Casa Real
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2024-09-24 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-08-07 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-07-16 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-07-16 — ACTUAL HARM (tag F0661, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
2024-07-16 — IMMEDIATE JEOPARDY (tag F0686, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-07-16 — ACTUAL HARM (tag F0692, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2023-05-24 — IMMEDIATE JEOPARDY (tag F0686, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.19
state median 2.86
Weekend staffing gap
−12%
fewer nursing hours on weekends · state median −9%
RN hours / resident / day
0.32
registered nurses only
Contract (agency) staff
40%
share of all nursing hours
Nursing staff turnover
62%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $153,051 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-01-06 | Fine | $24,486 |
| 2024-09-24 | Fine | $32,760 |
| 2024-09-24 | Payment Denial | payment denial |
| 2024-07-16 | Fine | $95,805 |
| 2024-07-16 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the GENESIS HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- MERRY WOOD LODGE (ELMORE, AL) —
- KELLER LANDING (TUSCUMBIA, AL) —
- COTTAGE OF THE SHOALS (TUSCUMBIA, AL) —
- RIVER CITY CENTER (DECATUR, AL) —
- MAGNOLIA RIDGE (GARDENDALE, AL) —
- GLENWOOD CENTER (FLORENCE, AL) —
- CYPRESS COVE CARE CENTER (MUSCLE SHOALS, AL) —
- THE EARLWOOD (TORRANCE, CA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-08 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-08 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2026-04-08 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-03-26 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-26 | F0558 | Resident Rights Deficiencies | E | not recorded |
| 2026-03-26 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-03-26 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-03-26 | F0808 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-03-26 | F0842 | Resident Assessment and Care Planning Deficiencies | B | not recorded |
| 2026-01-06 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2026-01-06 | F0627 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-06 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-06 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-06 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-01-06 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-01-06 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-06 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-06 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-06 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-06 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2026-01-06 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-01-06 | F0757 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-01-06 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-01-06 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-01-06 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2026-01-06 | F0881 | Infection Control Deficiencies | F | not recorded |
| 2026-01-06 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2025-03-27 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-27 | F0624 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-27 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-27 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-23 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-23 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-23 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-23 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-01-23 | F0921 | Environmental Deficiencies | C | not recorded |
| 2024-10-24 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-24 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-24 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-24 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-24 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-24 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2024-09-24 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-08-07 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-07 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-16 | F0561 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-16 | F0573 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-16 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-16 | F0637 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-16 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-16 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-07-16 | F0661 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2024-07-16 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-16 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-16 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-16 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-16 | F0686 | Quality of Life and Care Deficiencies | K | not recorded |
| 2024-07-16 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-16 | F0692 | Quality of Life and Care Deficiencies | H | not recorded |
| 2024-07-16 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-16 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-07-16 | F0740 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-16 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-16 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-16 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-16 | F0790 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-16 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-16 | F0809 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-07-16 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-07-16 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-07-16 | F0921 | Environmental Deficiencies | E | not recorded |
| 2024-07-16 | F0947 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-03-14 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2023-11-03 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-29 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-05-24 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2023-05-24 | F0557 | Resident Rights Deficiencies | E | not recorded |
| 2023-05-24 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2023-05-24 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-05-24 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-05-24 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-05-24 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-24 | F0686 | Quality of Life and Care Deficiencies | K | not recorded |
| 2023-05-24 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-24 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-24 | F0692 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-05-24 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-05-24 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-05-24 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-05-24 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-05-24 | F0761 | Pharmacy Service Deficiencies | F | not recorded |
| 2023-05-24 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-05-24 | F0880 | Infection Control Deficiencies | E | not recorded |