California Nursing & Rehabilitation Center
CALIFORNIA NURSING & REHABILITATION CENTER in PALM SPRINGS, CA — inspection on August 27, 2025.
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
The surveyor intervened and asked the AD not to return Resident 1's tray to the cart.On August 26, 2025, at 5:42 p.m., an interview was conducted with CNA 1 who stated the correct process to return a used plastic meal tray from a COVID isolation room to the main service cart, includes placing the tray in a plastic bag when the resident is finished eating, and returning the tray to the main cart with other used trays, while wearing PPE (gloves). CNA 1 verified Resident 1 did eat from his dinner tray.
CNA verified he did not follow the proper procedure of returning Resident 1's used dinner tray to the main cart, as he did not place the tray in a plastic bag, before handing the tray to the AD who was not wearing the proper PPE.On August 26, 2025, at 5:51 p.m., an interview was conducted with the IP who stated the correct process to return a used meal tray to the kitchen from a COVID isolation room is to place the used tray in a plastic bag after the resident is done eating, then leave the tray in the resident's room until all used trays are returned, then return the tray to the kitchen.
The IP stated, after returning all used meal trays, staff are to go back to the COVID room, take the bagged tray to the kitchen, and notify kitchen staff that the tray came from a COVID isolation room.
The IP verified CNA 1 did not follow the proper procedure of returning Resident 1's meal tray to the kitchen, as CNA 1 should have placed the resident's tray in a plastic bag, left the tray in resident's room, and returned the tray to the kitchen once all residents were done eating.
The IP also verified CNA 1 should not have handed Resident 1's used dinner tray to the AD if she was not wearing gloves.On August 26, 2025, at 6:04 p.m., an interview was conducted with the AD who stated she should not have taken Resident 1's tray from CNA 1, when he handed her the tray, as she did not have gloves on.
The AD stated she should have stopped CNA 1 and took the time to find out the facilities procedure on taking meal trays out of COVID isolation rooms.On August 27, 2025, at 3:00 p.m., an interview was conducted with the Director of Nursing (DON), who stated meal trays for residents with COVID will come in the main service cart with all the other trays, and served last to COVID residents.
When the resident is done eating, the trays are to be placed in a plastic bag inside the room, returned to the main cart once all other trays are collected and returned to the kitchen.
The DON verified CNA 1 did not follow the proper procedure of returning Resident 1's used dinner tray when he asked the AD to return Resident 1's tray to the main service cart prior to all other used resident trays being returned to the cart. A review of Resident 1's, Resident Information, dated, August 27, 2025, indicated Resident 1 was admitted to the facility on [DATE], with a diagnosis of Kidney Failure, and a Brief Interview for Mental Status (BIMS-a cognitive assessment) score of 12 (Moderate cognitive impairment). A review of Resident 1's, Progress Notes, dated, August 16, 2025, at 9:24 p.m., indicated .
Covid test was done on (Resident 1) (August 16, 2025).
Results were positive .
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