Casa De Oro Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 126 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (33 vs median 16.0)
- High staff turnover (64%)
- High RN turnover (70%)
Bottom 25% in NM · Below recommended RN staffing · Worst in GENESIS HEALTHCARE chain · $68,554 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
This facility offers highly regarded physical therapy and wound care, which is excellent for post-surgical recovery. However, families must be vigilant regarding hygiene and communication, as multiple reviewers have reported issues with resident cleanliness and difficulty reaching staff for updates.
Google Reviews
Google Reviews
126 reviews on Google“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
Tap a score for detailsStrengths
- Compassionate and caring nursing staff
- Effective physical therapy and wound care
- Welcoming and friendly admissions process
- Engaging resident activities
Concerns
- Issues with resident hygiene and cleanliness (mentioned by 4 reviewers)
- Unresponsive communication with family members (mentioned by 3 reviewers)
- Staff rudeness or unprofessionalism (mentioned by 5 reviewers)
- Theft or loss of resident belongings (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 132 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the management is very active in responding to feedback online; how does the facility currently use resident and family input to improve daily operations?
- 2Could you walk me through your specific protocols for medication management and how you ensure accuracy for every resident?
- 3What steps are being taken to ensure the dining experience and meal quality meet the nutritional needs and preferences of the residents?
- 4How does the nursing team approach daily hygiene care and maintaining a clean, comfortable environment for everyone in the facility?
- 5What kind of engaging activities or social outings are available to help residents stay connected and active during the week?
- 6In the event of a medical emergency after hours, what is the specific process for notifying the family and coordinating with doctors?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
5
measures
1
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 vaccinated for pneumonia
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Apr 9, 2026Complaint2
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.
Feb 5, 2026Routine12
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.
Feb 5, 2026Complaint1
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.
Aug 21, 2025Complaint6
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.
May 13, 2025Complaint3
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.
Mar 3, 2025Complaint5
Resident Rights Deficiencies
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.
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.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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
Ownership & Operations
Who Operates This Facility
Casa De Oro Center
for profit
Chain Affiliation
Genesis Healthcare
187 facilities nationwide
Chain avg rating: 2.4/5 · Rank 151 of 188 (Worst)
Ownership & Management
Owners
Peak Medical LLC
Owner · 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
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
126 reviews from families & visitors
Official Website
Visit genesishcc.com
Medicare data downloads
Original nursing home datasets
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