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 26 to 50 of 138 citations

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Widespread (many residents). CMS level F.

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of July 16, 2024. Found during a standard inspection.

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

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

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

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

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

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  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.