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Nursing HomeMedicaid Investigative

Desert Highlands Care Center

Limited public data on Desert Highlands Care Center. Call, tour, and ask to meet current residents' families — your own impression matters most.

1081 Kathleen Ave, Kingman, AZ 86401Licensed & Active
Google rating
2.9/5

based on 31 Google reviews

5
4
3
2
1

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What this means for your family

While some families find the physical therapy and admissions staff to be excellent, the facility has a pattern of serious safety concerns including medication errors and loss of personal property. If you choose this facility, you must implement a rigorous system for monitoring medication administration and personally checking for the security of your loved one's belongings.

Google Reviews

Google Reviews

31 reviews analyzed
Families should exercise extreme caution due to serious reports of medical neglect, medication errors, and loss of personal property. While some long-term residents and rehab patients praise the kindness of specific nurses and the physical therapy team, there are recurring, severe allegations regarding inadequate supervision and poor hygiene management.

Quality Themes

Tap a score for details
Food2.0Staff3.0Clean4.0Activities5.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate physical therapy team
  • Kind and helpful nursing staff in specific instances
  • Helpful admissions process for new residents
  • Clean environment for some long-term residents

Concerns

  • Loss of personal clothing and property (mentioned by 2 reviewers)
  • Inadequate staffing levels and patient-to-CNA ratios (mentioned by 2 reviewers)
  • Poor management follow-up and communication (mentioned by 2 reviewers)
  • Issues with food temperature and quality (mentioned by 3 reviewers)
  • Infection control and COVID-19 related incidents (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2342.0'19(3)4.02.3'21(3)2.01.0'23(1)3.52.5'25(6)4.0'26(2)

Distribution

5
11
4
3
3
1
2
1
1
14

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your physical therapy team; how often do residents typically participate in therapy sessions?
  • 2What steps are in place to ensure that residents' personal belongings and clothing are kept safe and organized?
  • 3Could you tell us more about the dining experience, specifically how you ensure meals are served at the right temperature and meet nutritional needs?
  • 4How does the nursing team communicate important updates or changes in a resident's health status to family members?
  • 5What is the protocol for managing medical emergencies or sudden changes in health during the overnight hours?
  • 6What kind of daily activities or social events are available to help residents stay engaged with one another?

Personalized based on this facility's data


Key Review Excerpts

The Admissions Director took all the time I needed to answer questions and take a tour. I quietly observed the staff. Being very judgemental and an ein advocate for my husband, I made THE BEST choice.

Rehab patient's family · 2025★★★★★

The physical therapy group was awesome, and helped guide me through a fast recovery i had a great stay and would definitely consider another stay, if and when needed

Rehab patient · 2022★★★★★

Desert Highlands Administrative staff bent over backwards to help get my son moved from Palm Springs to Kingman for me. The couple weeks he has been there he has improved more in the couple weeks than he has the whole year.

Long-term resident's family · 2024★★★★★
Source: 31 Google reviews

Inspection History

State Inspection History

State Inspections

Source: AZ State Licensing Agency

23total
62deficiencies
Sep 30, 2025Complaint
CleanReport

The investigation of complaints 00145314, and 00144834  was conducted on September, 30 2025. No deficiencies were cited.

Sep 10, 2025Complaint
CleanReport

This complaint survey was conducted on September 10, 2025 with the investigations of complaints: 00144270. There were no deficiencies cited.

Jul 30, 2025Complaint

An onsite complaint survey was conducted on July 30 through July 31, 2025 for the investigation of intake #00134323, 00136979. Following deficiencies were cited.

25(d) Accidents. The facility must ensure that - §483.25(d)(1) The resident environment remains as free of accident hazards as is possible; and §483.25(d)(2)Each resident receives adequate supervisioFree of Accident Hazards/Supervision/Devices - 0689 FederalCorrected Aug 25, 2025

Based on clinical record review, staff interviews and facility policy, the facility failed to ensure procedures were activated timely when the the Resident (#11) failed to return to the facility. The deficient practice may result in unidentified residents who eloped.

An administrator shall ensure that: R9-10-425.A.1. A nursing care institution's premises and equipment are: R9-10-425.A.1.b. Free from a condition or situation that may cause a resident or aR9-10-425.A.1.b.Corrected Aug 25, 2025

Based on clinical record review, staff interviews and facility policy, the facility failed to ensure procedures were activated timely when the the Resident (#11) failed to return to the facility.Â

May 13, 2025Complaint
CleanReport

A complaint survey was conducted on May 13, 2025 through May 14, 2025 for the investigation of intakes #'s:00129186. There were no deficiencies cited.

Apr 16, 2025Complaint
CleanReport

A complaint survey was conducted on April 16, 2025 through April 17, 2025 for the investigation of intake # SF00125182, SF00125163, SF00125418, SF00127174, SF00127267. There were deficiencies cited.

Mar 18, 2025Other
403.748(b)(8), 416.54(b)(6), 418.113(b)(6)(C)(iv), 441.184(b)(8), 482.15(b)(8),

Violation cited

403.748(c), 416.54(c), 418.113(c), 441.184(c), 482.15(c), 483.475(c), 483.73(c),

Violation cited

NFPA 101

Violation cited

NFPA 101

Violation cited

NFPA 101

Violation cited

NFPA 101

Violation cited

NFPA 101

Violation cited

NFPA 101

Violation cited

NFPA 101

Violation cited

NFPA 101

Violation cited

NFPA 101

Violation cited

NFPA 101

Violation cited

Mar 11, 2025Complaint

The State compliance survey was conducted on March 11, 2025, through March 14, 2025 along with the investigation of complaint intakes #AZ00213928, AZ00213922, AZ00214117, AZ00209951, AZ00209732, AZ00207618, AZ00199662, AZ00197503, AZ00195119, AZ00194699, AZ00194573, AZ00193362, AZ00193205, AZ00184955, AZ00184809, AZ00183808, AZ00183446, AZ00181440, AZ00178484, AZ00177693, AZ00175801, AZ00174901, AZ00174488, AZ00173930, AZ00172914, AZ00172875, AZ00172443, AZ00171419, AZ00171009, AZ00166698, AZ00163586, AZ00143359 . The following deficiencies were cited:

When medication is stored at a nursing care institution, an administrator shall ensure that: R9-10-421.D.2. Medication is stored according to the instructions on the medication container; andR9-10-421.D.2.Corrected May 1, 2025

Violation cited

An administrator shall ensure that: R9-10-422.3. Policies and procedures are established, documented, and implemented that cover: R9-10-422.3.d. Cleaning of an individual's hands when the inR9-10-422.3.d.Corrected May 1, 2025

Violation cited

An administrator shall ensure that: R9-10-423.A.3. If a nursing care institution contracts with a food establishment, as defined in 9 A.A.C. 8, Article 1, to prepare and deliver food to the nursingR9-10-423.A.3.b.Corrected May 10, 2025

Violation cited

A registered dietitian or director of food services shall ensure that: R9-10-423.B.1. Food is prepared: R9-10-423.B.1.a. Using methods that conserve nutritional value, flavor, and appearance; anR9-10-423.B.1.a.Corrected May 10, 2025

Violation cited

21 Comprehensive Person-Centered Care Planning §483.21(a) Baseline Care Plans §483.21(a)(1) The facility must develop and implement a baseline care plan for each resident that includes the instructioBaseline Care Plan - 0655 FederalCorrected May 1, 2025

Violation cited

24(a)(2) A resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene;ADL Care Provided for Dependent Residents - 0677 FederalCorrected May 1, 2025

Violation cited

35(g) Nurse Staffing Information. §483.35(g)(1) Data requirements. The facility must post the following information on a daily basis: (i) Facility name. (ii) The current date. (iii) The total number Posted Nurse Staffing Information - 0732 FederalCorrected May 10, 2025

Violation cited

45(g) Labeling of Drugs and Biologicals Drugs and biologicals used in the facility must be labeled in accordance with currently accepted professional principles, and include the appropriate accessory Label/Store Drugs and Biologicals - 0761 FederalCorrected May 10, 2025

Violation cited

60(d) Food and drink Each resident receives and the facility provides- §483.60(d)(1) Food prepared by methods that conserve nutritive value, flavor, and appearance; §483.60(d)(2) Food and drink thatNutritive Value/Appear, Palatable/Prefer Temp - 0804 FederalCorrected May 10, 2025

Violation cited

60(i) Food safety requirements. The facility must - §483.60(i)(1) - Procure food from sources approved or considered satisfactory by federal, state or local authorities. (i) This may include food iteFood Procurement,Store/Prepare/Serve-Sanitary - 0812 FederalCorrected May 1, 2025

Violation cited

80 Infection Control The facility must establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the develInfection Prevention & Control - 0880 FederalCorrected May 1, 2025

Violation cited

An administrator shall ensure that a resident's medical record contains: R9-10-411.C.10. Care plans;R9-10-411.C.10.Corrected May 1, 2025

Violation cited

A director of nursing shall ensure that: R9-10-412.B.4. Documentation of nursing personnel present on the the nursing care institution's premises each day is maintained and includes: R9-10-412.R9-10-412.B.4.a.Corrected May 10, 2025

Violation cited

An administrator shall ensure that a care plan for a resident: R9-10-414.B.3. Ensures that a resident is provided nursing care institution services that: R9-10-414.B.3.b. Assist the resident in R9-10-414.B.3.b.Corrected May 1, 2025

Violation cited

Mar 4, 2025Complaint
CleanReport

An onsite complaint survey was conducted on March 04 through March 05, 2025 for the investigation of intake # 00120853. There were no deficiencies cited.

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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