Inspection Reports for ManorCare Health Services-Palm Desert
74-350 Country Club Dr, Palm Desert, CA 92260, United States, CA, 92260
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on August 30, 2024, which was fully compliant with all regulations. Several complaint investigations over the past few years alleged issues such as staff misconduct, pressure injuries, and response times, but all were unsubstantiated after thorough reviews. The facility consistently met infection control standards and maintained a safe, clean environment. No fines, enforcement actions, or severe deficiencies were reported in any of the available inspections. This record suggests stable compliance with regulatory requirements and no emerging patterns of concern.
Deficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
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
| Name | Title | Context |
|---|---|---|
| John Spaun | Administrator | Named as facility administrator with current certification |
| Rene Montesinos | Health & Wellness Director | Met with during inspection |
| Yolanda Delgado | Licensing Program Analyst | Conducted the inspection |
| Jazmond D Harris | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Yolanda Delgado | Licensing Program Analyst | Conducted the annual inspection and reviewed resident and employee records. |
| Denise Flores | Administrator | Facility 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
| Name | Title | Context |
|---|---|---|
| Denise Flores | Administrator | Conducted the facility tour and received the inspection report |
| Kathleen Banrasavong | Licensing Program Analyst | Conducted the inspection |
| Jazmond D Harris | Licensing Program Manager | Oversaw 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
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Denise Flores | Executive Director | Met with the Licensing Program Analyst during the investigation |
| John Spaun | Administrator | Facility 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
| Name | Title | Context |
|---|---|---|
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Karen Clemons | Licensing Program Manager | Oversaw the complaint investigation |
| Denise Flores | Executive Director III | Facility representative met during the investigation |
| John Spaun | Administrator | Facility 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
| Name | Title | Context |
|---|---|---|
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Denise Flores | Executive Director III | Met with Licensing Program Analyst during investigation and interviewed regarding allegations |
| John Spaun | Administrator | Facility administrator named in report header |
| Karen Clemons | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Denise Flores | Executive Director III | Met 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
| Name | Title | Context |
|---|---|---|
| Usbaldo Martinez | Executive Director | Met with Licensing Program Analyst during the inspection. |
| Tricia Danielson | Licensing Program Analyst | Conducted the annual inspection. |
| Deborah Mullen | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Stephanie Torres | Licensing Program Analyst | Conducted the complaint investigation |
| Usbaldo Martinez | Executive Director | Interviewed during investigation |
| Denise Flores | Assistant Director | Interviewed during investigation and provided information on staff response times |
| Deborah Mullen | Licensing Program Manager | Reviewed 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
| Name | Title | Context |
|---|---|---|
| Jesse Gardner | Licensing Program Analyst | Conducted the complaint investigation |
| Denise Flores | Executive Director | Met with Licensing Program Analyst during exit interview |
| John Spaun | Facility 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
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the inspection and authored the report |
| Jessalette Castro | Business Office Manager | Met with Licensing Program Analyst and confirmed no active COVID-19 cases |
| Marcus Buckles | Maintenance Director | Verified 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
| Name | Title | Context |
|---|---|---|
| Shaunte Henry | Evaluator / Licensing Program Analyst | Conducted the complaint investigation |
| Anna Bueno | Licensing Program Analyst | Assisted in conducting the complaint investigation |
| Jessalette Castro | Business Office Manager | Met with investigators during the visit |
| John Spaun | Administrator | Facility 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
| Name | Title | Context |
|---|---|---|
| Usbaldo Martinez | Executive Director | Met with during the inspection and provided a copy of the report. |
| Shaunte Henry | Licensing Program Analyst | Conducted the health and safety check. |
| Edna Musoke | Licensing Program Manager | Named in the report header. |
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