Premier Care Center for Palm Springs

In the surveyor’s words

From the most serious findings on record at Premier Care Center for Palm Springs, in the surveyor’s own words.

• Immediate jeopardy, patternF684Mar 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure care and treatment was provided, for 12 of 93 residents (Residents 113, 4, 12, 9, 69, 5, 89, 116, 87, 109, 84, and 119), when:1.For Resident 113, the facility did not conduct on-going assessment of the resident's bowel movement/constipation (difficulty passing stool) and implement interventions to address constipation according to the physician's order and facility's policy and procedure, when Resident 113 did not have bowel movement from February 4, 2026, to February 10, 2026 (seven days). In addition, the facility staff did not act on several daily alert notifications from February 6, 2026, to February 11, 2026, indicating Resident 113 not having a bowel movement (BM) for more than three days.2. […]

• No harm, potential for more than minimal, widespreadF812Mar 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was prepared, stored, served, or distributed in accordance with professional standards of food service safety, for 92 of 93 residents who received food from the facility kitchen, when the following were found, readily available for use:1. Several bottles of opened herbs and spices were found not labeled with open dates;2. One opened one-gallon container of buttermilk ranch dressing and one opened one-gallon container of egg mayonnaise were found inside refrigerator # (number) 1 without open dates;3. One package of roast beef was found stored in the walk-in refrigerator, past its use-by date; and4. […]

• No harm, potential for more than minimal, patternF656Mar 10, 2026

  Based on interview and record review, the facility failed to ensure an individualized comprehensive care plan was developed, for seven of 23 residents reviewed (Residents 8, 25, 109, 119, 32, 89, and 116), when:1.For Resident 8, a care plan was not developed to address targeted behavior of hallucinations (a false perception or sensory experience -such as seeing, hearing, smelling, tasting, or touching something that is not actually present), depression (common, serious, and treatable mental health disorder characterized by persistent feelings of extreme sadness, emptiness, hopelessness, and a loss of interest in activities), and anxiety (a common, often normal, feeling of intense fear, dread, and nervousness);2.For Residents 25, 109, and 119, a care plan was not developed to address dental… […]

• No harm, potential for more than minimal, patternF695Mar 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure the facility's policy and procedure on oxygen use was followed, for three of three residents reviewed under oxygen (Residents 32, 89, and 116, when:1. For Residents 32 and 89, the nasal cannula (a medical device used to deliver supplemental oxygen) was not changed every seven days; and2. For Resident 116, the nasal cannula was undated when it was initially used.These failures had the potential to result in risk for infection for Residents 32, 89, and 116.Findings:1a. On March 2, 2026, at 11:25 a.m., a concurrent observation and interview with Resident 32 was conducted in her room. Resident 32 was observed receiving oxygen via nasal cannula at two liters per minute (L/min). […]

• No harm, potential for more than minimal, patternF755Mar 10, 2026

  Based on observation, interview, and record review, the facility failed to ensure pharmacy services were implemented according to the facility's policy and procedure, when:1.One vial of shingles (a painful viral infection causing a blistering rash, usually in a stripe on one side of the body or face) vaccine labeled for Resident 19, dispensed by pharmacy on February 19, 2026, and stored in the medication refrigerator available for use, despite complete dose of shingles vaccine received by Resident 19 prior to February 19, 2026. […]