The Carlotta, Ivy Signature Living

    41505 Carlotta Dr, Palm Desert, CA, 92211
    4.0 · 81 reviews
    • Independent living
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Beautiful facility, serious operational issues

    I found the Carlotta beautiful - lovely grounds, spotless common areas, great tours, plentiful activities, delicious meals and many caring, professional aides who made residents feel at home. Their rehab and therapy staff can be excellent (they even helped revive and transition loved ones), and the dining, pools, putting green and amenities are top notch. However, I also experienced - and heard repeatedly - serious issues: chronic understaffing, unresponsive or punitive management, ignored calls/emails, billing/deposit/refund problems, and troubling lapses in medical/wound care for some residents. In short: a warm, attractive community with terrific day staff, but go in cautiously, document everything, and insist on clear written agreements about care and fees.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination
    • Swimming pool

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.00 · 81 reviews

    Overall rating

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

      3.3
    • Staff

      3.9
    • Meals

      4.3
    • Amenities

      4.5
    • Value

      1.7

    Pros

    • Friendly, professional and compassionate staff
    • Attentive CNAs and caring nurses
    • Strong physical and occupational therapy / rehab services
    • Spotless, well-decorated and welcoming facility areas
    • Luxurious, high-end/resort-like ambiance
    • Abundant on-site amenities (pools, putting green, courtyards)
    • Multiple floorplan options (studios, one-bedrooms, casitas, townhomes)
    • Plentiful activities and social programming (art, exercise, movies, outings)
    • Nutritious, freshly prepared meals and café dining
    • Restaurant-style dining with multi-course menus
    • Seamless and well-coordinated move-in assistance
    • Strong sense of community and friendly residents
    • 24/7 wellness center available
    • Post-operative and short-term rehab praised by many
    • Pet-friendly features (dog park)
    • Salon, maintenance, and on-site services available
    • Apartment customization and homey, cozy atmosphere
    • Convenient location close to shopping/amenities
    • Impressive tours and welcoming admissions staff
    • Supportive long-term care for many residents
    • Helpful, personalized attention from particular staff members
    • Clean grounds and well-kept property
    • Multiple communal spaces (library, card room, meeting rooms)
    • Positive COVID precautions and safety measures reported
    • Varied pricing options based on services

    Cons

    • Inconsistent quality of medical and nursing care
    • Multiple reports of serious neglect (untreated infections, poor wound care)
    • Instances of MRSA, catheter infections, dehydration reported
    • Some reports of filthy or unhygienic care incidents
    • Unresponsive or poorly communicating management
    • Billing, deposit and refund disputes and delays
    • Perception management is motivated by money / punitive management
    • Understaffing and high staff-to-resident ratios (esp. night shift)
    • Occasional rude or unprofessional staff behavior
    • Lack of on-site doctor or physical therapist noted by some
    • Delayed emergency response or delayed 911 in incidents
    • Some residents discharged in worse condition after stay
    • Reports of refusing readmission after hospital stays
    • Inconsistent dining experiences (missing items, bland diet meals)
    • High upfront entrance fees and additional daily fees
    • Complex contracts and confusing financial terms
    • Periodic reports of run-down or outdated areas
    • Some tours or staff experiences uneven despite overall praise
    • Occasional late-night staff calls disturbing residents
    • Alleged retention of rooms by demanding large hold fees

    Summary review

    The reviews for The Carlotta, Ivy Signature Living are strongly polarized but overall lean positive with recurring praise for the facility’s hospitality, amenities, and many staff members. A large portion of reviewers describe the property as luxurious and resort-like — noting a gorgeous, welcoming lobby; immaculate common areas; fresh flowers and welcoming touches; and attractive outdoor spaces such as courtyards, pools, a putting green and dog-friendly areas. Many residents and families praise the facility’s cleanliness, decor, and well-kept grounds. Multiple reviewers highlight the variety of floor plans (studios, one-bedroom apartments, casitas, and townhomes), the ability to personalize units, and the overall “homey,” close-knit community feeling that many found life-changing and social.

    Staff and caregiving receive mixed but frequently positive mention. Numerous reviews call out friendly, professional, and compassionate staff, including nurses, CNAs, and therapy teams. Physical and occupational therapy, short-term rehab and post-operative care are repeatedly praised — some reviewers called The Carlotta the “best place to recoup after surgery” and commended attentive therapists and aides. Several staff members are singled out by name for exceptional service, and move-in coordination is frequently described as seamless and invaluable (with specific praise for staff who handled decorating, logistics, and family communications). For many long-term residents, the facility provided genuine care, social connection, and a sense of safety.

    Facilities, dining, and activities are consistent strengths. The dining program receives many positive remarks: fresh, restaurant-style meals, three-course menus in a dining room setting, a café, and nutritious options. Several reviewers noted that food quality and taste exceeded expectations. The Carlotta also offers a wide range of activities — art classes, exercise, twice-daily movies, outings, wine happy hours, church services, card playing rooms, libraries and frequent social programming — contributing to a lively social atmosphere. Additional conveniences praised include a hair salon, transportation, wellness center, and maintenance responsiveness.

    However, a significant and concerning subset of reviews report serious medical and operational failures. Multiple reviewers reported instances of neglect and substandard clinical care: untreated bladder infections, poor wound and pressure sore care, MRSA and catheter infections, extreme undernourishment, delayed emergency response and delayed 911 calls, filthy dressings or casts, and allegations that some residents were discharged in worse condition. A few accounts describe patients not being welcomed back after hospitalization and suggestions that financial motives influenced care or admissions decisions. These are severe, specific complaints and create a strong safety concern for prospective residents who require higher-level medical oversight.

    Management, communication, and staffing consistency are recurring themes with mixed sentiment. Many reviews praise welcoming, attentive admissions staff and a handful of exemplary employees, but there are numerous reports of unresponsive management, ignored emails and phone calls, voicemail overload, unpaid invoices, and deposit/refund disputes. Several reviewers mention complex contracts and high upfront fees (including an entrance fee and daily hold fees), along with perceptions that management can be punitive or focused on revenue. Understaffing was flagged repeatedly — especially troubling were statements about night-shift ratios (reported as high as 30:1 in one review) and overworked employees — which likely contributes to both inconsistent care and variable resident experiences.

    Patterns and takeaways: The Carlotta shows many hallmarks of an upscale senior living community with robust amenities, social programming, and a strong hospitality culture. For many residents and families the experience is excellent: compassionate caregivers, effective rehab services, delicious dining, and a vibrant community. At the same time, a nontrivial number of reviews report dangerous lapses in medical care and problematic administrative behavior, making the overall picture uneven. Those negative accounts are not limited to minor complaints but include life-threatening allegations (infections, neglect, delayed emergency responses). Staffing shortages, inconsistent management responsiveness, billing disputes, and occasional unprofessional behavior are the most frequently mentioned operational weaknesses.

    Given these mixed but significant patterns, prospective residents or family decision-makers should weigh the facility’s many positives (amenities, therapy, social life, cleanliness, and several excellent staff members) against serious safety and management concerns raised by a subset of reviewers. When evaluating The Carlotta in person, it would be prudent to ask specific, documented questions about clinical staffing levels (nurse and CNA ratios by shift), protocols for infection control and emergency response, post-hospital readmission policies, on-site medical and therapy availability, contract terms and refund policies, and recent incident/quality metrics. The reviews indicate that experiences can vary widely depending on unit, shift, and the specific staff involved — so targeted, evidence-based follow-up with management and current residents is important to get an accurate sense of the likely experience for someone with particular medical or care needs.

    Location

    Map showing location of The Carlotta, Ivy Signature Living

    About The Carlotta, Ivy Signature Living

    The Carlotta, Ivy Signature Living sits in Palm Desert, California, over at 41505 Carlotta Dr, and offers assisted living, independent living, skilled nursing, and memory care in a large two-story building with bright, comfortable apartments that come as studios, one-bedrooms, and two-bedrooms. Residents must be at least 62 years old to move in, and folks can bring their pets along too, since the community even has an agility pet park for them. The Carlotta is part of a bigger group called Ivy Signature Living, which has other communities like Ivy Park, Oakmont, Fountaingrove Lodge, and others across California, Nevada, and beyond, and is known for providing a range of care levels that lets seniors get help when needed but stay as independent as possible.

    People here get help with daily tasks such as bathing, dressing, grooming, medication management, and toileting, all with staff available 24 hours a day. The Carlotta offers skilled nursing and onsite rehabilitation, so there's support for recovering after illness or injury, and nurses can help with medical needs, including wound care, medication support, and even specialty care like podiatry. Housekeeping comes by weekly to refresh the rooms and change the linens, and maintenance staff handles repairs or little fixes as needed. Safety is important, so all the apartments and shared spaces have built-in handicap features and sprinkler systems.

    Meals happen at their own restaurant, Vine at Ivy, where residents get restaurant-style dining with meals made from whole ingredients that change with the seasons. There are planned social activities, arts and crafts sessions, educational events, health and wellness programs, and group outings, so neighbors have plenty of ways to visit and build close friendships. People enjoy spending time in bright sitting rooms with big windows looking out over the desert valley, or walking through the rose and cactus gardens or other well-kept outdoor spaces. For exercise and fun, there's a fitness center, swimming pools, a game room, and a gym, plus a movie theater and auditorium for events. There's also a full-service salon and spa, and those who want to stay connected can use WiFi in the common areas.

    Transportation can be arranged for shopping trips or doctor visits, and there's guest parking for visitors. Residents get to make their apartments feel like home with comfortable home decor and modern electronics, and every apartment comes with kitchens or kitchenettes, and washers and dryers. The Carlotta lets people keep their independence by offering different levels of care, personal wellness plans, and special programs designed to fit each resident's needs, covering everything from daily support to long-term care insurance options. Staff help with move-in procedures, offer initial assessments, and explain billing and care in detail. Tours and virtual visits can be scheduled for those wanting to see the place or ask more questions.

    The Carlotta's connected to many other Ivy and Oakmont communities statewide, like Oakmont of San Jose, Fullerton, Simi Valley, Chino Hills, Fountaingrove Lodge (which is LGBTQ+), Capriana, Villagio at Capriana, The Ivy at Wellington, and several Ivy Park locations. The focus stays on making daily life easy, joyful, and as independent as possible, while giving support where needed, and the range of apartments and services means people can find a good fit whether looking for privacy, social time, or more advanced care.

    About Oakmont Senior Living

    The Carlotta, Ivy Signature Living is managed by Oakmont Senior Living.

    Founded in 2001 by Bill Gallaher, Oakmont Senior Living has emerged as a nationally recognized leader in luxury senior living, headquartered in Windsor, California. The family-owned and operated company has grown to serve over 8,000 seniors across 80 luxury communities throughout California, Nevada, and Hawaii, generating annual revenue of $750 million. Oakmont Management Group, established in 2012 as the sole operator of these luxury communities, works in partnership with the Gallaher Family development company, which has been building seniors housing since the 1990s. The company has achieved remarkable growth, adding 1,811 units to its portfolio between 2024 and 2025, ranking No. 12 on the ASHA 50 list of largest senior living operators.

    Oakmont provides comprehensive care services including assisted living, memory care, and retirement living, with a company-wide focus on individualized attention and luxury amenities. Their premier communities feature wellness centers, assistance with personal care, medication management, award-winning culinary programs, movie theaters, and pet therapy. The company has pioneered innovative programs such as virtual reality therapy using the Rendever platform, allowing seniors with Alzheimer's and dementia to relive past experiences and participate in new adventures. Their signature Traditions memory care neighborhoods provide individualized 24-hour care by providers trained in dementia education, offering daily reminiscence activities designed to help older adults recall positive memories.

    Oakmont's mission centers on delivering meaningful lifestyles and relationships with residents, families, and team members by developing a winning culture anchored in five core values: authenticity, teamwork, compassion, commitment, and resilience. The company maintains an unwavering commitment to excellence, integrity, and high standards of service, with a philosophy of creating communities where residents can continue living even as their needs change. Their approach emphasizes creating safe, nurturing environments where both residents and team members can be the most authentic versions of themselves, fostering a culture that treats residents like family while maintaining luxury standards.

    Oakmont's industry leadership has been recognized through numerous achievements, including ranking among the nation's largest operators and maintaining a 97 percent occupancy rate across their portfolio. The company was a 2022 Yass Prize finalist for innovation in education, and their SVP of Human Resources was inducted into McKnight's 2023 Hall of Honor for excellence in talent development. Recent strategic partnerships include an expanded relationship with Welltower and the launch of the Ivy Living brand, alongside major real estate transactions involving Healthpeak's $1.3 billion acquisition of 24 Oakmont communities. These partnerships and recognitions underscore Oakmont's position as an industry innovator committed to setting new standards in luxury senior living while maintaining their foundational values of personalized care and exceptional service.

    People often ask...

    State of California Inspection Reports

    27

    Inspections

    1

    Type A Citations

    2

    Type B Citations

    6

    Years of reports

    31 Jul 2025
    Found no health or safety concerns observed; staff and residents could not be located for interviews. Obtained and reviewed staff roster, resident roster, and pest control procedures.
    • § 9058
    14 Oct 2024
    Found no deficiencies; infection control, physical plant, food service, medications, staff records, and disaster preparedness met requirements.
    14 Oct 2024
    Determined that the allegation that staff encouraged residents to use the call pendant and that a resident attempted to get out of bed and slid off twice was unsubstantiated. Determined that the policy-related allegation regarding devices to prevent bed falls, including bed rails allowed only for residents on hospice, was unsubstantiated.
    14 Oct 2024
    Identified that the central A/C unit at the center was inoperable on 7-2-2024, prompting portable cooling units the same day and an order placed on 7-3-2024 with installation completed by 7-11-2024; the call pendant was functioning properly.
    14 Oct 2024
    Determined that the refund policy was in place and followed, and that the refund-related allegation was unfounded.
    26 Oct 2023
    Found no health or safety issues at the site. Requested documentation related to a resident's death, the admission agreement, and the physician's report, and conducted interviews with staff and residents.
    26 Oct 2023
    Conducted an unannounced visit and health check on residents following a recent death, finding no health or safety issues.
    29 Sept 2023
    Found that a capacity change to 250 residents was reviewed, with a fire clearance allowing 240 non-ambulatory residents. Found the residence had safety and operational readiness in place—working alarms, secured medications, stocked kitchen and supplies, gated pools, and no health or safety issues observed during the visit.
    29 Sept 2023
    Confirmed a successful licensing inspection for a facility serving elderly residents, ensuring safety measures in place.
    15 Sept 2023
    Found a death on 9/14/2023 after a car accident on 8/24/2023 involving two residents; both were hospitalized and have not returned. No information indicated a lack of care or supervision, and records showed residents could leave unassisted.
    15 Sept 2023
    Reviewed a death incident involving a resident who passed away after being involved in a car accident outside the facility. No lack of care or supervision was identified.
    08 Aug 2023
    Identified that resident files were unavailable due to new management taking effect on 4/1/2023; staff were interviewed and the files will be requested from prior management. No citations were issued today. An exit interview was conducted with the administrator.
    07 Aug 2023
    Confirmed that the applicant and administrator, verified by photo ID, completed COMP II and demonstrated understanding of regulatory areas including license type, client populations, admission policies, staffing and training, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness, with LIC 809 and photo ID on file; capacity noted as 250.
    08 Aug 2023
    Reviewed resident files were unavailable during the visit, but staff interviews were conducted and no citations were issued.
    07 Aug 2023
    Confirmed compliance with California regulations during a change of ownership inspection at a residential care facility for the elderly.
    12 Apr 2023
    Identified that a resident reported property stolen from their apartment, with one item identified and reported to law enforcement. Found staff followed the policy for lost items, no other health or safety concerns were observed, and no deficiencies were cited.
    12 Apr 2023
    Investigated an alleged theft incident after a report stated property was stolen, interviewed individuals, reviewed records, and noted procedures were followed without identifying additional health or safety concerns.
    14 Jul 2022
    Found pre-licensing complete with no deficiencies, and licensure will be granted after final approval from CAU. Observed multiple living areas, outdoor spaces, and safety features including locked records and secured medication carts.
    14 Jul 2022
    Evaluated facility met all licensing requirements during recent inspection, ensuring the safety and well-being of residents.
    28 Jun 2022
    Verified identification and confirmed understanding of the applicable regulations during COMP II. Confirmed that the applicant and administrator understood operations, admissions policies, staffing requirements and training, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
    28 Jun 2022
    Confirmed compliance with all relevant regulations and requirements during the inspection.
    14 Jun 2022
    Verified understanding of license type, client/resident populations, admission policies, staffing requirements and training, restricted health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness through a telephone COMP II interview.
    14 Jun 2022
    Confirmed understanding of California Code Title 22 Regulations after phone interview for a change of ownership in a residential care facility for the elderly.
    02 Jun 2022
    Investigated and found a pest infestation and that staff were not following the kitchen cleaning plan. Noted that the incident was not reported in writing to licensing as required, and the site was cleared by health authorities at the time.
    02 Jun 2022
    Found no deficiencies related to infection control during an unannounced visit. Observed proper infection control measures, including clear signage, sufficient hand hygiene supplies, and a 30-day PPE stock, with a designated lead tracking all COVID-19 cases and plans for testing, isolation/quarantine, cleaning schedules for high-traffic areas, and ongoing monitoring with physician and emergency notifications.
    02 Jun 2022
    Conducted an inspection with focus on infection control; found no deficiencies in compliance with regulations.
    • § 87211(a)(d)
    • § 87555(b)(27)
    04 Nov 2019
    Unannounced visit conducted to investigate alleged missing money from resident's wallet; complaint found to be false after review of files and interviews with relevant parties.

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