All citations for Casa Real

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 Real

Last standard health inspection on record

January 6, 2026

Showing 1 to 25 of 55 citations

  1. 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 January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

  2. 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 January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

  5. 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 January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  6. 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 January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

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

    Meet other general requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0100, Construction Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  8. 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 January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  11. 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 January 6, 2026. Found during a standard inspection.

    The home has a plan to correct it (October 31, 2026).

  12. 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 January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  13. 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 January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  15. 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 January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2026).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of March 26, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 9, 2026).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

  22. 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.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2026).

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.