews indicated a lack of a current plan for repairs and communication issues causing delays.
The facility failed to act on a pharmacist's recommendation to reduce the number of anticoagulants for a resident with peripheral vascular disease and heart failure. The physician did not document a rationale for not considering monotherapy, and the facility's policy for medication regimen review was not followed.
The facility failed to designate a qualified DFANS, resulting in unsanitary kitchen conditions and Immediate Jeopardy due to the presence of pests. The CNM, although a Registered Dietician, was not typically responsible for managing the kitchen full-time. Both the DFANS and Executive Chef were not qualified food service managers and were in the process of becoming CDMs.
Failure to Notify Resident's Representative of ED Transfer
Penalty
Summary
The facility failed to notify a resident's representative of a transfer to the Emergency Department (ED) for further evaluation of agitation. This deficiency involved a resident who was admitted with a diagnosis of resistive organism fungemia. On the day of the incident, the resident was combative, agitated, and confused, leading to a decision to transfer them to the ED. However, the assigned nurse, RN 1, did not notify the resident's appointed representative about the transfer, despite the resident's inability to communicate due to their condition. The Director of Nursing (DON) confirmed that the facility's policy required staff to notify the resident's representative in such situations and to document the notification in the resident's medical record. The review of the resident's medical records revealed no documentation of the notification, and RN 1 admitted to forgetting to inform the representative. The facility's policy on resident rights emphasized the importance of notifying a resident's representative in cases of transfer or discharge, especially when the resident is unable to do so themselves.
Failure to Provide Dementia Training to CNA
Penalty
Summary
The facility failed to ensure that dementia training was provided to a Certified Nursing Assistant (CNA), identified as CNA 1, who was hired on January 29, 2024. This deficiency was discovered during an unannounced visit on August 1, 2024, which was conducted to investigate an allegation of abuse. Upon reviewing CNA 1's personnel file, it was found that there was no documentation indicating that CNA 1 had received the required dementia training. This lack of training was confirmed during a concurrent interview with the Regulatory Manager (RM), who acknowledged that CNA 1 had not undergone the necessary dementia training, despite the facility's policy of providing such training annually to all CNAs. Further interviews with the Assistant Director of Nursing (ADON) revealed that the facility admits residents with dementia, and it is essential for all Skilled Nursing Facility staff to have dementia training to ensure they can effectively care for and handle residents with dementia. The facility's policy, titled 'CERTIFIED NURSE ASSISTANT ORIENTATION AND IN-SERVICE TRAINING PROGRAM,' dated December 21, 2023, mandates that new CNA employees receive an orientation program, which includes training on the care of cognitively impaired patients. The policy also requires no fewer than five hours of dementia-specific training every calendar year. The failure to provide this training to CNA 1 had the potential to result in staff lacking the necessary skills to manage and care for residents with dementia effectively.
Sanitation and Food Safety Deficiencies in Kitchen Area
Penalty
Summary
The facility failed to store, prepare, and serve food in a sanitary manner, in accordance with professional standards for food service safety. The deficiencies observed included rodent droppings and evidence of nesting in the cooking line area of the kitchen, accumulation of grease and black grime on kitchen equipment, cross-contamination of raw meats in the walk-in refrigerator, missing drawers under food prep tables with food crumbs accumulation, uncovered frozen food items in the freezer, and lack of proper hand hygiene by a staff member handling ready-to-eat food. These issues had the potential to cause foodborne illness and posed a risk to the medically compromised residents who received food from the kitchen. The observations revealed a concerning lack of cleanliness and maintenance in the kitchen area. The presence of rodent droppings, nesting evidence, and accumulation of grease and food grime on various kitchen equipment indicated a significant sanitation issue. Additionally, the cross-contamination of raw meats in the walk-in refrigerator and the presence of spilled food substances under storage risers highlighted poor food storage practices that could lead to foodborne illness. The missing drawers under food prep tables with accumulated food crumbs further emphasized the lack of attention to cleanliness and potential for microbial growth.
Failure to Meet Nutritional Needs in Meal Service
Penalty
Summary
The facility failed to ensure the lunch menu served on February 27, 2024, met the nutritional needs of 15 out of 16 residents in accordance with established national guidelines. This deficiency was observed during a tray line inspection where the Associate Patient Dining Staff (APDS) was portioning out food. The APDS served 1.3 ounces of meatloaf and approximately 1/4 cup of broccoli, which was significantly less than the 3 ounces of meatloaf and one cup of broccoli indicated on the kitchen's Migrated Patient Menu for that day. This discrepancy was confirmed by the Clinical Nutrition Manager (CNM), who stated that the menu should be followed for serving sizes. Additionally, Resident 227 reported that he should receive double portions but only received one scoop of potatoes on February 26, 2024. He also mentioned that the facility sometimes messed up his order, causing him to wait 45 minutes for the missing food. This inconsistency in meal portions and delays in service could potentially affect the residents' caloric intake and nutritional status, as highlighted by Resident 227's concern about his ability to gain weight due to these issues.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in rodent droppings and evidence of nesting found in the cooking line. The Executive Chef confirmed the presence of a rat problem, and the Service Technician from the pest control company indicated that rodents had been an issue for a while. The technician suspected that rats might be using the sewer lines to gain access to the kitchen. Additionally, the back door of the dry storage room had a gap wide enough for rodents to enter, and a damaged wall in the drink cage was inadequately covered with tape and plastic, which would not deter rodents. The Director of Food and Nutrition Services acknowledged these issues but had not taken corrective actions. The Food and Nutrition Services Manager admitted that recommendations from the pest control company, such as patching the hole in the drink cage and cleaning up accumulated food products, were never implemented. The Clinical Nutrition Manager stated that all areas of the kitchen should be cleaned and free of old food and trash. A review of the pest control company's report showed pending recommendations to repair cracks and remove food products to prevent pest attraction. The facility's policy and procedure on pest control emphasized the need to repair holes and cracks and ensure exterior doors have minimal gaps to prevent pest entry, but these measures were not followed.
Infection Control Deficiencies Observed in Hand Hygiene and PPE Use
Penalty
Summary
The facility failed to ensure proper infection control practices were followed by two employees, leading to potential risks of infection spread among residents. RN 2 was observed on multiple occasions not performing hand hygiene before donning gloves, after removing gloves, and between providing care to different residents. RN 2 also handled items such as telephones and medical equipment without performing hand hygiene, which is against the facility's infection control policy. During an interview, RN 2 acknowledged the failure to perform hand hygiene as required by the facility's policy and procedure. Similarly, CNA 1 was observed not performing hand hygiene upon entering and exiting residents' rooms and after providing direct patient care. CNA 1 also failed to wear gloves while assisting a resident and did not perform hand hygiene after removing gloves and touching personal items. During an interview, CNA 1 admitted to not following the hand hygiene protocol. The Infection Preventionist confirmed that staff should be performing hand hygiene according to the facility's policy, which includes using alcohol-based hand gel or washing hands with soap and water before and after direct contact with patients, handling medications or food, and donning or removing gloves.
Failure to Maintain Essential Kitchen Equipment
Penalty
Summary
The facility failed to maintain essential kitchen equipment in a safe operating condition, as evidenced by multiple pieces of equipment being out of service and not being clean or maintained. During an observation in the bulk food preparation area, the double convection oven had rust and a build-up of food and yellow grime. The Executive Chef stated that only one oven was working, and due to the large volume of meals prepared, there was no time to clean it. Additionally, rodent droppings and evidence of nesting were found in the compartment between the oven and the fryer, and several other pieces of equipment, including fryers, ovens, and steamers, were not working. The Chef also noted that the tracks used to hold drawers under food prep tables had an accumulation of yellow food grime, and multiple drawers were missing in various areas of the kitchen. Interviews with the Dietary Aide and the Director of Biomedical Engineering revealed that the drawers had been missing for years and that there was no current plan for the broken equipment in the kitchen. The Director of Biomedical Engineering stated that work orders were supposed to be completed in approximately 30 days, but communication issues were causing delays. A review of the facility's policy indicated that proper maintenance of equipment was the responsibility of the Director in cooperation with the Maintenance Department, but this was not being followed. The FDA Federal Food Code also requires equipment to be maintained in a state of repair, which was not being adhered to in this case.
Failure to Act on Pharmacist's Recommendation for Anticoagulant Therapy
Penalty
Summary
The facility failed to ensure that the pharmacist's recommendation to reduce the number of anticoagulants from two medications to a single medication was acted upon for one of five residents reviewed for unnecessary medications. The pharmacist's recommendation, documented on February 25, 2024, suggested evaluating the feasibility of monotherapy for a resident who was prescribed both Eliquis and Aspirin. However, there was no documented evidence that the physician addressed this recommendation or provided a rationale for not reducing the number of anticoagulants. During interviews and record reviews, it was confirmed that the physician did not document the reason for not considering monotherapy, and the facility's policy and procedure for medication regimen review were not followed. The Director of Nursing acknowledged that pharmacy recommendations should be acted upon immediately by the Inter-Disciplinary Team (IDT). The failure to address the pharmacist's recommendation had the potential to result in adverse consequences related to anticoagulant therapy for the resident, who had diagnoses including peripheral vascular disease and heart failure.
Lack of Qualified DFANS Leads to Unsanitary Kitchen Conditions
Penalty
Summary
The facility failed to designate a qualified Director of Food and Nutrition Services (DFANS) who meets state requirements for food service managers or dietary managers. This deficiency resulted in a lack of oversight in the kitchen, leading to unsanitary conditions and the presence of pests, which triggered an Immediate Jeopardy situation. The issue had the potential to affect 15 out of 16 medically compromised residents who receive food from the kitchen. During interviews, it was revealed that the Clinical Nutrition Manager (CNM) was a Registered Dietician and the full-time qualified staff member over the kitchen, but the DFANS and the Executive Chef were not qualified food service managers and were in the process of becoming Certified Dietary Managers (CDMs). The Regional Supervisor (RS) confirmed that it was not typical for the CNM to also manage the kitchen full-time and acknowledged that there was no one currently qualified to fulfill the DFANS position. A review of job descriptions indicated that the CNM was responsible for clinical nutrition services, while the DFANS role required meeting CMS and state regulations for educational qualifications. The lack of a qualified DFANS led to unsanitary conditions in the kitchen, posing a risk to the residents' health and safety.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Palm Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| California Nursing & Rehabilitation Center | 0.8 mi | — | 1 | 0 |
| Palm Springs Healthcare & Rehabilitation Center | 1.7 mi | — | 2 | 0 |
| Premier Care Center For Palm Springs | 2.8 mi | — | 32 | 1 |
| Bayshire Rancho Mirage | 8.4 mi | — | 1 | 0 |
| Rancho Mirage Health And Rehabilitation Center | 10.2 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.