The inspection of Desert Springs Post Acute, conducted April 24, produced 22 separate deficiency citations.
Nursing Home News — Page 424
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That was November 27, 2025, the day of admission.
The resident at the center of the complaint is identified in inspection records only as Resident #64.
New personnel were preparing and administering medications before anyone had walked them through how the facility's system worked.
That kind of candor is rare in nursing home inspections.
The inspection was conducted on November 25, 2025, triggered by a complaint.
What they found wasn't a single moment of carelessness by one worker on one shift.
The other five, CNA TT, CNA Z, CNA G, CNA UU, and RN BB, remained actively providing care throughout the facility at the time of the inspection.
Both went missing from the medication cart on multiple occasions, and nurses noted the gaps in progress notes rather than resolving them.
The inspection was triggered by a complaint.
Of all the shower forms reviewed, only two dates, November 9 and November 12, contained any information about skin assessments.
What inspectors documented was a failure of recordkeeping around something nursing homes are expected to track methodically.