A list of the most recent deficiencies for Casa Real. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 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 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 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 |
| Provide and implement an infection prevention and control program. | 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 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-24 | 2023-06-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-24 | 2023-06-28 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-18 | 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 | 2023-05-18 | 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 | 2023-05-18 | 2023-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-18 | 2023-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-01 | 2023-06-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-01 | 2023-06-22 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-01 | 2023-06-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-01 | 2023-06-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-07 | 2023-01-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-07 | 2023-01-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-07 | 2023-01-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-15 | 2022-10-15 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-09-15 | 2022-10-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-21 | 2022-08-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-21 | 2022-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-08-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-21 | 2022-08-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-23 | 2022-05-04 | 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 | 2022-03-23 | 2022-05-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-23 | 2022-05-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-23 | 2022-05-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-23 | 2022-05-04 | 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 | 2022-03-23 | 2022-05-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-23 | 2022-05-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-23 | 2022-05-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-23 | 2022-05-04 | 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 | 2022-03-23 | 2022-05-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-23 | 2022-05-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-23 | 2022-05-04 | 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 | 2022-03-23 | 2022-05-04 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-03-23 | 2022-05-04 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-03-23 | 2022-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-23 | 2022-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-23 | 2022-05-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-17 | 2022-05-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-03-17 | 2022-05-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-17 | 2022-05-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-17 | 2022-05-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-17 | 2022-05-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-17 | 2022-05-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-03-17 | 2022-05-04 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-09-29 | 2021-10-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-12-30 | 2021-01-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-12-30 | 2021-01-29 | 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 | 2020-12-30 | 2021-01-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-12-30 | 2021-01-29 | 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 | 2020-12-30 | 2021-01-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-12-30 | 2021-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-30 | 2021-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-30 | 2021-01-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-12-30 | 2021-01-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-12-30 | 2021-01-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-12-30 | 2021-01-29 | 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 | 2020-12-30 | 2021-01-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-30 | 2021-01-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-12-22 | 2021-01-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-12-22 | 2021-01-29 | N |
| Have an externally vented heating system. | Fire Safety | 2020-12-22 | 2021-01-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-12-22 | 2021-01-29 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-12-22 | 2021-01-29 | N |
