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Inspection visit

complaint

HIGH DESERT HAVENLicense 1572095165 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

Regarding the allegation Staff do not meet the needs of residents diagnosed with a restricted health condition: Based on interviews and records reviews, R2 does not have a Home Health Care Plan. Based on interviews Staff are draining catheter bag without training from Home Health. Staff are cleaning the insertion area of the catheter. Facility does not have a restricted health care plan for R8's restricted health condition or staff training. Regarding the allegation Staff do not provide adequate care and supervision of the residents: Based on records review and interview, facility staff did not respond to change feces soiled brief for R1 for several hours. After conducting staff interviews facility staff stated response time to call lights is 5 minutes. After review of records of call light system for June 18, 2025 to June 25, 2025 several were over 15 minutes to 1 hour and 45 minutes. Regarding the allegation Staff are not following proper reporting requirements. Resident 1, and resident 4 were not given prescribed medication for multiple days during the month of June 2025. Facility staff did not report the missed medication to Licensing as required. Regarding the allegation Staff are mishandling the residents medications. Resident 1 and Resident 4 missed multiple prescribed medications during the month of June 2025. No reason was documented as to why medications were not being administered to residents. R4 should have had a medication administered at 8 PM and did not get the medication until 10:19 PM. Based on records reviewed interviews and observation for the allegations preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. A copy of this report with plans of correction and appeal rights were provided. Regarding the allegation Staff do not provide transportation service for the residents. Based on interviews, R1 chose to lay on the floor and did not fall. R1 did not want to be transported. Regarding the allegation Staff denied a resident access to food. Based on staff interviews, and observation Resident R1 is being offered food daily. LPA’s interviewed three facility staff who all stated R1 is declining food and not currently eating regularly. Resident R1 is currently on hospice due to rapid health decline. LPA’s observed caregiver bringing dinner tray to Resident R1 during visit. Although the allegations listed may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. A copy of this report was provided.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87211(a)Type B

    87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by Licensee did not report R1 and R4's missed medications which poses a potential health safety and or personal rights risk to residents in care.

  • 87464(f)(1)Type A

    87464 Basic Services(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code ection 1569.2(c). This requirement was not met as evidenced by: Licensee did not meet R1's inontinence needs and staff not responding to call lights within in a timely manner on several days in the month of June 2025 ranging from 15 minute to 1 hour 45 minutes which poses an immediate health safety and personal rights to residents in care.

  • 87465(a)(4)Type A

    87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met by R1 and R4 not receiving several medications in the month of June 2025, which poses and immediate health safety and personal rights risk to residents in care.

  • 87609(4)Type A

    (b) Incidental medical care may be provided to residents through a licensed home health agency provided the following conditions are met: (4) The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s). THie requirement was not met as evidenced by Licensee did not have a Home Health Care Plan or staff training for R2's restricted health condition and straff are cleaning the insertion area of the restricted health condition and R8 does not have a restricted Health Care Plan for R8's restricted health condition, which poses an immediate health safety and or personal rights risk to residents in care.

  • 87633(a)Type B

    (a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility when all of the following conditions are met: (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident’s hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident’s or prospective resident’s Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement was not met as evidenced by R7 not having a Hospice Care Plan indicating care needed which poses a potential health safety and personal rights risk to residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the August 6, 2025 inspection of HIGH DESERT HAVEN?

This was a complaint inspection of HIGH DESERT HAVEN on August 6, 2025. 5 citations were issued: 3 Type A (serious) and 2 Type B.

Were any citations issued to HIGH DESERT HAVEN on August 6, 2025?

Yes, 5 citations were issued (3 Type A, 2 Type B). The first citation was for: "87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may r..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.