Desert Mountain Care Center

Name: Desert Mountain Care Center
Address: 47-763 MONROE AVENUE, Indio, CA, 92201, US
Telephone: 7603470750

47-763 Monroe Avenue, Indio, CA 92201 · Riverside County · 99 certified beds · avg 93 residents/day · certified since Sep 13, 1999

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.48

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (46)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 27, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
May 13, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Apr 17, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Jun 26, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 26, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 26, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Jun 26, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 26, 2025	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Jun 26, 2025	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Jun 26, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 26, 2025	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Jun 4, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Apr 22, 2025	E · Potential for harm, repeated	The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. · from a complaint
Apr 22, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 22, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Apr 1, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 23, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 5, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 30, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jul 30, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jun 4, 2024	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Apr 25, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 14, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jan 29, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 3, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 12, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Aug 27, 2021	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Aug 27, 2021	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 27, 2021	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 27, 2021	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them.
Aug 27, 2021	D · Potential for harm, one-off	The facility did not provide or obtain x-rays and other imaging tests when ordered, or did not promptly tell the ordering doctor the results.

Inspection trend by year

Year	Citations	Worst severity that year
2021	16	E
2023	2	D
2024	7	E
2025	14	E
2026	7	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.48	4.31	3.95	bottom 9% in California; bottom 36% in the U.S.
Registered Nurse hours	0.40	0.61	0.69	bottom 34% in California; bottom 23% in the U.S.
Weekend total nurse staffing	3.22	3.90	3.50	bottom 12% in California; bottom 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.45	0.51	0.48	top 37% in California; top 39% in the U.S.
Total nursing staff turnover (%)	0.0	36.7	45.8	—
RN turnover (%)	0.0	38.1	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.21, RN 0.60, weekend 4.82. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	02/01/2022
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	03/29/2021
Guerra, Monica	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2022
Guerra, Monica	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2022
Jergensen, Jeremy	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
JKMZ Holdings LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2022
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Kensett J. Moyle III, an Individual and the Humphreville Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2026
Moshiri, Kourosh	Individual	Operational/Managerial Control	NOT APPLICABLE	03/29/2024
Moshiri, Kourosh	Individual	ADP of the SNF	NOT APPLICABLE	03/29/2024
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/04/2025
Sato, Ami	Individual	Corporate Director	NOT APPLICABLE	09/09/2024
Twomagnets LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2022
Willits, Adam	Individual	Corporate Director	NOT APPLICABLE	02/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Desert Springs Healthcare & Wellness Centre	0.9 mi	Indio, CA	★★★☆☆	3/5
The Springs Healthcare Center at the Carlotta	6.3 mi	Palm Desert, CA	★★★★★	4/5
Monterey Palms Health Care Center	9.2 mi	Palm Desert, CA	★★★☆☆	2/5
Rancho Mirage Health and Rehabilitation Center	9.9 mi	Rancho Mirage, CA	★★★★☆	4/5
Desert Springs Post Acute	10.9 mi	Palm Desert, CA	★☆☆☆☆	1/5
Bayshire Rancho Mirage	12.2 mi	Rancho Mirage, CA	★★★★☆	4/5
Premier Care Center for Palm Springs	17.0 mi	Palm Springs, CA	★☆☆☆☆	1/5
Palm Springs Healthcare & Rehabilitation Center	18.2 mi	Palm Springs, CA	★★★★☆	4/5
Desert Regional Medical Center D/P SNF	19.7 mi	Palm Springs, CA	★★★★★	4/5
California Nursing & Rehabilitation Center	20.0 mi	Palm Springs, CA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Indio →

Facility data as of CMS processing date 2026-08-01. CCN 555742.

The Care File

Visit checklist — Desert Mountain Care Center

47-763 Monroe Avenue, Indio, CA 92201 · 7603470750

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555742 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)