Safety Report: Casa Real
Official ratings
Medicare's star ratings compare nursing homes within the same state for health inspections. A 5-star facility performed better than most in its state; a 1-star facility performed worse than most.
Stars are calculated by CMS, not by us. We do not create our own safety score.
Serious documented violations
Citations by topic
Topics use CMS's own deficiency categories; “accidents & supervision” counts tag F689 (free of accident hazards / adequate supervision). Counts cover the last three inspection cycles, including complaint investigations.
Is it getting better or worse?
Fewer citations in the most recent cycle (18) than in the cycle before (31).
An inspection cycle is roughly one year and includes the standard inspection plus complaint investigations. Counts depend partly on how many complaint investigations occurred, so treat small changes with caution. Red bars include at least one serious citation.
Staffing and rating trends will appear as we collect monthly CMS releases. We have one month so far, so a staffing trend cannot yet be determined.
Repeat findings
These requirements were cited on more than one inspection date in the last three cycles.
| Requirement | Times cited | Inspection dates |
|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F689) | 5 | January 6, 2026; October 24, 2024; August 7, 2024; July 16, 2024; November 3, 2023 |
| 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. (F761) | 4 | August 28, 2026; June 24, 2026; January 6, 2026; July 16, 2024 |
| Provide and implement an infection prevention and control program. (F880) | 4 | April 8, 2026; January 6, 2026; January 23, 2025; July 16, 2024 |
| Ensure services provided by the nursing facility meet professional standards of quality. (F658) | 3 | January 6, 2026; January 23, 2025; August 7, 2024 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F657) | 3 | January 6, 2026; January 23, 2025; July 16, 2024 |
| 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. (F584) | 2 | August 28, 2026; January 6, 2026 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F600) | 2 | July 23, 2026; September 24, 2024 |
| Provide activities to meet all resident's needs. (F679) | 2 | July 23, 2026; July 16, 2024 |
| Provide or obtain dental services for each resident. (F791) | 2 | July 23, 2026; July 16, 2024 |
| PASARR screening for Mental disorders or Intellectual Disabilities (F645) | 2 | July 23, 2026; July 16, 2024 |
| 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. (F585) | 2 | July 23, 2026; March 14, 2024 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F842) | 2 | March 26, 2026; March 27, 2025 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F812) | 2 | January 6, 2026; July 16, 2024 |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F756) | 2 | January 6, 2026; July 16, 2024 |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F725) | 2 | January 6, 2026; July 16, 2024 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. (F698) | 2 | January 6, 2026; July 16, 2024 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (F677) | 2 | January 6, 2026; July 16, 2024 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F686) | 2 | March 27, 2025; July 16, 2024 |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F921) | 2 | January 23, 2025; July 16, 2024 |
| Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F684) | 2 | October 24, 2024; July 16, 2024 |
Fines and enforcement
| Date | Type | Amount / length |
|---|---|---|
| June 24, 2026 | Fine | $89,320 |
| January 6, 2026 | Fine | $24,486 |
| September 24, 2024 | Payment Denial | Payment denial for 39 days, starting October 25, 2024 |
| September 24, 2024 | Fine | $32,760 |
| July 16, 2024 | Payment Denial | Payment denial for 10 days, starting August 27, 2024 |
| July 16, 2024 | Fine | $95,805 |
Federal civil money penalties and Medicare/Medicaid payment denials. State-level penalties may not be included.
Complete inspection history
August 28, 2026 — 2 citations · complaint investigation
July 23, 2026 — 5 citations (includes serious)
June 24, 2026 — 2 citations · complaint investigation
April 8, 2026 — 3 citations · complaint investigation
March 26, 2026 — 6 citations · complaint investigation
January 6, 2026 — 18 citations
March 27, 2025 — 4 citations · complaint investigation
January 23, 2025 — 5 citations · complaint investigation
October 24, 2024 — 4 citations · complaint investigation
September 24, 2024 — 3 citations (includes serious) · complaint investigation
August 7, 2024 — 2 citations (includes serious) · complaint investigation
July 16, 2024 — 27 citations (includes serious)
March 14, 2024 — 1 citation · complaint investigation
November 3, 2023 — 1 citation · complaint investigation
Source: CMS Health Deficiencies dataset (data as of October 1, 2026); full inspection narratives on Medicare Care Compare