Joshua Tree Post Acute

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 23.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 26 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.10 therapist hours per resident per day in 2026Q1 — more than 6% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.23 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.47 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.26 hrs/resident/day on weekends vs 3.87 on weekdays — 16% thinner on weekends. RN hours go from 0.24 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · F2025-11-13 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure the walk-in refrigerator and walk-in freezer were maintained. This failure had the potential for temperatures to fluctuate, putting an already vulnerable population at risk for foodborne illness. During a concurrent observation and interview on 9/15/25 at 8:05 AM, with the Maintenance Supervisor (MS) in the facility's kitchen, the gasket (an airtight seal around the door to keep cold air inside and warm, moist air out, maintaining consistent temperatures for food safety and energy efficiency) for the walk-in refrigerator was loose and held in place with tape. The walk-in freezer door was coated in a layer of ice. The MS stated the freezer door gasket did not create a tight seal which caused the door to shut improperly. The MS stated he needed to melt the ice with a blower every two to three weeks to remove the ice buildup. The MS stated both the walk-in refrigerator and walk-in freezer gaskets needed to be replaced. During a review of the facility's policy and procedure (P&P) titled, Physical Environment, dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-13 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide written information concerning the right to formulate an Advance Directive for four of 10 sampled residents (Residents 2, 5, 7, and 9). This failure had the potential for the residents' decisions regarding their healthcare and treatment options not being honored. 1. A review of Resident 2's admission Record, (a document showing a summary of the resident's information) dated 9/17/25, indicated Resident 2 was admitted to the facility on [DATE]. A review of Resident 2's Advance Directives Checklist, dated 4/18/25, indicated Resident 2 did not possess an Advance Directive (a written document specifying an individual's end- of -life care). The section indicating I was offered and received referral tools to formulate Advance Directive was left blank. A review of Resident 2's History and Physical, dated 4/21/25, indicated Resident 2 did not have the capacity to understand and make decisions. During a concurrent interview and record review on 9/16/25…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-13 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to obtain informed consent (a process in which a healthcare professional educates a resident/patient about the risks, benefits, and alternatives of a given procedure or intervention so the resident/patient can make an educated decision) before administration of Ativan ([lorazepam] a psychotropic medication that affects a person's mental state and used to treat anxiety) for one of five sampled residents (Resident 1). This failure resulted in Resident 1 being administered Ativan without Resident 1 understanding or agreeing to the risks and benefits of the medication.A review of Resident 1's admission Record, (a document showing a summary of the resident's information) dated 9/18/25, indicated Resident 1 was readmitted to the facility on [DATE] with diagnoses including major depressive disorder and anxiety.A review of Resident 1's Order Summary Report, (a report that contains medication orders) dated 9/19/25 indicated Resident 1 had a physician's order dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-13 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to clean and disinfect the shared toilet of two sampled residents (Resident 32 and Resident 53) after completing plumbing work.This failure violated the residents' right to a safe and sanitary living environment.During a concurrent observation and interview on 9/15/25, at 9:25 AM with Resident 53, in the resident's room, the door to the restroom had a red banner that read, Stop do not enter. Resident 53 stated the toilet was broken. During an interview on 9/15/25, at 4:19 PM with Resident 32, Resident 32 stated the toilet in their room was still broken and was not usable. During an observation on 9/15/25, at 11:13 AM in Residents 32 and 53 shared restroom, the top ring of the toilet bowl had multiple brown rings and stains. A review of the Maintenance Work Order Log, dated from 8/7/25 - 8/29/25 indicated an entry dated 8/16//25, that Resident's 32 and 53's shared toilet was clogged. During a concurrent observation and interview on 9/17/25 at 3:10 PM with the Director of Nursing (DON), in Residents 32 and 53's shared restroom,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-13 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to notify the Office of the State Long-Term Care Ombudsman (an advocate for residents in nursing homes) prior to the transfer or as soon as practicable when one of three sampled residents (Resident 3) was discharged to the hospital. This failure had the potential to leave Resident 3 unprotected from improper discharge and limit Resident 3's rights to advocacy and representation. 1. A review of Resident 3's admission Record, (a document showing a summary of the resident's information) dated 9/18/25, indicated Resident 3 was admitted to the facility on [DATE].A review of Resident 3's Order Details, dated 6/4/25, indicated a physician's order to transfer the resident to the hospital for a psychiatric evaluation.A review of Resident 3's eINTERACT Transfer Form V4.0, dated 6/4/25, indicated the resident had a planned transfer to the hospital on 6/4/25 due to behavioral symptoms.A review of Resident 3's Progress Notes, dated 6/27/25, indicated Resident 3 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-13 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow up on one of four residents (Resident 6) Level II (two) Preadmission Screening and Resident Review ([PASRR] a mandatory screening process to ensure that individuals with a serious mental illness or an intellectual disability are not improperly placed in a nursing home) to determine the resident's need for specialized services and appropriate placement. This failure placed Resident 6 at risk for unmet behavioral health needs and inappropriate care planning. A review of Resident 6's admission Record, (a document showing a summary of the resident's information), indicated Resident 6 was readmitted to the facility on [DATE] with diagnoses including schizoaffective disorder (a mental health condition that combines symptoms of schizophrenia (a severe brain disorder in which people interpret reality abnormally) and a mood disorder). A review of Resident 6's Preadmission Screening and Resident Review (PASSR) Level 1 Screening, dated 8/13/24, indicated a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-13 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to ensure that wound treatment supplies were maintained in a sanitary manner when a red-pink colored dried substance and an expired treatment wipe were found inside the facility's Wound Treatment Cart. This failure had the potential to result in unsafe or ineffective resident treatments. During a concurrent Wound Treatment Cart inspection and interview on [DATE], at 11:33 AM with Director of Nursing (DON), an expired (passed the use by date printed on the package and can no longer be clean or effective) SurePrep (skin protectant wipe that prevents irritation) and red-pink dried substance were found inside the treatment cart drawer. The DON verified that the SurePrep expired on [DATE] and that there was a red-pink colored dried substance in the top drawer of the treatment cart that had spilled onto other medications. During an interview on [DATE] at 11:10 AM with the Infection Preventionist (IP), the IP stated that there should not be expired supplies on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-13 · tag F0803 — failed to meet residents' dietary needs — isolated
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure the lunch menu was followed when: The recipe was not followed during preparation of the pureed starch 2. The portion size for the ginger carrots was not followed during tray line These failures had the potential to put the residents at risk for choking hazards and malnutrition. 1. A review of the Fall Menus, dated 9/16/25, indicated that rice pilaf was on the menu for lunch. During a concurrent observation, interview, and record review on 9/16/25 at 11:01 AM, with the Cook, in the presence of the Registered Dietician (RD) and Dietary Services Supervisor (DSS), the [NAME] began to make the [NAME] Pilaf for 12 residents who were ordered a pureed diet. The [NAME] measured out 12 servings, placed them into the blender, and blended. The [NAME] then added approximately one cup of chicken stock and blended again until the right consistency was reached. The RD and DSS reviewed the facility's Recipe: Pureed (IDDSI Level #4) Starch (Rice, Pasta, Polenta, Potatoes, etc.), dated 2025, indicated, .1. Complete the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-13 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the medical record was accurate for one of 14 sampled residents (Resident 12) when the facility incorrectly assessed and documented Resident 12 as a good candidate for a bowel and bladder retraining program.This failure had the potential for Resident 12 to receive a delay in incontinence (involuntary loss and control of urine from the bladder and/or stool from the rectum) care, have an increased risk of skin breakdown and urinary tract infections (an infection in any part of the urinary system, such as the bladder, kidneys, or urethra).A review of Resident 12's admission Record, (a document showing a summary of the resident's information) dated 9/17/25, indicated Resident 12 was admitted to the facility on [DATE].During an interview on 9/17/25 at 2:39 PM with Resident 12, Resident 12 stated using a bedpan to urinate was difficult and preferred using incontinence briefs because of the loss of control of the bladder. Resident 12 also stated the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-20 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure the call light was accessible for one of six sampled Residents (Resident 9) when Resident 9's call light was found on the floor. This failure had the potential to result in Resident 9 unable to use the call light system to call for any assistance Resident 9 may require. Finding: A review of Resident 9's admission Record (contains demographic and medical information) dated April 7, 2023, the admission Record indicated Resident 9 was admitted to the facility with the diagnoses of Alzheimer's disease (brain disorder that slowly destroys memory and thinking skills), dementia (loss of thinking, remembering, and reasoning), and gout (inflamed, painful joints). During a concurrent observation and interview on September 16, 2024, at 10:33 AM, with Resident 9, in Resident 9's room, the call light was observed on the floor adjacent to Resident 9's bed. Resident 9 stated he could not reach his call light. During a concurrent observation and interview on September 16, 2024, at 10:36 AM, with Resource Respiratory…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$33,751 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $9,527 — penalty dated 2023-10-17
• $24,224 — penalty dated 2023-10-06
• Medicare payment denial — starting 2023-11-09 for 11 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ROCKWELL HEALTHCARE — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 83% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $326K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CA