The Springs Healthcare Center at the Carlotta
41505 Carlotta Drive, Palm Desert, CA 92211 · Riverside County · 59 certified beds · avg 43 residents/day · certified since May 27, 1986
Part of chain: ASPEN SKILLED HEALTHCARE (35 facilities, chain avg rating 3.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 27, 2024 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 5, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 |
|---|---|---|
| Jan 28, 2026 | 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 |
| Dec 15, 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 |
| Aug 19, 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 |
| Jun 6, 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 6, 2025 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Jun 6, 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. |
| Jun 6, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jun 6, 2025 | 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. |
| Jun 6, 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. |
| May 15, 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 |
| Jun 27, 2024 | ▲ G · Actual 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 |
| Jun 18, 2024 | 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. · from a complaint |
| Jun 18, 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 |
| May 2, 2024 | 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. |
| May 2, 2024 | 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. |
| May 2, 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. |
| May 2, 2024 | 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. |
| May 2, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jan 19, 2024 | 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 |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint |
| Feb 3, 2023 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Feb 3, 2023 | 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. |
| Feb 3, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2024 | 10 | 1 | G ▲ |
| 2025 | 9 | 0 | E |
| 2026 | 1 | 0 | D |
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) | 3.82 | 4.31 | 3.95 | bottom 28% in California; top 48% in the U.S. |
| Registered Nurse hours | 0.42 | 0.61 | 0.69 | bottom 38% in California; bottom 26% in the U.S. |
| Weekend total nurse staffing | 3.48 | 3.90 | 3.50 | bottom 28% in California; top 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.51 | 0.48 | bottom 34% in California; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 45.0 | 36.7 | 45.8 | bottom 25% in California; bottom 50% in the U.S. |
| RN turnover (%) | 16.7 | 38.1 | 42.9 | top 13% in California; top 9% in the U.S. |
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 4.60, RN 0.51, weekend 4.19. Staffing rating: 3/5.
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: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Apdc, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/16/2023 |
| Bradshaw, Peter | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/16/2023 |
| Elsner, Eric | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/16/2023 |
| Kirkwood, Jared | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/16/2023 |
| Orgill, Craig | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/16/2023 |
| Parti, Rajesh | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/16/2023 |
| Parti, Shruty | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/16/2023 |
| Paxman, Marcus | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/16/2023 |
| Apdc, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/16/2023 |
| Apdc, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/16/2023 |
| Aspen Healthcare Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/16/2023 |
| Bradshaw, Jeffrey | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/08/2026 |
| Bradshaw, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 11/16/2023 |
| Brady, Vern | Individual | ADP of the SNF | NOT APPLICABLE | 11/16/2023 |
| Case, Ryan | Individual | ADP of the SNF | NOT APPLICABLE | 11/16/2023 |
| Caslmon, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 11/16/2023 |
| Caslmon, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/16/2023 |
| Caslmon, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 11/16/2023 |
| East West Bank | Organization | ADP of the SNF | NOT APPLICABLE | 11/16/2023 |
| Epc Trevi LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2021 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 | Flags |
|---|---|---|---|---|---|
| Monterey Palms Health Care Center | 3.2 mi | Palm Desert, CA | ★★★☆☆ | 2/5 | |
| Rancho Mirage Health and Rehabilitation Center | 3.5 mi | Rancho Mirage, CA | ★★★★☆ | 4/5 | |
| Desert Springs Post Acute | 5.7 mi | Palm Desert, CA | ★☆☆☆☆ | 1/5 | |
| Bayshire Rancho Mirage | 5.8 mi | Rancho Mirage, CA | ★★★★☆ | 4/5 | |
| Desert Mountain Care Center | 6.3 mi | Indio, CA | ★★★☆☆ | 3/5 | |
| Desert Springs Healthcare & Wellness Centre | 6.5 mi | Indio, CA | ★★★☆☆ | 3/5 | |
| Premier Care Center for Palm Springs | 10.9 mi | Palm Springs, CA | ★☆☆☆☆ | 1/5 | |
| Palm Springs Healthcare & Rehabilitation Center | 12.0 mi | Palm Springs, CA | ★★★★☆ | 4/5 | |
| Desert Regional Medical Center D/P SNF | 13.6 mi | Palm Springs, CA | ★★★★★ | 4/5 | |
| California Nursing & Rehabilitation Center | 14.0 mi | Palm Springs, CA | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 555226.