Health inspection·March 21, 2024

F 0814 Dispose of garbage and refuse properly. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure that two of three trash dumpster lids were securely closed. Residents Affected - Few This failure had the potential to attract pests, insects, and vermin (animals that are believed to carry diseases such as rodents [rats/mice]) which could create an unsanitary environment for the vulnerable residents residing in the facility. Findings: On March 21, 2024, at 10:50 a.m., an unannounced visit was conducted at the facility for an environmental complaint. On March 21, 2024, at 11:05 a.m., an observation was conducted with the Administrator (Adm) and the Director of Nursing (DON) of the three facility trash dumpsters. One trash dumpster located at the back of the facility, near the kitchen, was observed with the lid open. The trash dumpster had two bags of trash and there were flies flying in and out. The second trash dumpster located across the driveway, near the facility property line by a brick wall, was observed with lid open was for recyclables. The dumpster was observed to be full of broken-down cardboard. During a concurrent interview, the Adm stated the dumpster lids should be closed to prevent insects and rodents. The Adm was then observed telling staff to close the dumpster lids. On March 21, 2024, at 11:10 a.m., an interview was conducted with the Janitor. The Janitor stated he was asked by the Adm to close the trash dumpster lids. The Janitor stated the dumpster lids needed to remain closed to prevent insects and rodents. On March 21, 2024, at 11:17 a.m., an interview was conducted with the Dietary Supervisor (DS). The DS supervisor stated it was important for the trash dumpster lids to be closed. The DS stated when the lids were left open flies and rodents could be attracted to the trash. The DS stated the lids should be closed to prevent odors as well. On March 21, 2024, at 11:20 a.m., an interview was conducted with the Director of Maintenance (DM). The DM stated the trash dumpsters were emptied every day but Sunday. The DM stated the trash dumpster lids should be closed to prevent insects and rodents. On March 21, 2024, at 11:25 a.m., an interview was conducted with the housekeeper (HSK). The HSK stated it was important for the trash dumpster lids to be closed to prevent flies and rodents. The HSK stated the dumpster lids were heavy and hard to close, so they were left open sometimes. (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: 555403 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 555403 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/21/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Monterey Palms Health Care Center 44610 Monterey Avenue 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)