The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Carlotta Ivy Signature Living Community
Registered name: THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA
PALM DESERT, CA · Medicare-certified · 59 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
Carlotta Ivy Signature Living Community in Palm Desert has a 5-star overall rating, with strong quality measures (5 stars) and health inspections (4 stars), while staffing is rated 3 stars; reported nurse staffing is 4.60 hours per resident per day, above the federal benchmark of 4.1. There were no fines in the last 24 months, but recent inspection citations included pressure ulcer care, infection prevention and control, and food handling standards.
Facility ratings
Health inspections
Staffing
4.5996 hrs/resident/day
Quality measures
Last inspection: January 28, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5996.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 1.56
- Nurse aides
- 2.53
- Weekend nursing
- 4.19
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 17%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—0%—
Residents with a fall causing major injury
—0%—
Residents with pressure ulcers (bedsores)
—0%—
Residents with a urinary tract infection
—0%—
Residents who lost too much weight
—0%—
Residents who were physically restrained
—0%—
Residents needing more help with daily activities
—2.6%—
Long-stay residents on antianxiety or sleep medication
—10.3%—
Short-stay residents newly given an antipsychotic
0%0.6%Worsening
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—14.7%—
Residents with depressive symptoms
—0%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the pneumonia vaccine
—100%—
Short-stay residents given the seasonal flu vaccine
—93.6%—
Short-stay residents given the pneumonia vaccine
99.5%100%No change
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to properly dispose of garbage and other waste. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Apr 1, 2023
Now operated by The Springs Healthcare Center at the Carlotta, previously The Springs at the Carlotta.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ASPEN SKILLED HEALTHCARE · 35 homes · 3.7 stars avg
- Occupancy
- 43 residents on an average day (73% of 59 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.