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Inspection visit

Health inspection

DESERT MOUNTAIN CARE CENTERCMS #5557421 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

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

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0880GeneralS&S Epotential for harm

    F880 - Infection Control

    Provide and implement an infection prevention and control program.

FAQ · About this visit

Common questions about this visit

What happened during the January 23, 2025 survey of DESERT MOUNTAIN CARE CENTER?

This was a inspection survey of DESERT MOUNTAIN CARE CENTER on January 23, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at DESERT MOUNTAIN CARE CENTER on January 23, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Provide and implement an infection prevention and control program."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.