California › San Bernardino County › Joshua Tree
Hi-Desert Medical Center D/P SNF
6601 White Feather Rd, Joshua Tree, CA 92252
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 92 beds, Hi-Desert Medical Center D/P SNF serves Joshua Tree in San Bernardino County, California and has taken Medicare and Medicaid residents since 1991.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (22, 7, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 45.7 per 100 beds, about the same as the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.9 RN), close to the California median of 4.2; nursing staff turnover is 65.7%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | San Bernardino Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 27 | 44 | 28.7 |
| Citations per 100 beds | 45.7 | 34.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.9 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 65.7% | 42.0% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (55 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2026, 5 Dec 2024.
Severity mix: G ×1 D ×24 E ×7 F ×10
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2026 | F0688 | 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 | Complaint investigation | Deficient, Provider has no plan of correction |
| 6 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 29 May 2026 |
| 29 Apr 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 28 May 2026 |
| 19 Mar 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 30 Apr 2026 |
| 19 Mar 2026 | F0761 | 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. | F | Standard survey | 30 Apr 2026 |
| 19 Mar 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 30 Apr 2026 |
| 19 Mar 2026 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Standard survey | 30 Apr 2026 |
| 19 Mar 2026 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 30 Apr 2026 |
| 19 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Apr 2026 |
| 19 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 30 Apr 2026 |
| 19 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Apr 2026 |
| 19 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 Apr 2026 |
| 19 Mar 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 30 Apr 2026 |
| 19 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 30 Apr 2026 |
| 11 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Apr 2026 |
| 3 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 23 Mar 2026 |
| 11 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Mar 2026 |
| 29 Jan 2026 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 20 Feb 2026 |
| 22 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Oct 2025 |
| 25 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Sep 2025 |
| 6 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 5 Sep 2025 |
| 6 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 5 Sep 2025 |
| 5 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 5 Jan 2025 |
| 5 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 5 Jan 2025 |
| 5 Dec 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 5 Jan 2025 |
| 5 Dec 2024 | F0688 | 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. | D | Standard survey | 5 Jan 2025 |
| 29 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Sep 2024 |
| 26 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint investigation | 16 Sep 2024 |
| 26 Aug 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 16 Sep 2024 |
| 26 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Apr 2024 |
| 23 Jan 2024 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 12 Feb 2024 |
| 8 Dec 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 8 Jan 2024 |
| 8 Dec 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 8 Jan 2024 |
| 8 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Jan 2024 |
| 8 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 8 Jan 2024 |
| 8 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Jan 2024 |
| 8 Dec 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 8 Jan 2024 |
| 8 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Jan 2024 |
| 8 Dec 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 8 Jan 2024 |
| 8 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 8 Jan 2024 |
| 19 Sep 2023 | F0584 | 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 | Complaint investigation | 26 Sep 2023 |
| 3 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Aug 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 65.7%, RNs 70.8%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.7% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.7% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Hdmc Holdings Llc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Bernardino County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Apple Valley Care Center | Apple Valley | 99 | 5 | 5 | 3 | 23 | 23.2 | $8K | 12 Mar 2026 |
| Citrus Nursing Center | Fontana | 99 | 5 | 4 | 2 | 22 | 22.2 | $7K | 31 Jul 2025 |
| Community Convalescent Center of San Bernardino | San Bernardino | 84 | 5 | 5 | 4 | 12 | 14.3 | — | 24 Apr 2025 |
| Community Extended Care Hospital of Montclair | Montclair | 140 | 5 | 5 | 3 | 19 | 13.6 | — | 26 Feb 2026 |
| Grand Terrace Health Care Center | Grand Terrace | 59 | 5 | 5 | 4 | 27 | 45.8 | — | 5 Mar 2026 |
| Heritage Park Nursing Center | Upland | 70 | 5 | 5 | 4 | 21 | 30.0 | — | 13 May 2026 |
| Hillcrest Nursing Home | San Bernardino | 59 | 5 | 5 | 3 | 20 | 33.9 | — | 18 Nov 2025 |
| Montclair Manor Care Center | Montclair | 59 | 5 | 4 | 4 | 27 | 45.8 | — | 30 Apr 2025 |
All 55 facilities in San Bernardino County
Questions and answers
How many deficiencies has Hi-Desert Medical Center D/P SNF been cited for?
42 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Hi-Desert Medical Center D/P SNF been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Hi-Desert Medical Center D/P SNF compare?
Reported total nurse staffing is 3.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Hi-Desert Medical Center D/P SNF?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Hi-Desert Medical Center D/P SNF last inspected?
The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 19 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.