Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (90% of admissions), and a typical Medicare stay runs around 30 days.
The Carlotta
Nursing Home, Memory Care & Skilled Nursing · Palm Desert, CA
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Carlotta
Nursing Home, Memory Care & Skilled Nursing · Palm Desert, CA
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Carlotta accepts Medicare and private pay.
The Springs Healthcare Center at The Carlotta is a skilled nursing facility located in Palm Desert, California. It offers personalized rehabilitation plans and is surrounded by various amenities, including Assisted Living and Independent Living. The facility has received a 5-star overall rating from Medicare.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs California averages
Total nursing care
This home is ranked 200th out of 288 homes we track in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 49m
10% below state avgStaff type
Hours / day / resident
vs state avg
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
25m
−32% State avg: 37m per day · National avg: 42m per day
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 18m
+16% State avg: 1h 7m per day · National avg: 52m per day
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 6m
−18% State avg: 2h 34m per day · National avg: 2h 24m per day
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 29m
−11% State avg: 3h 54m per day · National avg: 3h 30m per day
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
13m
+106% State avg: 6m per day · National avg: 4m per day
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
18m
−42% State avg: 31m per day · National avg: 29m per day
4 of 6 metrics below state avg
Capacity and availability
Residents per day (avg)
43
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
38 days
250-bed community Rank #85 / 1645Bed count — State benchmarkedThis home is ranked 85th out of 1,645 homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score: 95 / 100 Rank #66 / 2057Walk Score — State benchmarkedThis home is ranked 66th out of 2,057 homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
About this community
CountyRiverside
The Carlotta is administered by John Brennan.
Accept Medicare
Rehabilitation Services
Pets not allowed
Specific ProgramsPost-Acute Care
Inspection History
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. CA average
0 Worse
No metrics in this bucket.
1 Better
Metrics better than California average:
• Total citations (100% below)
• Total citations (100% below)
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 0 | 12 | This facility has 100% fewer total citations than a typical California nursing home (0 vs. CA avg 12).↓ 100% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total inspections
Combined count of official scheduled inspections, complaint visits and other regulatory visits. California counts each evaluation report, so one trip can count twice when it serves two purposes.
| 13 | 16 | This facility has had 19% fewer total inspections than the California average (13 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↓ 19% fewer |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 8 | 13 | This facility has had 38% fewer complaint visits than the California average (8 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 38% fewer Rank #758 / 1387 Complaint visits — State benchmarked This home is ranked 758th out of 1,387 homes we track in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1387 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric. |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 4 | 7 | This facility has had 43% fewer other visits than the California average (4 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 43% fewer |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 1 | 4 | This facility has had 75% fewer official inspections than the California average (1 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 75% fewer |
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Breakdown by payment type
Medicare
90% of new residents, usually for short-term rehab.
Typical stay
30 days
Private pay
9% of new residents, often for short stays.
Typical stay
1 - 2 months
Finances and operations
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
For-profit
Operated by a single business entity.
Net patient revenue
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.6M
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$4.6M
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
For-profit
Operated by a single business entity.
Net patient revenue
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.6M
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$4.6M
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Payroll costs
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$6.1M
44.9% of net patient revenue
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costs
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$12.1M
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
Total costs
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$18.2M
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Who this home usually serves
TYPE OF STAY
Admissions
269 totalCoverage residents most often arrive under.
Medicare
90%
Private pay
9%
Discharges
259 totalCoverage residents most often leave under.
Medicare
85%
Private pay
13%
Medicaid
2%
Places of interest near The Carlotta
2.3 miles from city center
Estimated distance in miles from Palm Desert's city center to The Carlotta's address, calculated via Google Maps.
Calculate Travel Distance to The Carlotta
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Compare Nursing Homes around Palm Desert
Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Springs Healthcare Center at the Carlotta | NH MC SNF | Palm Desert | 59
Facility
59
CA AVG
103
Rank
#1,085 / 1,645 |
72.9%
Facility
72.9%
CA AVG
75.9%
Rank
#858 / 1,452 | -4% | 3.82
Facility
3.82
CA AVG
4.22
Rank
#200 / 288 | -8% | -10% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 293 | 23
Facility
23
CA AVG
50.2
Rank
#52 / 290 | 2.3
Facility
2.3
CA AVG
4.6
Rank
#15 / 290 | 1 | 43 | - |
8
Facility
8
CA AVG
58
Rank
#1,972 / 2,057 | Well Trevi Carlotta Snf LLC | $13.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $6.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 44.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 555226 | ||||
| ManorCare Health Services-Palm Desert | NH AL IL MC | Palm Desert | 145
Facility
145
CA AVG
103
Rank
#386 / 1,645 |
40.0%
Facility
40.0%
CA AVG
75.9%
Rank
#1,408 / 1,452 | -47% | 3.49
Facility
3.49
CA AVG
4.22
Rank
#257 / 288 | -72% | -17% | $74.4k
Facility
$74.4k
CA AVG
$56.5k
Rank
#268 / 293 | 121
Facility
121
CA AVG
50.2
Rank
#286 / 290 | 3.3
Facility
3.3
CA AVG
4.6
Rank
#75 / 290 | 3 | 58 | - |
19
Facility
19
CA AVG
58
Rank
#1,856 / 2,057 | Blc Mirage Inn LP | $15.2MFiscal year ending 05/2024
Facility
$15.2MFiscal year ending 05/2024
CA AVG
$15.7M
Rank
#115 / 259 | $9.5MFiscal year ending 05/2024
Facility
$9.5MFiscal year ending 05/2024
CA AVG
$9.0M
Rank
#98 / 259 | 62.3%Fiscal year ending 05/2024
Facility
62.3%Fiscal year ending 05/2024
CA AVG
61.2%
Rank
#56 / 259 | 555339 |
Financial Assistance for
Nursing Home in California
The Carlotta is located in Palm Desert, California.
Here are the financial assistance programs available to residents in California.
Frequently Asked Questions about The Carlotta
Is The Carlotta in a walkable area?
The Carlotta has a walk score of 95. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
What is the occupancy rate at The Carlotta?
The Carlotta's occupancy is 60.6%.
Are pets allowed at The Carlotta?
No, The Carlotta has a no-pet policy.
Does The Carlotta operate as a for-profit or non-profit?
The Carlotta is registered as a for-profit in CA.
Who is the administrator of The Carlotta?
John Brennan is the administrator of The Carlotta.
How many beds does The Carlotta have?
The Carlotta has 250 beds.
Has The Carlotta had any citations?
The Carlotta has no reported citations since 2023 according to records from California Department of Social Services (CDSS).
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