All citations for Casa De Oro Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Casa De Oro Center

Last standard health inspection on record

February 5, 2026

Showing 1 to 25 of 118 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 10, 2025).

  2. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 28, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 19, 2024).

  3. Immediate jeopardy to resident health or safety

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 28, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 19, 2024).

  4. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 18, 2026).

  5. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2024).

  6. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2024).

  7. No harm, with potential for more than minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2024).

  8. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2024).

  9. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Widespread (many residents). CMS level F.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of June 20, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

  10. No harm, with potential for more than minimal harm

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  11. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  12. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  13. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  14. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  15. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  16. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  17. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  18. No harm, with potential for more than minimal harm

    Install properly constructed windows in hallway walls or doors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0364, Smoke Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  19. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  20. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  21. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  22. No harm, with potential for more than minimal harm

    Have power receptacles that are properly grounded.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2024).

  23. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of November 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  24. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  25. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.