Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Springs Healthcare Center At The Carlotta during CMS and state inspections, most recent first.
Surveyors found that, during a period of active COVID-19 cases, staff were required by facility policy to wear N95 respirators and to use the exact make and model established during annual fit testing. An RN and the IP confirmed that N95 use was mandatory and that three specific N95 models were in use. Observation and record review showed that a CNA and an LVN were each wearing a solid white circular N95, while their fit test records specified different models (a 3M duckbill N95 for the CNA and a Medline striped N95 for the LVN). The IP confirmed these mismatches and stated that wearing a respirator different from the fit-tested model does not protect staff from infectious disease and creates a risk of transmission, contrary to the facility’s written fit testing and COVID-19 PPE policies.
A resident with a change in mental status had a STAT urinalysis and urine culture ordered to rule out infection, but the specimen was not picked up by the lab within the required 4-6 hour window. The nurse did not document contacting the lab to expedite the STAT order, and the Director of Nursing confirmed the facility's policy was not followed.
Surveyors found that large plastic pans were stacked while still wet and four containers of low fat cottage cheese were stored past their use-by dates in the kitchen. The Dietary Manager, Registered Dietician, and kitchen Chef confirmed these practices did not follow facility policy or professional standards, potentially affecting all residents receiving food from the kitchen.
Surveyors found that a recycle bin lid was left open, a dumpster was overflowing with trash preventing the lid from closing, and debris including wood pallets was scattered on the ground. Both the DM and MD acknowledged that trash should be inside closed dumpsters and the area kept clean, in accordance with facility policy.
Staff failed to follow infection control protocols for several residents on Enhanced Barrier Precautions, including not wearing required PPE such as gowns and gloves during high-contact care activities, not performing hand hygiene, and not disinfecting shared medical equipment between uses. These lapses occurred despite clear facility policies and posted instructions, and involved residents with Foley catheters and complex medical histories.
Two residents were administered psychotropic medications without documented evidence that non-pharmacological interventions were attempted or evaluated prior to starting these drugs, and there was no monitoring of such interventions during ongoing medication use. Additionally, a prescriber failed to document the rationale for extending a PRN psychotropic medication order beyond 14 days, contrary to facility policy. These deficiencies were confirmed through record review and interviews with the DON.
A resident recovering from hip replacement surgery was given an enteric coated aspirin tablet instead of the prescribed chewable aspirin by an LVN. The error was confirmed by both the LVN and the DON, who acknowledged that the facility's medication administration policy, which requires verification of orders and triple-checking medications, was not followed.
Surveyors found expired vancomycin in the medication refrigerator, expired lutein in the house supply cabinet, and expired glucose gel in a medication cart. Staff, including the DON and LVNs, confirmed that these medications should have been removed and disposed of per facility policy, but they remained accessible in various storage areas.
A resident with diabetes and hypertension had two critically high blood sugar readings, both above 400 mg/dL, which were recorded and treated with insulin by two LVNs. However, neither nurse notified the physician as required by the physician's order and facility protocol. The DON confirmed that such notifications were expected for out-of-range blood sugar results.
Two residents in a facility experienced progression of pressure injuries due to inadequate care. One resident's coccyx redness worsened into a Stage 3 pressure injury due to lack of treatment and weekly assessments. Another resident's Stage 2 injuries on the coccyx and buttocks were not consistently assessed, delaying treatment. Facility policies for wound care and assessments were not followed, leading to these deficiencies.
Two residents admitted with diarrhea due to hospital-administered laxatives and stool softeners did not have care plans developed to address their condition. Interviews with an LVN and the DON confirmed that care plans should be updated with any change in resident status, but this was not done. The facility's policy requires comprehensive care plans with measurable objectives, which were not provided in these cases.
A facility failed to implement proper infection control practices for a resident on C-diff isolation precautions. The room lacked necessary signage, and staff used hand sanitizer instead of washing with soap and water, contrary to facility policy. Interviews with staff revealed a lack of adherence to infection control protocols, as confirmed by the infection prevention nurse.
The facility failed to develop and implement care plans for two residents, one with a pacemaker and another with multiple bruises and skin tears. Essential pacemaker information was not documented for one resident, and a person-centered care plan was not created for another resident with skin conditions, despite documented incidents. The DON confirmed these oversights, which were against the facility's policies.
A resident with a history of stroke and cognitive impairment pulled out their indwelling urinary catheter, but the facility failed to update the care plan with new goals and interventions. The Director of Nursing acknowledged the oversight, which did not comply with the facility's policy requiring care plans to be revised as new information about the resident's condition becomes available.
A facility failed to document and assess a resident's shoulder wound following a fall, leading to a delay in treatment. Despite orders for daily dressing changes, the wound was not properly documented until much later, contrary to the facility's policy.
The facility failed to ensure proper storage and disposal of medications and biologicals when an expired COVID-19 test was found in a medication cart. An LVN acknowledged the test should have been discarded, and the DON confirmed the test was expired despite an extended expiration date by the manufacturer.
The facility failed to ensure the cook followed the directions for preparing a pureed egg salad diet, potentially compromising the nutritional status of a resident. The cook admitted to not following the recipe, and the Registered Dietician confirmed the error.
Improper N95 Respirator Use Contrary to Fit Test Results During COVID-19 Outbreak
Penalty
Summary
Surveyors identified a deficiency in the facility’s infection prevention and control program related to improper use of N95 respirators by staff during a period when the facility had active COVID-19 cases. A sign at the entrance indicated there were current COVID-19 cases and requested visitors to wear masks. The RN stated that, due to positive COVID-19 cases in the facility, staff were required to wear N95 masks throughout their shifts and that staff were fit tested to ensure they wore the correct N95 model to decrease the spread of COVID-19. The Infection Preventionist (IP) confirmed there were eight COVID-19 positive residents in the facility and that staff were required to wear N95 masks while in the building. During observations and interviews, surveyors found that two staff members were not wearing the N95 respirator models for which they had been fit tested. A CNA was observed wearing a solid white circular N95 mask and stated she had been fit tested approximately six months earlier and was wearing the mask she believed was indicated. However, review of her Respirator Fit Test Record dated March 26, 2025, showed she was fit tested for a 3M N95 (white duckbill-shaped mask), not the solid white circular model she was wearing. Similarly, an LVN was observed wearing a solid white circular N95 mask and reported she had been fit tested about one month earlier and was wearing the mask she believed was indicated. Her Respirator Fit Test Record dated November 24, 2025, showed she was fit tested for a Medline N95 (green and white striped mask), not the solid white circular model. The IP verified these discrepancies and stated that wearing the wrong N95 mask does not protect staff from infectious disease and that they then pose a risk of spreading infectious disease to others. Facility policies on fit testing and COVID-19 PPE requirements specified that employees must be fit tested using the same size, make, model, and style of respirator they will wear and that staff are required to wear N95 respirators and be fit tested annually.
Delayed STAT Urine Specimen Pickup and Lack of Documentation
Penalty
Summary
The facility failed to ensure that a STAT urinalysis (UA) and urine culture and sensitivity (C&S) specimen for one resident was picked up by the laboratory within the required 4-6 hour timeframe. The resident, who was cognitively intact and admitted with osteomyelitis, experienced a change in condition characterized by confusion and hallucinations. The physician ordered a STAT UA with C&S to rule out a urinary tract infection. Documentation showed that the urine sample was collected in the evening, but the laboratory did not pick up the specimen until the following morning, well beyond the facility's policy timeframe for STAT orders. Interviews with the Director of Nursing (DON) and the nurse involved confirmed that the facility's policy requires immediate notification to the lab for STAT orders and documentation of this communication. The DON verified that there was no documentation indicating the lab was called to expedite the STAT order, and the nurse could not recall if she had contacted the lab before her shift ended. The facility's policy, which was reviewed, clearly states that STAT orders must be called in to the laboratory immediately and prioritized for completion within 4-6 hours, which did not occur in this instance.
Improper Food Storage and Sanitation in Kitchen
Penalty
Summary
Surveyors observed that multiple large plastic pans were stacked while still wet in the kitchen storage rack. The Dietary Manager, Registered Dietician, and kitchen Chef all confirmed that these pans should have been air dried before storage, in accordance with facility policy and professional standards. The failure to properly air dry and store these items was directly observed during the inspection. Additionally, four containers of low fat cottage cheese, each weighing five pounds, were found stored in the refrigerator past their use-by dates. The Dietary Manager and kitchen Chef both acknowledged that expired food items should have been discarded, as per facility policy. These deficiencies were identified during an inspection and had the potential to affect all 40 residents who received food from the kitchen.
Improper Disposal of Garbage and Refuse
Penalty
Summary
During an inspection of the facility's outside garbage storage area, surveyors observed that one of two blue recycle bins had its lid open, and one of four black dumpster containers was overflowing with bags of trash, preventing the lid from closing. Additionally, multiple pieces of debris and trash, including wood pallets, were found scattered on the ground around the dumpsters. The Dietary Manager confirmed that trash bags should always be inside the dumpsters with lids closed and that the area should be kept free of debris. The Maintenance Director also stated that dumpster lids should remain closed, garbage bags should be inside the dumpsters, and the ground should be clean. A review of the facility's policies indicated that dumpsters are to be kept closed and free of surrounding litter, and the area must be free of debris with lids closed.
Failure to Implement Infection Control Practices for Residents on Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement proper infection prevention and control practices for several residents on Enhanced Barrier Precautions (EBP). For one resident with a Foley catheter and a history of Parkinson's disease and cystostomy, a physical therapist assisted with transferring and repositioning without donning the required gown, only using gloves, and did not perform hand hygiene before leaving the room or entering another resident's room. The therapist stated he was aware of the EBP requirement but did not see the disposable gown, which was later found in the resident's closet. The facility's policy required both gown and gloves for high-contact care activities and hand hygiene before leaving the room. Another resident with a Foley catheter due to cancer and a recent history of sepsis and cholecystitis was also on EBP. A CNA provided direct care, including changing bed linens and assisting with hygiene, while only wearing gloves and not the required gown. The CNA acknowledged awareness of the EBP status but stated she only used the gown when emptying the catheter. The disposable gowns were available in the resident's closet, and both the Infection Preventionist and DON confirmed that proper PPE should have been used for all high-contact care activities as per facility policy. Additionally, a LVN failed to disinfect a shared blood pressure cuff after use with a resident, placing it back on the medication cart and then into a drawer without cleaning. The LVN admitted to not cleaning the equipment and acknowledged that shared equipment should be disinfected after each use. The facility's policy required reusable items to be cleaned and disinfected between residents. Another incident involved a LVN entering a resident's room, who was on EBP for a Foley catheter, and handling the catheter tubing without performing hand hygiene or donning gown and gloves, contrary to posted instructions and facility policy.
Failure to Document Non-Pharmacological Interventions and Rationale for Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure that two residents were free from unnecessary psychotropic medications by not documenting the use or evaluation of non-pharmacological interventions (NPI) prior to initiating these medications. For both residents, there was no evidence in the medical records that behavioral, environmental, or person-centered approaches were attempted or monitored before and during the administration of psychotropic drugs, including duloxetine, amitriptyline, citalopram, and temazepam. The care plans referenced the need for non-drug interventions, but there was no documentation that these were implemented or evaluated in practice. For one resident with major depressive disorder, orders for duloxetine and amitriptyline were initiated without any documented trial or assessment of NPI, and the care plan did not address non-pharmacological strategies for the ongoing use of these medications. Similarly, another resident with insomnia and depression was started on citalopram and temazepam without documentation of attempted or evaluated NPI, despite the care plan instructing staff to assess and modify environmental or behavioral factors before starting hypnotic therapy. In both cases, the Director of Nursing confirmed the absence of documentation regarding the implementation and monitoring of NPI alongside the continued use of psychotropic medications. Additionally, for the resident receiving temazepam as a PRN medication, there was no documented rationale from the prescriber for extending the PRN order beyond 14 days, as required by facility policy. The facility's own policy mandates that psychotropic medications should not be used without first attempting non-drug interventions and that PRN orders for such medications must be justified and time-limited unless a rationale is documented. These documentation failures were confirmed during interviews and record reviews with facility leadership.
Incorrect Form of Aspirin Administered Due to Failure to Follow Physician's Order
Penalty
Summary
A licensed vocational nurse (LVN) administered an enteric coated (EC) aspirin 81 mg tablet to a resident instead of the prescribed chewable aspirin 81 mg tablet. The physician's order and the Medication Administration Record (MAR) specified that the resident, who was recovering from a hip replacement, was to receive a chewable aspirin 81 mg tablet by mouth twice daily. During a medication pass observation, the LVN was seen preparing and administering the EC aspirin tablet, which was not in accordance with the physician's order. Upon review, both the LVN and the Director of Nursing (DON) confirmed that the wrong form of aspirin was given, acknowledging the difference between EC and chewable aspirin in terms of absorption and onset of action. The facility's policy required verification of medication orders and comparison with the MAR and medication label prior to administration, as well as triple-checking the medication before giving it to the resident. These procedures were not followed, resulting in the administration of the incorrect medication form.
Expired Medications Not Removed from Storage
Penalty
Summary
Surveyors observed that the facility failed to ensure proper storage and timely disposal of expired medications in accordance with its own policies and procedures. During inspections, two bags of expired vancomycin were found in the medication refrigerator, with pharmacy labels indicating a use-by date that had already passed. The Director of Nursing confirmed that the medication order had been discontinued prior to the expiration date and that the expired medications should have been removed and placed in the pharmaceutical bin for disposal. Additionally, two unopened bottles of expired lutein were found in the house supply medication cabinet, and a tube of expired Microdot Glucose Gel was identified in a medication cart. In each instance, staff acknowledged that expired medications should have been removed and disposed of according to facility policy, but this had not occurred. Record reviews and staff interviews confirmed that the facility's policies require discontinued and expired medications to be immediately removed from stock and disposed of in a secure manner. Despite these policies, expired medications remained accessible in multiple storage locations, including the medication refrigerator, medication room, and medication cart. The failure to remove and dispose of these medications as required was verified by both nursing staff and the Director of Nursing during the survey.
Failure to Notify Physician of Critically High Blood Sugar Readings
Penalty
Summary
The facility failed to ensure that high blood sugar readings above 401 mg/dL were reported to the physician in a timely manner as ordered for one resident with diabetes and hypertension. According to the physician's order, insulin was to be administered based on a sliding scale, and the physician was to be notified if blood sugar levels reached 401 mg/dL or higher. On two occasions, a resident's blood sugar levels were recorded at 447 mg/dL and 442 mg/dL, and 12 units of insulin were administered each time by two different LVNs. However, there was no documented evidence that the physician was notified of these elevated readings as required by the physician's order. Interviews with the LVNs involved revealed that both nurses acknowledged they failed to contact the physician after recording the high blood sugar levels, citing reasons such as forgetting or being busy. The Director of Nursing confirmed that the expectation was for licensed nurses to follow physician orders regarding diabetic management and to treat out-of-range blood sugar checks as a change of condition requiring physician notification. Review of the facility's diabetes clinical protocol further supported the requirement for staff to report issues affecting diabetes management according to physician-ordered parameters.
Inadequate Pressure Ulcer Care Leads to Injury Progression
Penalty
Summary
The facility failed to provide adequate pressure ulcer care and prevention for two residents, leading to the progression of pressure injuries. For Resident 2, the facility did not conduct consistent weekly skin assessments to monitor changes in the resident's coccyx redness identified upon admission. Additionally, the facility did not initiate treatment for the redness, which subsequently worsened into a Stage 3 pressure injury. The Director of Nursing (DON) and Treatment Nurse 2 acknowledged that the necessary treatment orders were not transcribed into the resident's medical record, delaying the provision of care. Resident 1 also experienced inadequate care, as the facility did not perform consistent weekly skin assessments to evaluate the changes in the resident's Stage 2 pressure injuries on the coccyx and left buttocks, as well as the reddened sacrum identified upon admission. This lack of assessment potentially allowed the pressure injuries to progress without staff knowledge, delaying treatment. The DON confirmed that weekly skin assessments were not completed for Resident 1, and the resident was not evaluated by a Wound Care Specialist during their stay. The facility's policies and procedures for wound care and comprehensive assessments were not followed, as evidenced by the lack of documentation and communication regarding the residents' skin conditions. The failure to adhere to these protocols resulted in the progression of pressure injuries for both residents, highlighting deficiencies in the facility's care delivery process.
Failure to Develop Care Plans for Diarrhea Episodes
Penalty
Summary
The facility failed to develop a care plan to address episodes of diarrhea for two residents, which was identified during an unannounced visit. Resident 1 was admitted with a history of displaced intertrochanteric fracture, fracture of the right radius, hypertension, and Type 2 diabetes. Upon admission, Resident 1 experienced diarrhea due to laxatives and stool softeners administered at the hospital, but no care plan was documented to address this condition. Similarly, Resident 2, who was admitted with a fracture of the right tibia, hypertension, and hyperlipidemia, also experienced diarrhea upon arrival at the facility due to similar medications given at the hospital. However, there was no documented care plan for Resident 2's diarrhea either. Interviews with facility staff, including a Licensed Vocational Nurse (LVN) and the Director of Nursing (DON), revealed that care plans should be updated when there is a change in resident status. Both staff members acknowledged that a care plan should have been in place for residents experiencing diarrhea. The facility's policy on comprehensive person-centered care plans, revised in December 2016, mandates that care plans include measurable objectives, time frames, and describe the services furnished to maintain the resident's highest practicable wellbeing. The absence of care plans for the residents' diarrhea episodes indicates a failure to adhere to this policy.
Inadequate Infection Control Practices for C-diff Precautions
Penalty
Summary
The facility failed to implement appropriate infection control practices for a resident in a room on isolation precautions for Clostridium difficile (C-diff). During an unannounced visit, it was observed that the room did not have the necessary isolation signage, although a PPE cart was present outside. A Licensed Vocational Nurse (LVN) was seen exiting the room after doffing PPE and using hand sanitizer, which is not appropriate for C-diff precautions as hand washing with soap and water is required to prevent cross-contamination. Interviews with staff, including another LVN, a housekeeper, an activities assistant, and the infection prevention (IP) nurse, revealed a lack of adherence to proper infection control protocols. The IP nurse confirmed the importance of placing appropriate signage and using soap and water for hand hygiene in C-diff cases. The facility's policies, revised in October 2018, emphasize the need for transmission-based precautions and vigilant hand hygiene to prevent the spread of C-diff, highlighting the deficiency in the facility's infection control practices.
Failure to Develop and Implement Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement a care plan for two residents, leading to potential risks for both. For Resident 142, who was admitted with a pacemaker, the facility did not document essential pacemaker information such as the manufacturer, type, model, serial number, and the date of implantation. This omission was noted despite the resident's history of COPD, CHF, and the presence of a cardiac pacemaker. The lack of a care plan was confirmed through multiple observations and interviews with the resident, LVN, and DON, who acknowledged the oversight and the absence of a care plan for the pacemaker. For Resident 143, who was admitted with multiple bruises, skin tears, and a history of stroke, the facility did not develop a person-centered care plan to address these issues. The resident, who was on blood thinners and had a cognitive impairment, sustained additional skin tears and bruises after admission. Despite these incidents being documented in the nurse's notes, there was no evidence of a care plan being developed to manage the resident's skin conditions. The DON confirmed that a care plan should have been initiated but was not. The facility's policies on care planning and managing residents with pacemakers were not followed, leading to these deficiencies. The policies required comprehensive, person-centered care plans to be developed within seven days of admission, including specific details for residents with pacemakers. The failure to adhere to these policies resulted in the lack of appropriate care plans for both residents, potentially compromising their care and safety.
Failure to Update Care Plan After Resident Pulled Out Catheter
Penalty
Summary
The facility failed to ensure the care plan for a resident with an indwelling urinary catheter was updated and revised after the resident pulled out the catheter. The resident, who had a history of stroke, left-sided weakness, PTSD, and falls, was admitted with a Foley catheter. Despite an incident where the resident pulled out the catheter with the balloon inflated and was sent to the emergency room for evaluation, the care plan was not revised to include new goals and interventions to prevent further incidents. During an interview and record review, the Director of Nursing acknowledged that the care plan should have been revised following the change in the resident's condition. The facility's policy requires that care plans be comprehensive, person-centered, and revised as new information about the resident's condition becomes available. However, this policy was not followed, potentially placing the resident at risk for further trauma.
Failure to Document and Assess Resident's Shoulder Wound
Penalty
Summary
The facility failed to ensure a skin assessment was completed and documented for Resident 11, who had a foam dressing on her left shoulder due to a deep cut sustained from a fall. Despite the resident's fall and subsequent injury, there was no documented evidence of a skin assessment or identification of the wound until much later. The resident's Minimum Data Set (MDS) indicated no skin problems on admission, and a Change in Condition (CIC) report from April 7, 2024, also indicated no observable injury. However, the resident was later seen by a wound specialist for a boil on her left shoulder, which was not documented until April 25, 2024. Interviews with the Treatment Nurse (TN) and the Director of Nursing (DON) revealed that the TN had observed a scratch on the resident's shoulder two weeks prior but did not document it. The DON confirmed that there was an order for daily foam dressing changes, which should have included an assessment and documentation of the wound. The Registered Nurse (RN) also failed to document the redness observed on the resident's shoulder and did not record the request for a wound care specialist evaluation. The facility's policy and procedure for resident examination and assessment were not followed, leading to a delay in the identification and treatment of the resident's wound.
Expired COVID-19 Test Found in Medication Cart
Penalty
Summary
The facility failed to ensure medications and biologicals were properly stored and disposed of when an expired COVID-19 test was found inside a medication cart, readily available for use. During a medication cart inspection with an LVN, a box containing a COVID-19 test with an expiration date was observed. The LVN acknowledged that the expired test should not have been stored in the medication cart and should have been discarded. Further interviews with the DON and the Infection Preventionist confirmed that the test's expiration date had been extended by the manufacturer. However, the DON still considered the test expired. A review of the FDA website verified that the test's expiration date had indeed been extended. The facility's policy on medication labeling and storage indicated that outdated or deteriorated medications or biologicals should be returned or destroyed, which was not followed in this instance.
Failure to Follow Pureed Diet Recipe
Penalty
Summary
The facility failed to ensure the cook followed the directions for preparing a pureed egg salad diet for lunch on April 30, 2024. During an observation, the cook prepared a new serving of pureed egg salad by blending two hard-boiled eggs, mayonnaise, and a mixture of liquid chicken broth made from hot water and powdered chicken bouillon. This method did not follow the recipe directions, which required using portions from a regular prepared recipe and adding broth slowly until achieving a smooth consistency. The cook admitted to not following the procedure as indicated in the recipe for a pureed diet. The Registered Dietician (RD) confirmed that the cook did not follow the correct procedure for preparing the pureed diet. The facility document titled 'Diet Type Report' indicated that Resident 20 was on a regular diet with a pureed texture. This failure had the potential to compromise the nutritional status of Resident 20, who was reviewed for a pureed diet. The RD emphasized that the cook should have adhered to the recipe directions to ensure the proper consistency and nutritional value of the pureed egg salad.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 159 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Palm Desert
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Monterey Palms Health Care Center | 3.2 mi | ★★★★★ | 1 | 0 |
| Rancho Mirage Health And Rehabilitation Center | 3.5 mi | ★★★★★ | 3 | 0 |
| Desert Springs Post Acute | 5.7 mi | ★★★★★ | 39 | 0 |
| Bayshire Rancho Mirage | 5.8 mi | ★★★★★ | 1 | 0 |
| Desert Mountain Care Center | 6.4 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for The Springs Healthcare Center At The Carlotta.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.