HI-DESERT MEDICAL CENTER (DISTINCT PART SNF)

The information listed below provides an in-depth look into the type and quality of care offered at Hi-Desert Medical Center (Distinct Part Snf). It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

HI-DESERT MEDICAL CENTER (DISTINCT PART SNF)
6601 WHITE FEATHER ROAD
JOSHUA TREE, CA 92252
(760) 366-6437

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 108
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - Hospital District
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Clinically Complex". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Hi-Desert Medical Center (Distinct Part Snf). For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
3.8%
ADL Index Range: 11-14
- No Signs of depression
34.6%
Total Percent:38.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
9.0%
ADL Index Range: 6-10
- No Signs of depression
17.9%
ADL Index Range: 2-5
- No Signs of depression
16.7%
ADL Index Range: 0-1
- No Signs of depression
7.7%
Total Percent:51.3%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
7.7%
ADL Index Range: 0-1
- Less restorative nursing
2.6%
Total Percent:10.3%
 

Rating Details For Hi-Desert Medical Center (Distinct Part Snf)

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours53 Minutes1 Hour and 12 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 24 Minutes48 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 32 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours2 Hours and 16 Minutes2 Hours
Total Nurse Hours4 Hours and 48 Minutes4 Hours and 26 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityCalifornia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination88%86%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain10%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse14%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection3%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder54%58%
Percent of Long-Stay Residents Who Were Physically Restrained-7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%12%
Percent of Long-Stay Residents Who Lose Too Much Weight9%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair18%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%81%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season79%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain56%23%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores37%17%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/27/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/12/2008
Post Nurse Staffing Information.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Follow All Laws and Professional Standards.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/12/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/12/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/12/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/12/2008
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/12/2008
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 01/27/2011
  • Correction Date: 03/28/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/12/2008
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 01/12/2010
  • Correction Date: 02/08/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Hi-Desert Medical Center (Distinct Part Snf) had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/01/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves.
  • Inspection Date: 10/10/2008
  • Correction Date: 10/27/2008
Portable Fire Extinguishers.
  • Inspection Date: 10/10/2008
  • Correction Date: 10/27/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/11/2010
Portable Fire Extinguishers.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/11/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 02/01/2011
  • Correction Date: 02/18/2011

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/11/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 10/10/2008
  • Correction Date: 10/27/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/10/2008
  • Correction Date: 10/27/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/11/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/01/2011
  • Correction Date: 02/18/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/11/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/11/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 02/01/2011
  • Correction Date: 02/18/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 10/10/2008
  • Correction Date: 10/27/2008
Properly Maintained Smoke Detectors.
  • Inspection Date: 10/10/2008
  • Correction Date: 10/27/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/05/2010
  • Correction Date: 02/11/2010
Properly Maintained Smoke Detectors.
  • Inspection Date: 02/01/2011
  • Correction Date: 02/18/2011

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 10/10/2008
  • Correction Date: 10/27/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 02/01/2011
  • Correction Date: 02/18/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 02/01/2011
  • Correction Date: 02/18/2011
Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011