Inspection Reports for
Mi Casa Nursing Center

Investigation of intake # 00162389 was conducted on March 18, 2026. The following deficiencies were cited:

The inspection found two deficiencies related to failure to implement the abuse policy and failure to report an incident of staff-to-resident abuse and neglect to required state agencies.

The complaint investigation revealed that the LPN did not perform the wound care treatment on the night shift of September 3, 2025, but charted it as done. The Director of Nursing suspended the nurse involved after confirming the missed treatment and inaccurate documentation. The resident reported the missed treatment, and the risk of infection, further surgery, or death was noted.

The facility failed to accurately document and perform wound care treatment for one resident, resulting in a missed wound treatment on the night shift of September 3, 2025. The Licensed Practical Nurse (LPN) did not perform the wound care as ordered but charted it as completed, leading to concerns about resident safety and documentation accuracy.

Investigation of complaints 2261667, 2561147, 2261664, SF00136327, was conducted on July 15, 2025 through July 16, 2025. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The complaint investigation was substantiated with findings that the facility failed to honor resident rights to continue therapy, failed to document code status, failed to provide adequate bowel and catheter care, failed to follow food safety protocols, failed to provide ordered rehabilitative services, and failed infection control measures including use of torn fall mats.

The facility was found deficient in multiple areas including failure to honor resident choice in continuing rehabilitative services, failure to document and care plan for resident code status, inadequate bowel and catheter care, improper food handling practices, failure to provide specialized rehabilitative services as ordered, and failure to maintain infection control measures such as replacing a torn fall mat. These deficiencies posed risks of loss of autonomy, inappropriate emergent care, discomfort, infection, and reduced rehabilitation outcomes.

The recertification survey was conducted on April 1, 2025 through April 4, 2025 in conjunction with the investigation of intake numbers AZ00221707, AZ00222216, AZ00222215, and AZ00221704.

Twelve deficiencies were cited during this inspection. No specific evidence was provided for any deficiency.

The investigation was complaint-driven, focusing on allegations of inadequate staffing and delayed call-light responses. Complaints were substantiated with interviews from residents, CNAs, and nursing staff confirming delays of up to two hours for assistance and continence care. The facility acknowledged staffing shortages and ongoing efforts to address them.

The facility failed to ensure adequate staffing to meet residents' needs, causing delays in continence care and assistance with activities of daily living. Multiple residents and staff reported long wait times for call-light responses and insufficient CNA coverage, particularly on Station 3. Staffing shortages were acknowledged by facility leadership.

The investigation was complaint-driven, substantiated due to inadequate staffing and multiple resident care concerns including abuse, dignity violations, and hygiene neglect.

The facility was found deficient in maintaining resident dignity, preventing verbal and physical abuse, providing consistent showers and hygiene care, and ensuring adequate staffing levels to meet resident needs. Multiple residents and staff interviews, clinical record reviews, and observations confirmed these deficiencies.

The complaint survey was conducted on December 23, 2024 through December 23, 2024 of the following complaint #'s AZ00220609, AZ00220610, AZ00220316, AZ00220322 and AZ00219790. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

A complaint survey was conducted on June 5, 2024 for the investigation of intake numbers AZ00204307, AZ00210852, AZ00189805, AZ00198856, and AZ00198886. The investigation included review of clinical records, resident and staff interviews, and facility documentation.

The inspection found four deficiencies related to failure to protect residents from abuse and neglect, and failure to provide adequate nursing care and care planning. The facility failed to protect residents from abuse by staff and other residents and failed to provide proper wound care, resulting in hospitalization.

A complaint survey was conducted on August 1 and 2, 2023, that included the investigation of intakes #AZ00198206, AZ00198535, and AZ00198209. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The complaint survey was conducted on July 10, 2023 for the investigation of intake #AZ00195535. The complaint survey was conducted on July 12, 2023 for the investigation of intake #AZ00195534. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

The facility failed to ensure that two medication carts were secured while left unattended, which could allow unauthorized access to medications. Observations and staff interviews confirmed unlocked medication carts on multiple occasions, posing a potential risk to resident safety.

The inspection identified four deficiencies related to door locking mechanisms, door maintenance, emergency generator controls, and improper use of multiplug adapters. The facility acknowledged these findings during the exit conference and provided plans of correction.

The State compliance survey was conducted June 5 through June 8, 2023 in conjunction with investigation of intake numbers AZ00182440, AZ00184022, AZ00184532, AZ00184990, AZ00185922, AZ00187044, AZ0018752 and AZ00196187. The federal recertification survey was conducted concurrently with investigation of intake numbers AZ00182438, AZ00184022, AZ00184531, AZ00184987, AZ00185922, AZ00187043, AZ00187526 and AZ00196187.

The inspection found two deficiencies related to unsecured medication carts left unattended, which could allow unauthorized access to medications.

The facility was found deficient in multiple areas including failure to obtain physician orders for advance directives, failure to update PASARR Level 1 screening for residents staying longer than 30 days, failure to provide residents or their representatives with written baseline care plan summaries, failure to provide scheduled showers to residents, failure to provide timely and consistent pressure ulcer treatments, administration of opioid pain medication outside ordered parameters, and lack of monitoring for side effects and effectiveness of psychotropic medications.