Palm Springs Post Acute

In the surveyor’s words

From the most serious findings on record at Palm Springs Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 12, 2023

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was assessed upon admission by nursing to be at high risk for skin breakdown, and was assessed by nursing as not having any open areas upon admission, the Facility failed to ensure he/she receive appropriate care and services in an effort to prevent the development of a pressure injury, and that treatment orders were obtained by nursing after the pressure injury was first observed. On 06/12/23 Resident #1 was left on a bedpan for approximately one hour and twenty minutes, he/she was assessed by nursing after being taken off the bedpan and noted to have subsequently developed a stage 2 (area appears as a shallow crater-like wound or a blister) pressure injury. […]

• Actual harm, isolatedF689Jun 17, 2021

  Based on records reviewed and interviews, for one of three sampled residents (Resident #2), the Facility failed to ensure the resident environment was free from accident hazards, when a staff member served him/her a hot coffee in a cup that was worn out on the bottom and unstable, the cup tipped over, with the hot coffee spilling onto the outer side of Resident #2's left thigh, and he/she sustained a second degree (area often looks wet or moist, affects the first and second layers of skin, blisters may develop and pain may be severe) burn. […]

• No harm, potential for more than minimal, widespreadF812Feb 15, 2022

  Based on observation, record review and interview the facility failed to ensure proper cleaning and sanitizing practices were implemented for dishes and utensils to prevent possible food borne illness. Findings include: Review of the facility policy titled 4.4 Machine Warewashing and Sanitizing, revised 3/16/15, indicated the following: *Manufacturer specifications for temperatures are followed. *Director of Dining Services or designee records temperatures and sanitizer parts per million (ppm) on the dish surface (if low temperature machine) at a minimum of daily on the appropriate Machine Warewashing Sanitizing Log. […]

• No harm, potential for more than minimal, patternF677Nov 20, 2025

  Based on observations, record review and interviews, the facility failed to provide supervision during meals for one Resident (#102) with an aspiration risk out of a total sample of 27 residents. Findings include: Review of the facility policy titled, Activities of Daily Living (ADL) Supporting, dated April 2025, indicated the following:-Residents are provided with care, treatment, and services as appropriate to maintain or improve their ability to carry out activities of daily living.-Residents who are unable to carry out activities of daily living independently receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene.-Appropriate care and services are provided to residents who are unable to carry out ADLs independently, with the consent of the… […]

• No harm, potential for more than minimal, patternF812Nov 20, 2025

  Based on observation and interview, the facility failed to store and prepare food in accordance with professional standards for food service safety. Specifically, the facility failed to ensure food was dated, stored off the floor, shelves on which food was stored were clean/free of possible contaminants, and that unpasteurized eggs were cooked thoroughly. Findings include: Review of the facility's policy titled Food Receiving and Storage, dated as revised November 2022, indicated, but was not limited to, the following:- Foods shall be received and stored in a manner that complies with safe food handling practices. - Dry foods that are stored in bins are removed from original packaging, labeled and dated ( use by date). […]