Inspection Reports for ManorCare Health Services-Palm Desert

74-350 Country Club Dr, Palm Desert, CA 92260, United States, CA, 92260

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Inspection Report Annual Inspection Census: 111 Capacity: 145 Deficiencies: 0 Aug 30, 2024
Visit Reason
The inspection was an unannounced annual case management visit to evaluate the facility's compliance with regulatory requirements.
Findings
The facility was found to be in compliance with all applicable regulations, including physical plant safety, food service, employee records, and fire safety. No deficiencies were cited during this inspection.
Report Facts
Employee records reviewed: 9 Facility capacity: 145 Facility census: 111 Water temperature: 111 Fire extinguisher last tested: Nov 9, 2023 Last disaster drill: Jul 2, 2024
Employees Mentioned
NameTitleContext
John SpaunAdministratorNamed as facility administrator with current certification
Rene MontesinosHealth & Wellness DirectorMet with during inspection
Yolanda DelgadoLicensing Program AnalystConducted the inspection
Jazmond D HarrisLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection
Inspection Report Annual Inspection Census: 115 Capacity: 145 Deficiencies: 0 Aug 23, 2024
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with regulatory requirements.
Findings
The facility met documentation requirements with no deficiencies cited during this visit. Due to time constraints, the inspection was not fully completed and will require a return visit.
Employees Mentioned
NameTitleContext
Yolanda DelgadoLicensing Program AnalystConducted the annual inspection and reviewed resident and employee records.
Denise FloresAdministratorFacility representative met with the Licensing Program Analyst during the inspection.
Inspection Report Annual Inspection Census: 120 Capacity: 145 Deficiencies: 0 Aug 14, 2023
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with state regulations for the Residential Care Facility for the Elderly (RCFE).
Findings
The facility was found to be clean, well-maintained, and in compliance with all applicable regulations. No deficiencies were observed during the inspection.
Report Facts
Staff employed: 87 Client records reviewed: 5 Employee records reviewed: 5 Water temperature: 108 Deficiencies observed: 0
Employees Mentioned
NameTitleContext
Denise FloresAdministratorConducted the facility tour and received the inspection report
Kathleen BanrasavongLicensing Program AnalystConducted the inspection
Jazmond D HarrisLicensing Program ManagerOversaw the inspection process
Inspection Report Complaint Investigation Census: 126 Capacity: 145 Deficiencies: 0 Jun 15, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff inappropriately touched a resident while in care.
Findings
The investigation, which included staff and resident interviews and record reviews, was unable to corroborate the allegation. The resident was cognitively impaired and unable to provide details, and no witnesses were found to support the claim. The allegation was determined to be unsubstantiated.
Complaint Details
The complaint alleged that staff inappropriately touched a resident. The investigation found no evidence to substantiate the allegation, and it was classified as unsubstantiated.
Report Facts
Capacity: 145 Census: 126
Employees Mentioned
NameTitleContext
Anna BuenoLicensing Program AnalystConducted the complaint investigation and authored the report
Denise FloresExecutive DirectorMet with the Licensing Program Analyst during the investigation
John SpaunAdministratorFacility administrator named in the report
Inspection Report Complaint Investigation Census: 124 Capacity: 145 Deficiencies: 0 Apr 10, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2020-11-02 regarding staff causing bruising, handling residents roughly, and yelling at residents.
Findings
The investigation found all allegations unsubstantiated due to lack of evidence or witnesses. Staff involved no longer worked at the facility and the resident involved had moved out over a year prior to the investigation.
Complaint Details
The complaint involved allegations that facility staff caused bruising to a resident, handled a resident roughly, and yelled at residents. All allegations were found unsubstantiated after file reviews and interviews, with no evidence or witnesses to corroborate the claims.
Report Facts
Capacity: 145 Census: 124
Employees Mentioned
NameTitleContext
Rayshaun NickolasLicensing Program AnalystConducted the complaint investigation and authored the report
Karen ClemonsLicensing Program ManagerOversaw the complaint investigation
Denise FloresExecutive Director IIIFacility representative met during the investigation
John SpaunAdministratorFacility administrator mentioned in relation to allegations
Inspection Report Complaint Investigation Census: 124 Capacity: 145 Deficiencies: 0 Apr 10, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-11-02 regarding multiple allegations about resident care and facility practices at Brookdale Mirage Inn.
Findings
The investigation found all six allegations unsubstantiated, with no evidence or witnesses to corroborate claims related to pressure injuries, reporting changes in resident condition, communication with resident's representative, refund policies, charges for services not received, and meeting resident showering needs.
Complaint Details
The complaint involved six allegations: 1) Resident sustained a pressure injury while in care; 2) Licensee did not ensure timely reporting of changes in resident's condition to a physician; 3) Licensee did not answer communications promptly and appropriately to the resident's representative; 4) Licensee did not follow facility policy concerning refunds; 5) Resident was charged for services not received; 6) Staff did not meet resident's showering needs. All allegations were found unsubstantiated.
Report Facts
Refund amount: 1843.87 Refund amount: 994 Resident stay duration: 203 Shower frequency: 2 Shower frequency: 7
Employees Mentioned
NameTitleContext
Rayshaun NickolasLicensing Program AnalystConducted the complaint investigation and authored the report
Denise FloresExecutive Director IIIMet with Licensing Program Analyst during investigation and interviewed regarding allegations
John SpaunAdministratorFacility administrator named in report header
Karen ClemonsLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Inspection Report Complaint Investigation Census: 124 Capacity: 145 Deficiencies: 0 Apr 10, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-07-09 alleging that a resident sustained multiple pressure injuries while in care.
Findings
The investigation found the allegation unsubstantiated due to lack of evidence or witnesses to corroborate the claim. The resident was non-ambulatory, and relevant medical records were archived after the resident moved out.
Complaint Details
The complaint alleged that resident #1 sustained multiple pressure injuries and was admitted to the hospital on July 8, 2020. The finding was unsubstantiated as there was no preponderance of evidence to prove the alleged violation occurred.
Report Facts
Complaint Control Number: 18-AS-20200709152202 Facility Capacity: 145 Census: 124
Employees Mentioned
NameTitleContext
Rayshaun NickolasLicensing Program AnalystConducted the complaint investigation and delivered findings
Denise FloresExecutive Director IIIMet with Licensing Program Analyst during the investigation
Inspection Report Annual Inspection Census: 118 Capacity: 145 Deficiencies: 0 Aug 15, 2022
Visit Reason
The inspection was an unannounced annual inspection with emphasis on infection control conducted by the Licensing Program Analyst.
Findings
No deficiencies were observed during the visit. The facility was found to have appropriate COVID-19 related postings, sufficient hygiene supplies, PPE, and a designated infection control lead. Infection control procedures and plans for COVID-19 testing, isolation, and resident monitoring were in place and followed Department guidelines.
Employees Mentioned
NameTitleContext
Usbaldo MartinezExecutive DirectorMet with Licensing Program Analyst during the inspection.
Tricia DanielsonLicensing Program AnalystConducted the annual inspection.
Deborah MullenLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Complaint Investigation Census: 113 Capacity: 145 Deficiencies: 0 Jun 14, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff failed to respond to the call system in a timely manner.
Findings
The investigation included interviews and record reviews regarding a resident's fall and response time to a call pendant. The allegation was deemed unsubstantiated as evidence showed staff responded within 10 to 17 minutes, which is within the expected response time.
Complaint Details
The complaint alleged that staff failed to respond to a call system in a timely manner, specifically that a resident activated their pendant and did not receive a response for thirty minutes. The investigation found staff responded within 10 to 17 minutes, and the complaint was unsubstantiated.
Report Facts
Capacity: 145 Census: 113 Response time: 17 Response time: 10
Employees Mentioned
NameTitleContext
Stephanie TorresLicensing Program AnalystConducted the complaint investigation
Usbaldo MartinezExecutive DirectorInterviewed during investigation
Denise FloresAssistant DirectorInterviewed during investigation and provided information on staff response times
Deborah MullenLicensing Program ManagerReviewed the report
Inspection Report Complaint Investigation Census: 106 Capacity: 145 Deficiencies: 0 Oct 27, 2021
Visit Reason
An unannounced complaint investigation was conducted in response to allegations including staff neglect resulting in a pressure injury, unmet toileting needs, inadequate food services, and staff pushing a resident.
Findings
All allegations were investigated through interviews, record reviews, and observations, and were found to be unsubstantiated. The facility staff were found to be attentive and responsive to residents' needs.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff neglect causing a pressure injury, unmet toileting needs, inadequate food services, and staff pushing a resident. Evidence did not support these claims.
Report Facts
Capacity: 145 Census: 106 Estimated Days of Completion: 0
Employees Mentioned
NameTitleContext
Jesse GardnerLicensing Program AnalystConducted the complaint investigation
Denise FloresExecutive DirectorMet with Licensing Program Analyst during exit interview
John SpaunFacility Administrator
Inspection Report Annual Inspection Census: 105 Capacity: 145 Deficiencies: 0 Aug 24, 2021
Visit Reason
An unannounced required annual inspection was conducted with an emphasis on the infection control domain.
Findings
No health and safety concerns were observed during the inspection, and no deficiencies were cited under Title 22, Division 6, of the California Code of Regulations.
Report Facts
Fire extinguisher inspection date: Jul 29, 2021 Carpet cleaning frequency: 1 Smoke detector/fire alarm check frequency: 2
Employees Mentioned
NameTitleContext
Anna BuenoLicensing Program AnalystConducted the inspection and authored the report
Jessalette CastroBusiness Office ManagerMet with Licensing Program Analyst and confirmed no active COVID-19 cases
Marcus BucklesMaintenance DirectorVerified maintenance of smoke detectors, fire alarms, and fire extinguishers
Inspection Report Complaint Investigation Capacity: 145 Deficiencies: 0 Jun 14, 2021
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff mishandled a resident resulting in bruising.
Findings
The investigation, including interviews and record review, found conflicting information and was unable to corroborate the allegation. The complaint was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged staff mishandling a resident resulting in bruising. The allegation was found unsubstantiated after investigation, with no conclusive evidence to prove the violation occurred.
Report Facts
Facility capacity: 145
Employees Mentioned
NameTitleContext
Shaunte HenryEvaluator / Licensing Program AnalystConducted the complaint investigation
Anna BuenoLicensing Program AnalystAssisted in conducting the complaint investigation
Jessalette CastroBusiness Office ManagerMet with investigators during the visit
John SpaunAdministratorFacility administrator named in the report
Inspection Report Complaint Investigation Capacity: 145 Deficiencies: 0 May 4, 2021
Visit Reason
The visit was conducted as a health and safety check in conjunction with complaint #18-AS-20210503144834.
Findings
No health and safety concerns were noted during the inspection.
Complaint Details
Complaint #18-AS-20210503144834 was investigated and found to have no health and safety concerns.
Employees Mentioned
NameTitleContext
Usbaldo MartinezExecutive DirectorMet with during the inspection and provided a copy of the report.
Shaunte HenryLicensing Program AnalystConducted the health and safety check.
Edna MusokeLicensing Program ManagerNamed in the report header.

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