Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Desert Highlands Care Center during CMS and state inspections, most recent first.
A deficiency was cited when a facility area was found to contain accident hazards and lacked adequate supervision to prevent accidents. The environment did not meet required safety standards, resulting in insufficient oversight.
A resident with impaired mobility and multiple comorbidities developed and experienced worsening pressure ulcers due to failures in timely care planning, inconsistent implementation of pressure ulcer prevention interventions, and delayed provider notification. Documentation gaps included missing care plan updates for new wounds, discrepancies between physician orders and treatment records, and incomplete communication of skin issues, ultimately resulting in the resident's transfer to the hospital for advanced wound care.
A resident with mild cognitive impairment was exposed to inappropriate sexual behavior by another resident, who frequently visited her room despite being instructed not to. The incident was witnessed by a CNA, who reported that the resident exposed himself. The facility's investigation revealed insufficient supervision and a history of similar behavior by the resident in other facilities. The facility's policy prohibits such behavior, but the Administrator deemed the allegation inconclusive.
A facility failed to report an allegation of sexual abuse within the required timeframe. A resident exposed himself to another resident, and the incident was reported to the Administrator, who initiated an investigation the next day. The facility reported the incident to the state agency after the required two-hour window, violating their abuse prevention policy.
A resident exposed himself to another resident in a hallway, and the facility failed to prevent further abuse due to inadequate supervision and monitoring. The incident was reported by an LNA, and a formal investigation was initiated. The resident's room location and limited visibility from the nurse's station contributed to the deficiency.
Failure to Maintain Safe Environment and Supervision
Penalty
Summary
A deficiency was identified due to the failure to ensure that a specific area within the facility was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which resulted in the presence of accident hazards and insufficient oversight to prevent potential incidents. No additional details regarding the specific hazards, the individuals involved, or their medical conditions at the time of the deficiency are provided in the report.
Failure to Prevent and Manage Pressure Ulcers
Penalty
Summary
A resident with multiple comorbidities, including diabetes, impaired mobility, and a history of limb amputation, was admitted to the facility and identified as being at risk for pressure ulcers based on Braden Scale assessments. Upon admission and readmission, the resident had skin issues such as scrotal excoriation, for which barrier cream was ordered, but the care plan did not reflect this intervention. The resident required extensive assistance with mobility and was always incontinent of bowels, further increasing the risk for skin breakdown. Documentation revealed that the resident was on a turning and repositioning program, but CNA documentation only showed repositioning tasks for AM and PM, and there was no evidence of consistent implementation or monitoring of these interventions. Over the course of the resident's stay, multiple pressure ulcers developed and worsened, including unstageable wounds to the sacrum and left ischial areas, as well as moisture-associated skin damage (MASD) to the buttocks. Progress notes and wound nurse documentation indicated that the provider and responsible party were not always notified promptly when new wounds or changes occurred. The care plan was not updated in a timely manner to reflect the presence of new or worsening wounds, offloading interventions, or the use of a mattress overlay, despite these being ordered and discussed in clinical notes. There were also discrepancies between physician orders and what was transcribed or implemented in the treatment administration record (TAR), such as the use of iodosorb and the frequency of dressing changes. Interviews with staff revealed inconsistent practices regarding skin assessments, documentation, and communication. CNAs reported that skin issues were to be reported to nurses during showers, but documentation in the shower log did not consistently note skin issues. The wound nurse and NP confirmed that the resident was non-compliant with repositioning, but the care plan for refusal to turn was not initiated until after significant wound progression. Ultimately, the resident's sacral wound deteriorated, developing undermining and possible fistula formation, leading to transfer to the hospital for further evaluation and treatment. The facility failed to ensure timely and comprehensive care planning, consistent implementation of pressure ulcer prevention interventions, and prompt provider notification, resulting in the development and worsening of pressure ulcers.
Inadequate Protection from Inappropriate Sexual Behavior
Penalty
Summary
The facility failed to protect a resident from inappropriate sexual behavior by another resident. Resident #7, who has mild cognitive impairment, was exposed to inappropriate behavior by Resident #10, who is cognitively intact. An incident occurred where Resident #10 exposed himself to Resident #7 in her room, which was witnessed by a certified nursing assistant (CNA). The CNA reported that Resident #10 was in his wheelchair with his private parts exposed, and Resident #7 appeared uncomfortable with the situation. The facility's investigation revealed that Resident #10 had a history of similar behavior in other facilities. Despite being instructed not to enter other residents' rooms, Resident #10 frequently visited Resident #7's room. Interviews with staff indicated that Resident #7 expressed discomfort with Resident #10's presence and behavior. The Director of Nursing acknowledged that supervision was insufficient, as staff could not adequately monitor the hallway where Resident #7's room was located. The facility's policy on abuse prevention clearly states that sexual abuse, including inappropriate exposure, is not tolerated. However, the Administrator considered the allegation inconclusive due to Resident #10's claim of scratching himself. The facility's failure to prevent Resident #10 from entering Resident #7's room and engaging in inappropriate behavior constitutes a deficiency in protecting residents from abuse.
Failure to Timely Report Allegation of Sexual Abuse
Penalty
Summary
The facility failed to report an allegation of sexual abuse to the state agency within the regulated timeframe. On November 17, 2024, between 2:30 p.m. and 3:30 p.m., a licensed nursing aide informed the Director of Nursing that a resident had exposed himself to another resident in the hallway. The incident was immediately reported to the Administrator, who initiated a formal investigation the following day, November 18, 2024. The facility reported the incident to the state agency on November 18, 2024, which was not within the required two-hour timeframe for reporting such allegations. Interviews with the Director of Nursing and the Administrator confirmed that the facility's policy requires allegations of abuse to be reported within two hours if they involve abuse or result in serious bodily injury. The Administrator acknowledged that the incident should have been reported within this timeframe. The facility's policy also states that reports should be made immediately and not wait for confirmation through an investigative process. The delay in reporting the incident to the state agency constituted a failure to comply with the facility's abuse prevention program and regulatory requirements.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to protect residents from further abuse by a resident who exposed himself to another resident in the hallway. The incident was reported by a licensed nursing aide (LNA) to the Director of Nursing (DON) and the Administrator. The LNA observed the resident with his private parts exposed in another resident's room, and the resident was redirected back to his room. The Administrator initiated a formal investigation the following day, interviewing the involved residents. The resident who exposed himself denied intentional exposure but admitted to scratching his genital area. The facility's documentation and floor map revealed that the resident's room was located in an area with limited visibility from the nurse's station, making it difficult for staff to monitor his movements effectively. Interviews with staff indicated that the resident had a history of visiting other residents' rooms, and there were concerns about his interactions with female residents. Staff were instructed to keep an eye on the resident, but the lack of constant supervision and the layout of the facility made it challenging to prevent further incidents. The facility's policy on abuse prevention requires thorough investigation of alleged violations and measures to prevent further potential abuse during investigations. However, the staff's inability to monitor the resident adequately and the lack of clear communication about the resident's restrictions contributed to the deficiency. The facility's failure to protect residents from potential abuse was evident in the lack of effective supervision and monitoring of the resident's movements.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 7 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Kingman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Gardens Rehab & Care Center | 0.1 mi | ★★★★★ | 6 | 0 |
| The Lingenfelter Center | 0.1 mi | ★★★★★ | 1 | 0 |
| The Legacy Rehab & Care Center | 29.7 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.