Inspection Reports for
Desert Blossom Health and Rehabilitation

Investigation of intakes #00161603 and 00162251 was conducted on March 20, 2026. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

This inspection resulted in no citations or deficiency findings. The facility was found in substantial compliance with Medicare/Medicaid Life Safety Code requirements.

The complaint investigation was triggered by an allegation that Resident #100 touched Resident #12 inappropriately. The facility failed to report this allegation promptly as required. The investigation revealed delays and inconsistencies in reporting and handling the abuse allegation, including a nursing progress note predating the official incident report. The facility also failed to notify providers about missed medication doses and had discrepancies in narcotic drug counts.

The facility failed to timely report suspected abuse, ensure medications were administered per provider orders, provide appropriate pain management, and maintain accurate controlled drug records. Deficiencies involved failure to report an abuse allegation promptly, missed IV antibiotic doses without provider notification, inadequate pain medication administration, and discrepancies in narcotic counts.

Investigation of intakes # AZ00224670, SF00131969, AZ00224712, SF00131954, AZ00224699, SF00131947, AZ00224734, SF00131402 was conducted on June 5, 2025. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The complaint investigation found that CPR was not performed on Resident #21 despite being a full code. Staff failed to notify the physician, delayed EMS notification, and did not follow proper code procedures. The resident was found cold and unresponsive, and EMS pronounced death. The investigation included multiple staff interviews and review of clinical records and policies.

The facility failed to provide CPR to Resident #21, who was a full code, after being found unresponsive. Staff did not initiate or continue CPR properly, delayed calling EMS, and there was confusion about pronouncing death. The resident was pronounced deceased by EMS. The facility conducted interviews and reviewed policies, noting staff misunderstandings and a subsequent mock code training.

The investigation of complaint # SF00130651 and complaint # AZ00224522 was conducted on May 28, 2025. There were no deficiencies noted.

This inspection found no deficiencies.

An onsite complaint survey was conducted on January 13, 2025 for the investigation of intake # AZ00221648, AZ00221568, AZ00221586, AZ00221648, AZ00221649. There were no deficiencies cited.

No deficiencies were cited during this inspection.

An onsite complaint survey was conducted on December 18, 2024 for the investigation of intake # AZ00220338, AZ00220220, AZ00220337, and AZ00220218. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

An onsite complaint survey was conducted on November 19, 2024 for the investigation of the following intake: AZ00218666. An onsite complaint survey was conducted on November 19, 2024 for the investigation of the following intake: AZ00218664. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

A complaint survey was conducted on October 2, 2024 for the investigation of intake # AZ00216723 and intake # AZ00216719. There were no deficiencies cited.

This inspection resulted in no deficiencies cited or citations.

The complaint survey was conducted on September 23, 2024 of the following complaint # AZ00216122 and AZ00216121. No deficiencies were cited. The complaint survey was conducted on September 23, 2024 of the following complaint # AZ00216122, AZ00216118. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

An onsite complaint survey was conducted on September 11, 2024 for the investigation of intake #AZ00215758 and intake #AZ00215757. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

A complaint survey was conducted on September 4, 2024 through September 6, 2024 for the investigation of intake #s: AZ00150727, AZ00156719, AZ00175371, AZ00176685, AZ00177939, AZ00179077, AZ00180273, AZ00180857, and AZ00180976. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The complaint survey was conducted on August 28, 2024 of the following complaint #s AZ00214739 and AZ00214738. There were no deficiencies cited.

This inspection resulted in no deficiencies cited or citations.

An onsite complaint survey was conducted on July 19 through July 22, 2024 for the investigation of intake #AZ00213340. An onsite complaint survey was conducted on July 19 through July 22, 2024 for the investigation of intake #AZ00213339. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

An onsite complaint survey was conducted on July 10, 2024 for the investigation of intake # AZ00212865 and intake # AZ00212863. There were no deficiencies cited.

This inspection resulted in no deficiencies cited or citations.

An onsite complaint survey was conducted on June 25, 2024 for the investigation of intake #s AZ00206685, AZ00189320, and AZ00206684. There were no deficiencies cited.

This inspection resulted in no deficiencies cited or citations.

No deficiencies were found during this inspection; the facility met all applicable standards and requirements.

The recertification survey was conducted May 6 through May 9, 2024, in conjunction with investigation of complaints AZ00201185, AZ00201186, AZ00201028, AZ00190181, AZ00189372, AZ00209363, AZ00209461, AZ00210009, AZ00194779, AZ00195104, AZ00201243, AZ00200714, AZ00204715, AZ00195841, AZ00195726. Federal comments referenced similar complaint numbers.

The inspection identified eight deficiencies related to unsafe room temperatures, medication administration errors, incomplete nursing documentation, and failure to provide meals according to dietary orders. The facility failed to maintain comfortable and safe temperatures in a resident's room, had duplicate potassium medication orders for one resident, and did not ensure accurate documentation of a resident's fall incident. Additionally, meal provision and documentation for one resident were inadequate.

The facility failed to ensure that meals and dietary supplements were consistently provided and properly documented for resident #76, who was malnourished. Documentation gaps were identified, with some meals not recorded as provided, and the facility implemented corrective measures including staff in-service training and enhanced monitoring of documentation.

The facility was found deficient in maintaining safe and comfortable room temperatures for residents, ensuring medication services met professional standards, providing adequate nutrition documentation and meal provision, and maintaining accurate nursing documentation of resident care and incidents.

An onsite survey was conducted on June 28, 2023 for the investigation of intake numbers AZ00196474 and AZ00196477. The complaint survey was conducted on June 28, 2023 for the investigation of intake numbers AZ00196473 and AZ00196476. No deficiencies were cited.

No deficiencies were found during this complaint investigation.

An onsite survey was conducted on May 31, 2023 for the investigation of AZ00195444. A complaint survey was conducted on May 31, 2023 for the investigation of AZ00195443. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

The facility failed to ensure identification and addressing of nutritional risk factors for resident #1, resulting in inadequate monitoring and reporting of meal intake and missed meals. The resident experienced significant weight loss and was not provided adaptive feeding equipment or assistance as needed. Documentation and communication regarding nutritional status and intake were deficient.

The complaint investigation focused on medication availability and administration for resident #261 and documentation of continence care for resident #266. The medication issue was substantiated with findings of missed doses and lack of follow-up communication. The continence care documentation deficiency was substantiated with evidence of missing documentation and was addressed through the facility's Quality Assurance process.

The facility failed to ensure that medications were available as ordered for one resident, resulting in missed doses of anastrozole. Additionally, the facility failed to adequately document continence care for another resident, leading to incomplete clinical records. Both deficiencies were associated with minimal harm or potential for actual harm and affected a few residents.

The investigation was complaint-driven, focusing on issues such as failure to notify physicians, lack of care plans, inconsistent personal care, missing physician orders, improper medication administration, and inadequate call systems.

The facility failed to notify a physician of a resident's high blood sugar, develop care plans for CPAP/BIPAP use and protective mats, provide consistent bathing and oral care, ensure physician orders for oxygen and CPAP/BIPAP use, administer pain medication within ordered parameters, and maintain a working call system in a shower room. These deficiencies posed risks of inadequate care, potential harm, and communication barriers for residents.