Casa Real
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 108 Google reviews
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What this means for your family
While Casa Real has a dedicated therapy team and some very kind staff, the recent increase in reports regarding medication errors and facility hygiene is concerning. We strongly recommend that you visit unannounced, specifically on a weekend, to observe staffing levels and cleanliness for yourself before making a decision.
Google Reviews
Google Reviews
108 reviews on Google“Casa Real receives highly polarized feedback, with some families praising the facility for its attentive nursing staff and clean environment, while others report severe neglect and poor communication. Recurring complaints focus on understaffing, medication management errors, and a lack of responsiveness from administration. Families considering this facility should be aware of these significant inconsistencies in care quality.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and helpful front desk staff
- Effective physical and occupational therapy teams
- Clean and well-maintained facility areas
- Supportive and devoted memory care staff
Concerns
- Understaffing leading to slow response times and neglect (mentioned by 9 reviewers)
- Medication management errors and missed doses (mentioned by 5 reviewers)
- Poor communication and difficulty reaching staff by phone (mentioned by 4 reviewers)
- Unsanitary conditions including odors and mold (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 113 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed your team is very active in responding to feedback online; how do you use that family input to improve daily operations?
- 2Given the concerns some families have raised regarding response times, what is your current process for ensuring staff are alerted and available when a resident needs assistance?
- 3With medication management being a top priority for us, could you walk us through the safety protocols and double-check systems you have in place to prevent missed doses?
- 4I see that your physical and occupational therapy teams are highly regarded; how do you integrate their services into the daily routine for residents who need extra support?
- 5We have read mixed feedback regarding the dining experience; what steps are you taking to improve the quality and variety of the meals served here?
- 6How do you ensure consistent communication with families, especially when we are trying to reach staff members to check on a loved one's status?
Personalized based on this facility's data
Key Review Excerpts
“The memory care could not be more comforting, supportive and devoted to each and every patient. Very good atmosphere to place a loved one.”
“The staff was amazing from the receptionist, CNAs, RNs and non clinical staff. Everyone treated my mom with respect. Catered to her needs made sure the 21 days spent in there were smooth sailing.”
“The place is filthy, black mold growing in the tiles in the shower, the food is horrible and not nutritional, there isn’t enough staff to help the number of patients i.e. getting showers getting their meds on time and the list goes on and on.”
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
6
measures
9
measures
2
measures
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
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 vaccinated for the flu
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 Real has a concerning pattern of repeated deficiencies across basic care areas, with families filing formal complaints that prompted 31 violations. The facility shows persistent problems with pressure ulcer care, medication management, and safety supervision spanning multiple years. While the facility reports correcting issues, the same problems keep recurring in wound care, resident safety, and medication errors, suggesting systemic challenges in maintaining consistent quality care standards.
Apr 8, 2026Complaint3
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 26, 2026Complaint6
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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.
Jan 6, 2026Routine43
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Construction Deficiencies
Meet other general requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
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.
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
Ensure services provided by the nursing facility meet professional standards of quality.
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.
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Jan 6, 2026Complaint1
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Mar 27, 2025Complaint4
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Jan 23, 2025Complaint5
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
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal Penalties
Fine
Jan 6, 2026
$24,486
Fine
Sep 24, 2024
$32,760
Payment Denial
Sep 24, 2024
39-day denial
Fine
Jul 16, 2024
$95,805
Payment Denial
Jul 16, 2024
10-day denial
Ownership & Operations
Who Operates This Facility
Casa Real
for profit
Chain Affiliation
Genesis Healthcare
187 facilities nationwide
Ownership & Management
Owners
Genesis Omg Operations 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
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
108 reviews from families & visitors
Official Website
Visit genesishcc.com
Medicare data downloads
Original nursing home datasets
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