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Deficiency Records for Casa Real
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.
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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-16 | 2024-09-06 | 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 |
| 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 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 |
| Assess the resident when there is a significant change in condition | Health | 2024-07-16 | 2024-08-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | 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 |
| 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 |
| 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 |
| Provide activities to meet all resident's needs. | 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 |
| 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 enough food/fluids to maintain a resident's health. | 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 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 |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | 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 |
| 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 |
| 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 |
| Provide or obtain dental services for each resident. | 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 |
| 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 |
| Provide and implement an infection prevention and control program. | 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 |
| 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-16 | 2024-08-22 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-07-16 | 2024-08-22 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-25 | 2024-08-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-25 | 2024-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-25 | 2024-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-25 | 2024-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-25 | 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 |
| 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 |
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