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 43 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of July 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  15. 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 July 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  16. 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 July 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness 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

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke 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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous 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

    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 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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of January 6, 2026. Found during a standard inspection.

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

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, 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).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, 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).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, 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).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, 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).

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.