SNF
DESERT MOUNTAIN CARE CENTER
CCN: 555742 · INDIO, CA 92201 · Riverside County
Overview
- Address
- 47-763 MONROE AVENUE, INDIO, CA 92201
- Phone
- 7603470750
- Certified beds
- 99
- Avg daily residents
- 93 (94% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1999-09-13
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 5.35 | 6.06 | 3.41 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.58 | 1.06 | 0.37 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 2.28 | 1.34 | 1.46 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.48 | 3.65 | 1.58 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.87 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.94
hrs / resident / day
RN (weekend)
0.46
hrs / resident / day
Total nurse (adjusted, weekend)
3.15
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
43.2%
annual
RN turnover
52.4%
annual
Administrators departed
Staffing penalized (missing PBJ submission).
Resident acuity
Nursing Case-Mix Index
2.15
higher acuity than avg
Case-Mix Index Ratio
1.56
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-06-26 | 13 | 8 | 5 | 64 | 1 | 64 |
| Cycle 2/3 (prior) | 2024-05-29 | 10 | 0 | 10 | 56 | 0 | 56 |
Total weighted health score
62.0
lower is better
Deficiencies (39)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
39 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-06-26 | 2025-07-02 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-06-26 | 2025-07-02 |
| 0761 | 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. | D | 2025-06-26 | 2025-07-02 |
| 0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-06-26 | 2025-07-02 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-06-26 | 2025-07-02 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-06-26 | 2025-07-02 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-06-26 | 2025-07-02 |
| 0908 | Keep all essential equipment working safely. | D | 2025-06-26 | 2025-07-02 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-04 | 2025-06-04 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-22 | 2025-05-06 |
| 0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | 2025-04-22 | 2025-05-06 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-04-22 | 2025-05-06 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-01 | 2025-04-02 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-01-23 | 2025-01-23 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-05 | 2024-12-02 |
| 0584 | 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. | E | 2024-07-30 | 2024-08-16 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-30 | 2024-08-16 |
| 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-06-04 | 2024-06-07 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-25 | 2024-04-30 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-02-14 | 2024-02-20 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-01-29 | 2024-02-08 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-11-03 | 2023-11-24 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-09-12 | 2023-10-12 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2021-08-27 | 2021-09-23 |
| 0578 | 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. | D | 2021-08-27 | 2021-09-23 |
| 0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | 2021-08-27 | 2021-09-23 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2021-08-27 | 2021-09-23 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2021-08-27 | 2021-09-23 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2021-08-27 | 2021-09-23 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-08-27 | 2021-09-23 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | 2021-08-27 | 2021-09-23 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2021-08-27 | 2021-09-23 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2021-08-27 | 2021-09-23 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2021-08-27 | 2021-09-23 |
| 0761 | 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. | E | 2021-08-27 | 2021-09-23 |
| 0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2021-08-27 | 2021-09-23 |
| 0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | 2021-08-27 | 2021-09-23 |
| 0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | 2021-08-27 | 2021-09-23 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2021-08-27 | 2021-09-23 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 5.5% Medicaid 80.9% Other 13.6%
Operating performance
Operating Margin
6.6%
Total Margin
6.6%
Occupancy Rate
85.3%
Cost per Resident Day
$75
Revenue & costs
Net Patient Revenue
$13.3M
Total Costs
$2.3M
Net Income
$880K
Balance sheet
Total Assets
$5.5M
Total Liabilities
$3.8M
Fund Balance
$1.7M
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: THE ENSIGN GROUP
- Chain ID
507- Facilities in chain
- 329
- Legal business name
- STAGECOACH HEALTHCARE, INC.
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.9
Staffing
2.7
QM
4.3
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| FLAGSTONE HEALTHCARE CENTRAL LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 02/01/2022 |
| THE ENSIGN GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/01/2022 |
Owner / manager individuals (5)
| Name | Role | Association |
|---|---|---|
| GUERRA, MONICA | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2022 |
| BURNAM, SOON | CORPORATE OFFICER | since 02/01/2022 |
| FITCH, CRAIG | CORPORATE OFFICER | since 02/01/2022 |
| GAMERO, ALICIA | CORPORATE OFFICER | since 02/01/2022 |
| GUERRA, MONICA | W-2 MANAGING EMPLOYEE | since 02/01/2022 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $75 | metrics.cost_per_resident_day |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 80.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 5.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $879,997 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $13,344,348 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 85.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 6.6% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $5,504,467 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,314,986 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,742,845 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $3,761,622 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 6.6% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.45666 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.58359 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.37083 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.41108 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.15032 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 27 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 92.6 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.34386 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 3.65231 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 1.05925 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 6.05542 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 5.33721 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.9 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.2 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.3 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.7 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 507 | Chain ID |
| Provider Information | Chain Name | THE ENSIGN GROUP | Chain Name |
| Provider Information | City/Town | INDIO | City/Town |
| Provider Information | CMS Certification Number (CCN) | 555742 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Riverside | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1999-09-13 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 33.7369 | Latitude |
| Provider Information | Legal Business Name | STAGECOACH HEALTHCARE, INC. | Legal Business Name |
| Provider Information | Location | 47-763 MONROE AVENUE,INDIO,CA,92201 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -116.23 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 99 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 329 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 2.14516 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.55712 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 47-763 MONROE AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | DESERT MOUNTAIN CARE CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 430 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 64 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 5 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 8 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-06-26 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 64 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 13 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 0 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-05-29 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 56 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 10 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 0 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 56 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 10 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.46113 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 52.4 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.86621 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 2.28460 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.48368 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05974 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.58161 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 5.34989 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 7603470750 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.94091 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 43.2 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 62.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 92201 | ZIP Code |