Health inspection·August 27, 2025

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure call lights were answered as soon as possible, for one of five residents (Resident 2).This failure had the potential to cause delay of care, and to cause Resident 2's needs to not be met in a timely manner.Findings:On August 4, 2025, at 9:50 a.m., an unannounced visit was conducted at the facility for investigation of a facility reported incident involving Resident 2.A review of the facility's census indicated Resident 2 was no longer residing in the facility.A review of Resident 2's admission Record, indicated Resident 2 was admitted to the facility on [DATE], with diagnoses which included fracture of the left humerus. Resident 2 was discharged from the facility on August 2, 2025.A review of Resident 2's (Name of facility) Room History, which contained information regarding how long Resident 2's call light remained on after it was turned on, indicated Resident 2's call light was turned on on July 20, 2025, at 11:24 a.m., and remained on for 58 minutes and 16 seconds. On August 11, 2025, at 4:48 p.m., a concurrent interview and review of Resident 2's record was conducted with the Director of Staff Development (DSD). The DSD stated regarding call lights, the goal was for the call lights to be answered within 10 minutes. Regarding Resident 2, the documented 58 minutes could mean two things, the Certified Nursing Assistant (CNA) was instructed to not turn it off, but would tell whoever was responsible for the resident's issue so it can be addressed, then when the issue was addressed, the call light would be turned off; or the call light was not really answered. Either way, that was not acceptable. The call light should have been answered as soon as possible.Further review of the (Name of facility) Room History for Resident 2, indicated the following durations for when the call lights remained on: -7/18/2025 8:44- 16 min (minutes)15 secs (seconds);-7/18/2025 11:08 - 18 min 38 secs;-7/18/2025 21:03- 19 min 30 secs;-7/19/25 07:12- 11 min 9 secs;-7/19/2025 11:23- 14 min 55 secs;-7/19/2025 15:39- 15 min 1 sec;-7/19/2025 00:02 12 min 33 secs;-7/20/2025 11:24- 58 min, 16 secs;-7/20/2025 16:08- 19 min 53 secs;-7/21/2025 09:13- 17 min 36 secs;-7/22/2025 07:51 16 min 9 secs;-7/22/2025 15:25- 18 min 42 secs;-7/22/2025 20:29- 33 min 8 secs; and-7/22/2025 21:49 12 min 10 secs.A review of the facility's undated policy and procedure titled, Answering the Call Light, indicated, .The purpose of this procedure is to respond to the resident's requests and needs.Answer the resident's call as soon as possible. Residents Affected - Few 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: 555339 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 555339 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Desert Springs Post Acute 74-350 Country Club Drive Palm Desert, CA 92260 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)