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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 25 Google reviews
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Casa Promesa has a middle-range Medicare overall rating. Strengths include effective physical therapy programs. Some reviewers note concerns about poor communication and difficulty reaching staff by phone (mentioned by 4 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
Casa Promesa presents a stark divide in experiences, with some residents praising the facility for its substance abuse recovery support and physical therapy, while others report severe neglect and unprofessionalism. Critics frequently cite issues with medication management, poor communication, and an environment described as unhygienic or prison-like. Families should be aware that while some find the staff supportive, others have raised serious concerns regarding patient safety and basic care standards.
Quality Themes
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Rating Trends
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Distribution · 28 analyzed
Personalized based on this facility's data
Key Review Excerpts
“When I arrived, I could not walk and was losing faith that I ever would. The physical therapy team greeted me on my first day and two months later I am leaving with a walker and new found hope.”
“El lugar es antihigiénico .no le dan medicinas a las personas. Huele mal y el televisor está toda la noche con volumen alto. Parece una cárcel.”
“Casa Promesa help me to be a better person. I get support from every staff from administration, social service and specially nursing.”
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
7
measures
8
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
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 Promesa has concerning patterns of families filing complaints, including recent issues with accident prevention, abuse reporting, and care planning. The facility shows recurring problems with medication management, nursing staffing, and safety hazards that repeat across multiple surveys spanning 2022-2025. While all deficiencies show correction dates, the persistent nature of core care issues like staffing and medication safety suggests ongoing challenges that families should carefully evaluate.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
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 and the facility must promote and facilitate resident self-determination through support of resident choice.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Keep all essential equipment working safely.
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
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.
Federal Penalties
Fine
May 28, 2025
$8,281
Casa Promesa
nonprofit
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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