F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm
or potential for actual harm
Based on observation, interview, and record review the facility failed to ensure proper infection prevention
and control standards were followed, when three direct care staff members were noted to have artificial
nails.
Residents Affected - Some
This failure had the potential to result in the transmission of healthcare-associated infections to the
vulnerable immunocompromised residents.
Findings:
On January 7, 2025, at 9:30 a.m., an unannounced visit was made to the facility to investigate a complaint
of quality of care and infection control and one facility reported incident of gastrointestinal outbreak.
On January 7, 2025, at 1:10 p.m., a concurrent observation and interview was conducted with Certified
Nursing Assistant (CNA) 1. CNA 1 was observed coming out of a resident's room and had long decorative
artificial nails. CNA 1 stated the staff were not allowed to have long artificial nails. CNA 1 stated she should
not wear artificial nails because of infection control reasons.
On January 7, 2025, at 1:15 p.m., a concurrent observation and interview was conducted with Licensed
Vocational Nurse (LVN) 1. LVN 1 was noted to have long artificial nails. LVN 1 stated she had on artificial
nails, and should not be wearing them, as the artificial nails could collect bacteria and she could pass it on
to a resident during care.
On January 7, 2025, at 1:35 p.m., a concurrent observation and interview was conducted with LVN 2. LVN 2
stated she usually a charge or medication nurse but was asked to work as a sitter today. LVN 2 was
observed to have on artificial nails. LVN 2 stated she should not be wearing artificial nails, as it could pick
up bacteria.
On January 7, 2025, at 4:45 p.m., an interview was conducted with the Infection Preventionist (IP). The IP
stated any staff members who performs direct patient care should not have any type of artificial nails, as
this can cause an infection control problem.
A review of the facility's undated policy and procedure titled Infection Prevention and Control Plan,
indicated, .to develop a comprehensive Infection Control Policy that establishes a facility-wide system for
the prevention, identification, investigation and control of infections of residents .best practices and
regulatory compliance for the goal of quality systems for care .facility's Infection Prevention and Control
Program (IPCP) .follows national standards and guidelines to prevent, recognize, and control the onset and
spread of infection .surveillance .reporting .standard and
(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:
555742
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
555742
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/23/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Desert Mountain Care Center
47-763 Monroe 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)
F 0880
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
FORM CMS-2567 (02/99)
Previous Versions Obsolete
transmission-based precautions to be followed to prevent the spread of infections .Hand Hygiene to be
followed by staff with direct care, handling resident care equipment and the environment .Resident Infection
Cases are managed by the IP (infection preventionist) .
A review of the facility's undated policy and procedure titled Infection Prevention-Hand Hygiene, indicated,
.hand hygiene the primary means to prevent the spread of infections personnel shall be trained and
regularly in-serviced on the importance of hand hygiene in preventing the transmission of
healthcare-associated infections .wearing artificial fingernails is strongly discouraged among staff members
with direct resident-care responsibilities, and is prohibited among those caring for severely ill or
immunocompromised residents .they present an unusual infection control risk .
Event ID:
Facility ID:
555742
If continuation sheet
Page 2 of 2