Health inspection·April 17, 2025

F 0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure an alternative option was offered when a bed bath was refused, for one of five residents reviewed (Resident 1). Residents Affected - Few This failure had the potential for the resident to not receive proper hygiene, feel unclean, and may result to skin irritation and/or skin breakdown. Finding: On April 17, 2025, at 8:50 a.m., an unannounced visit was conducted at the facility to investigate a complaint on quality of care. On April 17, 2025, at 9:10 a.m., an observation with a concurrent interview was conducted with Resident 1. Resident 1 was in his room, alert and conversant. Resident 1 stated he gets a shower every Monday and Thursday and due to a recent plumbing issue in the shower room, regular showers were not provided to the residents as scheduled. Resident 1 stated he was offered a bed bath as an alternative to a complete shower. Resident 1 stated he tried the bed bath at first and then he refused the second time it was offered. Resident 1 further stated he was afraid the soap will not be rinsed off well from his body in the bed bath provided. Resident 1 stated if the soap will not be rinsed off well from his body, this could trigger his eczema (a chronic inflammatory skin condition that causes dry, itchy, often inflamed patches of skin). Resident 1 stated he was not given any other alternative options when he refused the bed bath offered. Resident the facility staff should have options or alternatives other than bed bath. On April 17, 2025, a record review was conducted on Resident 1. Resident 1 was admitted to the facility on [DATE]. The History and Physical dated May 19, 2024, indicated Resident 1 had the capacity to make own medical decision. The April Order Summary Report indicated Resident 1 had a current physician ' s order to apply Triamcinolone Acetonide Cream 0.1% (type of topical cream used to relieve redness, itching, swelling, or other discomfort caused by skin condition) to be applied to both lower extremities every day shift for dryness and scabs, date ordered March 25, 2025. The facility document titled, POC Response History, dated April 5 to 12, 2025, indicated Resident 1 (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 555084 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 555084 B. Wing A. Building (X3) DATE SURVEY COMPLETED 04/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Desert Springs Healthcare & Wellness Centre 82262 Valencia Avenue Indio, CA 92201 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)