Hi-desert Medical Center D/p Snf
Hi-Desert Medical Center D/P SNF in Joshua Tree, CA — inspection on April 29, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on April 13, 2026, at 10:35 AM, with Certified Nursing Assistant (CNA 1), the CNA 1 stated, We [the facility] usually work with not enough CNAs.
During an interview on April 13, 2026, at 10:45 AM, with Certified Nursing Assistant (CNA 2), the CNA 2 stated, We have been working with short CNAs, but it is better today.
During a telephone interview on April 13, 2026, at 10:50 AM, with the License Vocational Nurse (LVN 1), LVN 1 stated, We have been working with short nurses lately.
During a concurrent interview and record review on April 13, 2026, at 11:20 AM, with the Director of Nursing (DON), the DON reviewed the facility's staffing assignments and nursing hours per patient day (NHPPD) - direct care service hours per patient day (DHPPD) staffing requirements of which a minimum of 2.4 hours per patient day shall be performed by CNAs, from April 10, 2026, through April 12, 2026, were reviewed with the Director of Nursing (DON).
The staffing assignment and nursing hours indicated the hours to provide 3.5 nursing hours per patient day were not met on the following dates: April 12, 2026 - actual CNA NHPPD was 2.03 hours (short by 1.47)April 11, 2026 - actual CNA NHPPD was 1.87 hours (short by 1.63)April 10, 2026 - actual CNA NHPPD was 1.79 hours (short by 1.71) The DON acknowledged the facility did not meet the staffing requirements on the above dates and emphasized the necessity of adequate staffing for patient safety.
During a concurrent interview and review of the facility ?s policy and procedure (P&P) titled, DP SNF [Distinct Part Skilled Nursing Facility] STAFFING GUIDELINES dated, April 2018, the P&P indicated, .PURPOSE: To ensure HDMC D/P SNF [Name of facility] provides the adequate provision of nursing hours required for each resident while in the facility. POLICY: In order to provide both optimal quality and well-coordinated patient care.
The DON stated, We do have problem with staffing.
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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.