On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 127 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare Special Focus status indicates a history of serious quality problems and heightened oversight. Review the latest inspection records, ask what corrective actions remain open, and visit in person before deciding.
Families considering Casa De Oro Center will find a wide range of experiences, with many praising the compassionate nursing staff and effective physical therapy for rehab patients. However, there are significant, recurring reports of neglect regarding hygiene, medication errors, and unresponsiveness to family communications. While some visitors find the facility clean and welcoming, others have raised serious alarms regarding cleanliness and resident safety.
Quality Themes
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Concerns
Rating Trends
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Distribution · 134 analyzed
This facility responds to some reviews.
Personalized based on this facility's data
Key Review Excerpts
“The staff at Casa De Oro is amazing with my mom she came in and wasn’t the easiest patient, but the treated her with respect and kindness and she is so much better now.”
“Discharged resident raved about the treatment she received from the physical therapy department that prepared her to return to her home. Kudos to Brian and the entire therapy staff.”
“My mother-in-law was a patient here from September to November 2019. My family and I were so impressed by the professional, responsive care and friendly, helpful staff.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Casa De Oro Center has faced recurring serious issues, with families filing complaints that triggered 53 deficiencies across multiple surveys. The facility struggles most persistently with medication management, care planning, and safety hazards, with the same problems appearing repeatedly across surveys despite reported corrections. Recent complaints in 2024-2025 continue to reveal failures in abuse reporting, medication errors, and maintaining safe conditions, suggesting ongoing systemic problems that families should carefully consider.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
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.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal Penalties
Fine
May 13, 2025
$34,515
Payment Denial
May 13, 2025
28-day denial
Fine
Oct 28, 2024
$34,039
Payment Denial
Oct 28, 2024
6-day denial
Payment Denial
Nov 20, 2023
35-day denial
Casa De Oro Center
for profit
Genesis Healthcare
184 facilities nationwide
Chain avg rating: 2.4/5 · Rank 151 of 188 (Lowest rating)
Owners
Peak Medical LLC
Owner · Organization
Fc-Gen Operations Investment LLC
Owner (parent company) · Organization
Gen Operations I LLC
Owner (parent company) · Organization
Gen Operations II LLC
Owner (parent company) · Organization
Genesis Healthcare INC
Owner (parent company) · Organization
Genesis Healthcare LLC
Owner (parent company) · Organization
Genesis Holdings LLC
Owner (parent company) · Organization
Sun Healthcare Group INC
Owner (parent company) · Organization
Sunbridge Healthcare LLC
Owner (parent company) · Organization
Whitman, Arnold
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
127 reviews from families & visitors
Official Website
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