Desert Springs Healthcare: Wound Care Infection Failures - CA
The violations were cited at a level of minimal harm or potential for actual harm, affecting a small number of residents....
Latest reports, citations, and penalties from CMS data
The violations were cited at a level of minimal harm or potential for actual harm, affecting a small number of residents....
The resident at Capri Gardens, a 78-bed nursing home on Graphics Way, had already been through a frustrating week of failed collections....
His anxiety medication, due at 8 AM, arrived four minutes later, at 12:44 PM....
The cart had been assigned to LVN A, a licensed vocational nurse on the 200 Hall....
The aide, identified in inspection records as CNA A, later told investigators she knew the consequence....
Federal inspectors documented those findings at Ridgeview Health Services, Inc....
The man, identified in inspection records only as Resident C, had been admitted to Auburn Village with hospice services....
Resident #73 was prescribed Mirtazapine, 100 milligrams at bedtime for depression, and Buspirone, 7.5 milligrams three times a day for mood....
Not to be left unwashed for a month....
When those precautions are lifted, the care plan is supposed to reflect that immediately....
Two payments of $1,060 each arrived in November and December, direct-deposited into an account at a facility the resident no longer lived in....
That finding sits at the center of a complaint inspection conducted May 27, 2026, at the small Texas nursing home....
The citation, recorded under federal tag F761, was not the facility's first encounter with this problem....
The problems were not isolated to a single resident or a single lapse....
The plan wasn't a regulatory abstraction handed down from outside....
The medication at the center of the violation was divalproex sodium, sold under the brand name Depakote....
The resident had no adverse reactions....
The declaration came on February 12, 2025, at 4:23 in the afternoon....
He was found unresponsive in his bed just after midnight on May 13....
The citation, issued under F867, targets the facility's QAPI program directly....