Hi-Desert Continuing Care Center

    6722 White Feather Rd, Joshua Tree, CA, 92252
    3.4 · 25 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    1.0

    Disorganized, unsafe care; neglected hygiene

    I had a very poor experience. Communication was awful-I was never updated, phones went unanswered, visits meant long waits and nurses who didn't know about planned visits. Care and hygiene were neglected: unkept hair and nails, infrequent bathing, weight loss, missed/insufficient therapy, wrong food for diabetes, painful mattress/bed-sore risk and other medical lapses. A few staff (Stephanie, Leila, DON Linda, some RTs and housekeepers) were compassionate and helpful, but overall the facility is disorganized and unsafe. I would not send a loved one here until management fixes staffing, communication, and clinical care.

    Pricing

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    Amenities

    3.36 · 25 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.1
    • Meals

      2.0
    • Amenities

      3.5
    • Value

      3.4

    Pros

    • Several individual staff members praised for compassion and above-and-beyond care
    • Dedicated nurses and caregivers described as caring and attentive
    • Director of Nursing (Linda) noted as helpful and supportive
    • Specific staff recognized by name (Stephanie, Leila) for exceptional service
    • Knowledgeable respiratory therapists (RTs)
    • Good, attentive housekeeping
    • Clean or very clean facility reported by multiple reviewers
    • Well-kept common areas (central open patio)
    • On-site amenities mentioned (aviary, aquarium)
    • Rehabilitative care and therapy described as effective by some
    • Staff punctual and professional in some accounts
    • Management described as well-trained and responsive by some families
    • Food described as very good most of the time
    • Weekly visit structure and timely responses reported by some
    • Promotes patient independence and can reduce pain medication usage

    Cons

    • Frequent reports of poor or inconsistent communication with families
    • Unanswered phones and difficulty reaching staff
    • Neglect of personal hygiene (soiled hair, unkept nails, infrequent bathing)
    • Missed or inadequate feeding leading to weight loss
    • Therapy not provided or therapy withheld/delayed for some residents
    • Bedsores / pressure ulcers and risk of skin breakdown
    • Delays in medical supplies or splints
    • Allegations of lost or missing personal belongings
    • Perceived unprofessional or rude nursing staff at times
    • Understaffing contributing to care gaps
    • Pain management concerns and possible overmedication
    • Dietary issues (not receiving correct diabetic diet)
    • Poor documentation of wounds/medical issues
    • Rooms described as very small / tiny
    • Facility cleanliness inconsistent (reports of dirty conditions alongside clean reports)
    • Administrative confusion (insurance changes, discharge/move-out problems)
    • Problems with bedding/mattress causing discomfort or back pain
    • Incidents prompting state complaint and reports of lack of accountability

    Summary review

    Overall sentiment is mixed but leans toward concerning inconsistency: reviewers describe both strong, compassionate care by specific staff and serious lapses that put residents at risk. Positive comments highlight individual caregivers and departments (nurses, a named social worker, respiratory therapists, housekeeping) who provide attentive, kind, and professional service. Several families explicitly called staff a "godsend," praised rehabilitative outcomes, and noted a clean, pleasant environment with amenities like a central patio, aviary, and aquarium. Food quality is generally viewed favorably by some, and management and scheduling were described as responsive and well-trained in certain reports.

    Counterbalancing these positives are numerous and recurring complaints that indicate systemic problems for a subset of residents. The most frequent themes are poor communication and unresponsiveness: families report unanswered phones, unclear status updates, and difficulty reaching clinicians or administrative staff. Several reviews describe neglect of basic hygiene (residents with soiled hair, unkept nails, infrequent bathing), missed feedings or improper dietary management (not receiving diabetic-appropriate meals), and resulting weight loss. There are multiple allegations of inadequate or missing therapy services, delays in splints or necessary medical equipment, and poor documentation of wounds (including an undocumented head wound). These issues collectively raise risk for complications such as pressure ulcers—bed sores and skin breakdown are explicitly reported by multiple families.

    Staff performance and staffing levels appear inconsistent across shifts or units. Some reviewers praise specific employees by name (Stephanie for nursing, Leila for social work, DON Linda for leadership), and mention well-trained, punctual staff who promote independence and reduce medication needs. Other reviewers describe rude or unprofessional nurses, a rude doctor, understaffing, and caregivers who lack empathy or patience. This variability suggests that resident experiences may depend heavily on which staff are on duty or which unit the resident is placed in. Several reports also describe administrative shortcomings: lost personal items, delayed refunds for missing belongings, disorganized processes around visitation and move-outs, confusion due to insurance changes, and at least one filed state complaint alleging lack of accountability.

    Facility conditions and amenities receive mixed assessments. Multiple reviews call the center "very clean" and note well-kept common areas, while other reviewers report a dirty facility. Rooms are repeatedly described as tiny. Positive mentions of housekeeping and common-area features (patio, aviary, aquarium) contrast with complaints of ripped clothing, soiled linens, and an uncomfortable mattress or air mattress that worsened back pain. Dining is generally seen as good by some, but there are specific, serious concerns about dietary management for diabetic residents and about residents not being fed appropriately.

    Medical care and safety are the most critical areas of concern. Reports of pressure ulcers, lost teeth, pain management problems, delays in therapy, and poor wound documentation point to potential clinical care gaps. Some families report effective rehabilitative care and reduced pain medication under the facility’s program, indicating that positive clinical outcomes are achievable there—but other families report no therapy, overmedication, or inappropriate food for diabetes, which are significant red flags.

    Patterns and likely explanations: the reviews suggest variability rather than uniform quality. Where leadership (DON) and specific staff engage actively, families report good outcomes and compassionate care; where staffing is thin or communication breaks down, residents experience neglect, missed therapy, poor hygiene, and safety issues. That pattern is consistent with facilities that have pockets of strong staff and culture but struggle with staffing consistency, training/oversight, or administrative systems.

    Recommendations for prospective families or oversight: ask about staffing ratios on the specific unit, request names/roles of primary caregivers, verify documentation practices for wounds and meals, observe mealtimes and hygiene routines, check therapy schedules and progress notes, and confirm procedures for phone communication and handling of personal belongings. Families currently with loved ones at the facility should escalate unresolved concerns to the DON (some reviewers found this effective), document incidents in writing, and consider regulatory reporting if clinical safety issues (pressure ulcers, missed critical therapy, unaddressed wounds) are present.

    In summary, Hi-Desert Continuing Care Center receives both strong praise for individual staff members and troubling reports of neglect and administrative failures. The most reliable indicator of a positive experience appears to be engagement with and consistency of specific caregivers and management; conversely, communication breakdowns and understaffing are the most common drivers of negative outcomes. Prospective residents and families should perform targeted due diligence to assess current staffing, clinical oversight, and responsiveness before committing or when addressing concerns.

    Location

    Map showing location of Hi-Desert Continuing Care Center

    About Hi-Desert Continuing Care Center

    Hi-Desert Continuing Care Center sits on White Feather Road right in Joshua Tree, a few steps from Hi-Desert Medical Center, which makes getting to medical care pretty easy if things come up, and you'll often see nurses or staff like Registered Nurses, Clinical Coordinators, Occupational Therapists, and Physical Therapists caring for residents in a friendly and adequate manner, though rooms are rather small for two people with only basic folding chairs for visitors. The building's recent renovations have made the inside better for comfort, and windows offer nice views of the desert landscape, which gives things a home-like feel for residents and guests alike. There's a family-oriented approach that encourages family members to visit, join meals, and take part in activities, while the Continuing Care Center includes two units - one sub-acute and another for other care levels - and offers various care types, like assisted living, intermediate care, long-term care for those who need ongoing support, memory care for residents with dementia and Alzheimer's, and a Transitional Care Unit to help with recovery.

    Staff focus on activities and programs that help residents stay involved socially, physically, mentally, and emotionally, and activities have even received awards for quality, energy, and engagement, plus there's a social worker named Leila who helps both residents and their families with support and resources during care decisions. There's a 24-hour bedside emergency call system with a nurse on duty around the clock, which helps with safety, and specialized care options such as palliative and hospice care aim to keep residents comfortable, especially those facing terminal illness or advanced memory needs, and the center provides rehabilitation services including physical, occupational, and speech therapy to help residents regain abilities.

    Meals here are made with an eye for good nutrition and dietary balance, while the amenities are chosen to support comfort and well-being throughout the facility, though some families do mention room size as an area to improve, especially when sharing spaces. The environment tries to reduce confusion for people living with dementia or Alzheimer's, and wandering is limited by thoughtful design. Often, staff members are recognized for being helpful and kind, making things feel welcoming day to day, and the community has received recognition such as the Best of Senior Living All Star awards. Residents get assistance with personal care, daily activity needs, and medication management, while family members are kept involved and informed so everyone can feel a bit more at ease as they navigate long-term care decisions. Hi-Desert Continuing Care Center stands as a continuing care community offering multiple levels of care, support, and specialized services for older adults in Joshua Tree, where access to hospitals, stores, and other local resources remains close by and part of daily life.

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