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
PALM DESERT, CA · Medicare-certified · 59 beds
THE SPRINGS HEALTHCARE CENTER AT THE CARLOTTA in Palm Desert has an overall 5-star rating, with strong quality measures and health inspection results, a 3-star staffing rating, and reported nurse staffing above the federal benchmark (4.67 vs. 4.1 hours per resident per day). It had no fines in the last 24 months, though recent inspection citations included pressure ulcer care, infection control, and food handling.
Health inspections
Staffing
4.6719 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6719.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
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.
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.
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.
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.
F-Tag 684 — 42 CFR §483.25 — S/S: D
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
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.