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Complaint Investigation

Rancho Mirage Health And Rehabilitation Center

Inspection Date: August 11, 2025
Total Violations 1
Facility ID 555247
Location RANCHO MIRAGE, CA
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

interview and record review, the facility failed to ensure that residents were treated with dignity and respect when staff awakened one resident in the middle of the night to ask if she wanted to be moved to another room, for one of three sampled residents (Resident A).This failure had the potential to cause unnecessary disruption, discomfort, and interfere with the resident's ability to attain her highest practicable physical, mental, and psychosocial well-being.On July 8, 2025 @ 11:09 a.m., an unannounced visit to the facility was conducted to investigate an allegation of resident rights issue.A review of Resident A's admission Record, indicated Resident A was admitted on [DATE REDACTED], with diagnoses which included osteoarthritis (a chronic joint disease characterized by the breakdown of cartilage, the protective tissue that cushions the ends of bones

in joints), and aftercare following joint replacement surgery.A review of facility document titled Notification of Room/Roommate Change Form, dated June 18, 2025, indicated, .Reason for Room Change .Resident Request-Prefers other room .Patient (Resident A) requested a room move on 6/18/25. She was offered a room on station 2 but declined at that time. She was then again offered that evening and stated she will move in the morning .On July 8, 2025, at 4:39 p.m., during an interview with the Certified Nurse Assistant (CNA), the CNA stated he worked night shift from 10:30 p.m. to 6:30 a.m. The CNA stated on June 18, 2025, earlier in the shift, the outgoing Registered Nurse (RN) instructed him to ask Resident A if she wanted to have room change to occur that night or the following day. The CNA stated he went to Resident A's room, around 11 p.m. to 11:15 p.m., and asked if she wanted to move that night or tomorrow.On July 8, 2025, at 4:55 p.m., during an interview with the Director of Nursing (DON), the DON stated the facility's practice is to discuss room changes with residents when they are awake and not to disturb them during sleep to ask such questions. A review of the facility's undated document titled Resident ‘s [NAME] of Rights , indicated .Resident has to be treated with consideration, respect and full recognition of dignity and individuality.A review of the facility's undated policy and procedure titled Transfer, Room To Room, indicated, .Unless Medically necessary or for the safety and wellbeing of the resident(s), a resident will be provided with an advance notice of the room transfer.

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 REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

RANCHO MIRAGE HEALTH AND REHABILITATION CENTER in RANCHO MIRAGE, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in RANCHO MIRAGE, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from RANCHO MIRAGE HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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