CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Casa Real
View the most recent health deficiencies and inspection results for Casa Real. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Casa Real. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-04-08 | 2026-05-28 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2026-04-08 | 2026-05-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-04-08 | 2026-05-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-26 | 2026-04-27 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2026-03-26 | 2026-04-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-26 | 2026-04-27 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Meet other general requirements. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2026-01-06 | 2026-04-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-01-06 | 2026-03-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2026-01-06 | 2026-03-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-03-26 | 2026-03-09 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2026-01-06 | 2026-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-06 | 2026-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-06 | 2026-02-14 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-06 | 2026-02-14 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2026-01-06 | 2026-02-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-01-06 | 2026-02-14 | N |
| 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. | Health | 2026-01-06 | 2026-02-14 | N |
| 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. | Health | 2026-01-06 | 2026-02-14 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-01-06 | 2026-02-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-01-06 | 2026-02-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-01-06 | 2026-02-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-06 | 2026-02-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-06 | 2026-02-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2026-01-06 | 2026-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-06 | 2026-02-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-01-06 | 2026-02-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-01-06 | 2026-02-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-01-06 | 2026-02-14 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2026-01-06 | 2026-01-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-06 | 2025-12-19 | N |
| 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. | Fire Safety | 2026-01-06 | 2025-12-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-27 | 2025-05-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-27 | 2025-05-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-27 | 2025-05-02 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2025-03-27 | 2025-05-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-23 | 2025-03-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-23 | 2025-03-05 | Y |
| Provide appropriate foot care. | Health | 2025-01-23 | 2025-03-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-23 | 2025-03-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-01-23 | 2025-03-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-24 | 2024-12-03 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-10-24 | 2024-12-03 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-24 | 2024-12-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-24 | 2024-12-03 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-09-24 | 2024-10-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-24 | 2024-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-24 | 2024-10-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-16 | 2024-09-06 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-07-16 | 2024-08-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-07-16 | 2024-08-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-16 | 2024-08-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-16 | 2024-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-16 | 2024-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-16 | 2024-08-22 | N |
| Provide activities to meet all resident's needs. | Health | 2024-07-16 | 2024-08-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-07-16 | 2024-08-22 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-07-16 | 2024-08-22 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-16 | 2024-08-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-16 | 2024-08-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-07-16 | 2024-08-22 | N |
| Honor 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. | Health | 2024-07-16 | 2024-08-22 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-07-16 | 2024-08-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-07-16 | 2024-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-07 | 2024-08-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-07 | 2024-08-22 | Y |
| 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. | Health | 2024-07-16 | 2024-08-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-07-16 | 2024-08-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-16 | 2024-08-22 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-07-16 | 2024-08-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-16 | 2024-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-16 | 2024-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-16 | 2024-08-22 | N |
| 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. | Health | 2024-07-16 | 2024-08-22 | N |
| Provide or obtain dental services for each resident. | Health | 2024-07-16 | 2024-08-22 | N |
| 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. | Health | 2024-07-16 | 2024-08-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-16 | 2024-08-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| 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. | Health | 2024-03-14 | 2024-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-03 | 2023-12-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-29 | 2023-11-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-24 | 2023-06-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-24 | 2023-06-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-24 | 2023-06-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-24 | 2023-06-28 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-24 | 2023-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-06-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-24 | 2023-06-28 | N |
| Provide appropriate foot care. | Health | 2023-05-24 | 2023-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-06-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-24 | 2023-06-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-24 | 2023-06-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-24 | 2023-06-28 | N |
| 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. | Health | 2023-05-24 | 2023-06-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-24 | 2023-06-28 | N |
| 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. | Health | 2023-05-24 | 2023-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-05-24 | 2023-06-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-05-24 | 2023-06-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-24 | 2023-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-06 | Not Fixed | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2026-03-26 | Not Fixed | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-01-06 | Not Fixed | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-26 | Not Fixed | Y |