In their own words
No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.
The record
CMS Care Compare · Jun 2026Staffing · hours per resident per day
Medication & safety · share of long-stay residents
| Federal fines | $153,051 · 3 penalties |
| Abuse icon | None |
| Conflict flags in latest reconcile | 3 |
NM does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.
What the pattern says
Palmelle pattern checks · v1Warehouse warning signs — read the findings below before touring.
- Staffing below the line. Residents get 3 hr 18 min of nursing time a day against a national norm of 3 hr 37 min — thin staffing is the first warehouse warning sign.
- A sedation pattern. Antipsychotic use (27%) and sleep-medication use (20%) are BOTH far above national norms — the pattern associated with medicating residents instead of staffing for them.
- The falls number is the outlier: 3× the national rate. 4.4% of long-stay residents had a fall with major injury vs 1.6% nationally. Combined with the staffing picture, ask hard questions: one bad cluster, a reporting artifact, or a real problem.
- $153,051 in federal fines. 3 penalties in the last 36 months — the citation detail is in the record above.
These checks are computed the same way for every facility. Good patterns and bad ones both print.
Nearby & comparable
Same records, same rulesQuestions families ask
Has Casa Real been cited for resident harm?
Casa Real has $153,051 in federal fines across 3 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.