CASA REAL:
- caused IMMEDIATE JEOPARDYi to residents
- caused ACTUAL HARMi to residents
- has been designated a Special Focus Facilityi
- has received the worst ratingsi
- had unsafe staffing levelsi
CASA REAL
has been placed on our NHAA Watchlist for the following:
Immediate Jeopardy Findingsi
On May 1, 2023 and May 24, 2023, state nursing home surveyors found that CASA REAL caused IMMEDIATE JEOPARDY to residents.
All Recent Surveys: 2023-05-01 2023-05-24
In 7 separate written deficiencies, state nursing home surveyors found that CASA REAL caused IMMEDIATE JEOPARDY to residents (from November 20, 2014 to May 24, 2023).
All Surveys: 2014-11-20 2016-01-29 2016-09-30 2016-11-01 2023-05-01 2023-05-24
Actual Harm Findingsi
On May 1, 2023 and May 24, 2023, state nursing home surveyors found that CASA REAL caused ACTUAL HARM to residents.
All Recent Surveys: 2023-05-01 2023-05-24
In 30 separate written deficiencies, state nursing home surveyors found that CASA REAL caused ACTUAL HARM to residents (from February 17, 2010 to May 24, 2023).
All Surveys: 2014-11-20 2014-11-20 2015-01-02 2016-01-29 2016-01-29 2010-11-16 2010-02-17 2016-04-15 2016-09-30 2016-11-01 2022-03-23 2022-07-21 2023-05-01 2023-05-24
Worst Nursing Home Ratingsi
CASA REAL received the worst ratings for the following:
For the last 11 consecutive months - August, 2022 to July, 2023
29 months total between April, 2016 and July, 2023
July, 2023
59 months total between February, 2015 and July, 2023
21 months total between January, 2017 and June, 2023
History of Unsafe Staffingi
Understaffing has a very human cost, not only to the dignity of nursing home residents but also to their basic safety and well-being. Click here for signs and symptoms of understaffing.
Understaffing has been determined to cause patient injury and deprive residents of essential care according to numerous scientific studies.
What is unsafe CNA staffing?
Below 2.0 hours of CNA time for each resident per day
"Less than 2.0 nurse aide hours per patient day is likely to result in poor care."
What is inadequate CNA staffing?
Below 2.8 hours of CNA time for each resident per day
"Residents need a minimum of 2.80 hours of CNA care per day for safety and basic services.
- Institute of Medicine’s Keeping Patients Safe, 2004, and American Nurses Association’s Position Statement dated November 12, 2014
What is inadequate overall staffing?
Below 4.1 hours of RNs, LPNs, and CNAs time for each resident per day
"Residents need a minimum total of 4.10 hours of care from RNs, LPNs, and CNAs per day for safety and basic services.
- American Nurses Association’s Position Statement dated November 12, 2014
Was CASA REAL staffed at Unsafe levels?:
186 days
out of 365 days In 2021: 41.6%
152 days
out of 365 days In 2020: 13.7%
50 days
out of 366 days In 2019: 35.3%
129 days
out of 365 days In 2018: 62.5%
228 days
out of 365 days In 2017: 66.8%
244 days
out of 365 days
per resident per day In 2022: 1.99 hours
January 1, 2022 to December 31, 2022
(Below 2.0 hours is unsafe) In 2021: 2.05 hours
January 1, 2021 to December 31, 2021
(Below 2.0 hours is unsafe) In 2020: 2.27 hours
January 1, 2020 to December 31, 2020
(Below 2.0 hours is unsafe) In 2019: 2.04 hours
January 1, 2019 to December 31, 2019
(Below 2.0 hours is unsafe) In 2018: 1.93 hours
January 1, 2018 to December 31, 2018
(Below 2.0 hours is unsafe) In 2017: 1.91 hours
January 1, 2017 to December 31, 2017
(Below 2.0 hours is unsafe)
per resident per day In 2022: 3.08 hours
of overall care per resident per day
(January 1, 2022 to December 31, 2022) In 2021: 3.17 hours
of overall care per resident per day
(January 1, 2021 to December 31, 2021) In 2020: 3.55 hours
of overall care per resident per day
(January 1, 2020 to December 31, 2020) In 2019: 3.23 hours
of overall care per resident per day
(January 1, 2019 to December 31, 2019) In 2018: 3.10 hours
of overall care per resident per day
(January 1, 2018 to December 31, 2018) In 2017: 3.04 hours
of overall care per resident per day
(January 1, 2017 to December 31, 2017)
Source — Payroll Based Journal daily staffing reports filed by this nursing home with CMS.
(For 2018, the most currently avaliable data is used above.)
Why do staffing levels matter to CASA REAL residents?
- 96.4% of residents need assistance with toileting and/or incontinent care
- 94.0% of residents needed assistance transferring from bed and/or wheelchair
- 70.2% of residents confined to wheelchair and/or bed
- 42.9% of residents had dementia
Source -- Most recently published Resident Characteristics data (Form 672) submitted by this nursing home to CMS. (December 22, 2017)
Your Experience Matters
...and we want to hear it.
NHAA is here to assist families, residents, and the community by sounding the alarm on issues like those found above. Please give us a call or fill complete our form detailing your experience. If you are struggling and upset, CLICK HERE to understand your options.
NHAA Watchlist
Our Watchlist tracks those nursing homes that have been found to harm residents, have unsafe practices, unsafe staffing, and the worst ratings.
