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 23 of 23 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

  3. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

  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 May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of March 14, 2024. Found during a complaint inspection.

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

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

    Health citation F-0557, Resident Rights Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of August 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2024).

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

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 3, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 12, 2023).

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

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of September 29, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 1, 2023).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Provide appropriate foot care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0687, Quality of Life and Care Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

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

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of May 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 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.