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Desert Canyon Post Acute: Mask Rule Failures - CA
The violation was cited under infection control standards....
Latest reports, citations, and penalties from CMS data
The violation was cited under infection control standards....
The inspection was complaint-driven, meaning someone had raised a concern serious enough to send surveyors through the door....
On September 29, 2025, roughly 38 of the facility's 76 residents went without coffee at breakfast....
The resident, identified in inspection records only as R4, was found that afternoon wearing green heel boots on both feet....
The nurse had worked at the facility since April 1994....
Emergency Medical Services picked up Resident R223 at approximately 10:13 p.m....
The violation was tagged under F0689, the federal standard governing protection from accident hazards and supervision....
The inspection, completed November 26, 2025, was triggered by a complaint....
The tub contained piles of dirty clothing....
A progress note from September 19, 2025, recorded that R1 was on a civil commitment....
When inspectors arrived on November 24, 2025, they found the entire 100-hall had been without hot water since before summer....
The answer at Bernard Care Center, a 126-bed facility on West Pine Boulevard, was not much....
That gap matters because catheter care, done wrong, is one of the more direct routes to infection for nursing home residents....
The findings came from a complaint inspection conducted December 1, 2025....
The facility had a Skin and Wound Management policy, last reviewed in December 2024....
The inspection at Winning Wheels, a nursing facility at 701 East 3rd Street in Prophetstown, was triggered by a complaint and completed on December 21, 2025....
Inspectors who visited the facility at 7940 Topanga Canyon Blvd....
V13 told inspectors she knew the requirement....
One resident, identified in the inspection report as R5, said she used to shower every other day....
The facility's own policy requires hot food to be held above 135 degrees....