Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 325038

Casa Real

88 federal citations on record , including 3 at the Immediate Jeopardy level, and 7 federal enforcement actions totaling $350,027.

Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
88
Total citations
71
Last 3 years
12
Actual harm+
7
Federal penalties
$350,027
Total fines
—
Overall ★ rating

Most common violation categories here

Quality of Care29 Resident Rights15 Care Planning14 Medication & Pharmacy13 Nutrition & Dietary6

Most common F-tags at this facility

F6895 F6864 F6844 F8804 F7604

Citation history

88 on record
SurveyF-TagViolationSeveritySource
Jan 6, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Mar 27, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 27, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 27, 2025F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Mar 27, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 23, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.CComplaint
Jan 23, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jan 23, 2025F687Provide appropriate foot care.DComplaint
Jan 23, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 23, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Oct 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 24, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Oct 24, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Sep 24, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 24, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Sep 24, 2024F583Keep residents' personal and medical records private and confidential.DComplaint
Aug 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 7, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jul 16, 2024F790Provide routine and 24-hour emergency dental care for each resident.DComplaint
Jul 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jul 16, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Jul 16, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Jul 16, 2024F880Provide and implement an infection prevention and control program.FStandard
Jul 16, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 16, 2024F809Ensure 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.FStandard
Jul 16, 2024F791Provide or obtain dental services for each resident.DStandard
Jul 16, 2024F761Ensure 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.DStandard
Jul 16, 2024F758Implement 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.EStandard
Jul 16, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Jul 16, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.EStandard
Jul 16, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Jul 16, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Jul 16, 2024F692Provide enough food/fluids to maintain a resident's health.HStandard
Jul 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Jul 16, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KStandard
Jul 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Jul 16, 2024F679Provide activities to meet all resident's needs.EStandard
Jul 16, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jul 16, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.GStandard
Jul 16, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jul 16, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jul 16, 2024F637Assess the resident when there is a significant change in conditionDStandard
Jul 16, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Jul 16, 2024F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DStandard
Jul 16, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Mar 14, 2024F585Honor 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.EComplaint
Nov 3, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 29, 2023F760Ensure that residents are free from significant medication errors.DComplaint
May 24, 2023F760Ensure that residents are free from significant medication errors.DComplaint
May 24, 2023F692Provide enough food/fluids to maintain a resident's health.EComplaint
May 24, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KComplaint
May 24, 2023F880Provide and implement an infection prevention and control program.EStandard
May 24, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 24, 2023F761Ensure 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.FStandard
May 24, 2023F758Implement 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.EStandard
May 24, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 24, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
May 24, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 24, 2023F687Provide appropriate foot care.DStandard
May 24, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 24, 2023F679Provide activities to meet all resident's needs.EStandard
May 24, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 24, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 24, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
May 24, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EStandard
May 24, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
May 1, 2023F760Ensure that residents are free from significant medication errors.GComplaint
May 1, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.GComplaint
May 1, 2023F697Provide safe, appropriate pain management for a resident who requires such services.HComplaint
May 1, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Mar 23, 2022F880Provide and implement an infection prevention and control program.FStandard
Mar 23, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 23, 2022F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Mar 23, 2022F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard
Mar 23, 2022F761Ensure 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.FStandard
Mar 23, 2022F760Ensure that residents are free from significant medication errors.EStandard
Mar 23, 2022F759Ensure medication error rates are not 5 percent or greater.EStandard
Mar 23, 2022F758Implement 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.DStandard
Mar 23, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Mar 23, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Mar 23, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Mar 23, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 23, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 23, 2022F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Mar 23, 2022F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard
Mar 23, 2022F584Honor 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.EStandard
Mar 23, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

Federal enforcement history

Federal regulators have imposed 7 enforcement actions against this facility, including 4 civil money penalties totaling $350,027 and 3 payment-denial actions spanning 67 days.

DateTypeFinePayment denial
Jan 6, 2026Fine$24,486—
Sep 24, 2024Fine$32,760—
Sep 24, 2024Payment Denial—Oct 25, 2024 · 39 days
Jul 16, 2024Payment Denial—Aug 27, 2024 · 10 days
Jul 16, 2024Fine$95,805—
May 1, 2023Fine$196,976—
May 1, 2023Payment Denial—Jun 10, 2023 · 18 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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