Nexa Retreat

Assessed 2026-10-01

Headline basis: Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01

Public-evidence total: 39

The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements. For the licence element of C2 only, it can also use an authority ruling held in our sealed evidence room. It is the only number used for the rank.

ConfidenceHow well the evidence supports the score.: medium. ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: C10.

C1 Client separation and occupancy · 8

The clinic states that it treats one client at a time and that the client is the only person on site, and its tier inclusions list one-to-one care in a private villa, so single occupancy per residence is supported for the whole place of care. Band 9 is not reached because individual transport, separation of arrivals and departures, and two named confidentiality mechanisms are not published. The facilities page describes residential detox facilities with common areas under Los Angeles-area headings, but none of them is established as a place of care and no page gives a competing occupancy figure, so no deduction was taken.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• Whether the Los Angeles-area residential detox facilities belong to the same place of care is a site-definition question for the clinic.

Sources (5 cited items):

• Nexa Retreat: "We treat 1 client at a time", "No groups. No waiting. No diluted treatment time." and "You are the only client on site".
• Nexa Retreat: Tier inclusions list one-to-one immersive care with a single client on site and private villa accommodations.
• Nexa Retreat: Psychedelic sessions are individual, one client at a time by design.
• Nexa Retreat: A facilities page describes residential detox facilities with welcoming common areas under three Los Angeles-area location headings, which does not match the single-villa Costa Rica description and gives no capacity figure.
• Nexa Retreat: A secondary care programme after residential treatment places residents in a shared setting, which sits after discharge.

C2 Clinical governance and medical cover · 4

The staff page names a psychiatrist who provides psychiatric oversight, medical assessment and clinical guidance, which supports psychiatric care by a psychiatrist for this site. No licence, permit or registration is established: the Costa Rican authorised-centres register did not return an entry and no Ministry of Health operating permit was located, which holds the criterion below the level reserved for licensed sites. Overnight physician or psychiatrist cover is not established, detox is placed in Costa Rica on one page and in the Los Angeles area on another with no cover arrangement named, and no hospital route, medical lead or accreditation is published.

ConfidenceHow well the evidence supports the score.: high

Known gapsFacts the assessment needed but could not establish.:

• The IAFA register returned HTTP 403 on 2026-09-15; a later search recorded no entry. Absence of a licence is not proven, only not established.
• Location of detox is contradictory between the approach page (Costa Rica) and the facilities page (Los Angeles area).

Sources (5 cited items):

• Nexa Retreat: The staff page names a Psychiatrist, TMS Specialist and Neuropsychiatric Consultant who provides psychiatric oversight, medical assessment and clinical guidance.
• Nexa Retreat: "The first week is dedicated to assessment and detoxification", with no protocol, cover arrangement or escalation route stated.
• Nexa Retreat: "Medical oversight and safety protocols are in place" for the psychedelic offer, with no cover arrangement described, and "All services are offered within applicable legal frameworks and ethical guidelines" names no licence.
• iafa.go.cr: The IAFA list of authorised centres returned HTTP 403 on 2026-09-15. Register not retrievable, and no Ministry of Health operating permit was located.
• Nexa Retreat: A facilities page describes residential detox facilities with welcoming common areas under three Los Angeles-area location headings, which does not match the single-villa Costa Rica description and gives no capacity figure.

C3 Diagnostic depth on admission · 3

One element is met: medical assessment by the named psychiatrist is published, and tier inclusions list a comprehensive assessment. No clinical screening before commitment is described, since the first step is a conversation that names no clinician. No psychiatric assessment on admission by the psychiatrist, no laboratory or specialist diagnostics and no written formulation are published, so the band above is not reached.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• On-site diagnostics are not established.

Sources (4 cited items):

• Nexa Retreat: Tier inclusions list comprehensive assessment and personalised treatment design.
• Nexa Retreat: The named psychiatrist provides psychiatric oversight, medical assessment and clinical guidance.
• Nexa Retreat: Under the operator's own standard for its psychedelic offer, "Comprehensive medical and psychological screening has been completed", with no clinician or tests named.
• Nexa Retreat: The first step is a conversation to understand history and goals, which is not described as clinical and names no clinician.

C4 Clinical intensity · 5

All tiers include daily one-to-one sessions with the clinical team, and the clinic states that every session is one-to-one, but no session length or daily hours are published. The team is described as oriented around the single client, yet staff biographies place several practitioners in private practice elsewhere, so a dedicated team and 24-hour clinical presence in the residence are not established. The tiers are fixed packages; the fixed-package cap of 6 has no effect at band 5.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• Whether practitioners carry clients elsewhere concurrently is not established.

Sources (4 cited items):

• Nexa Retreat: All tiers include daily one-to-one sessions with the clinical team.
• Nexa Retreat: "The full clinical and experiential team is oriented around you" and "every session is one-to-one".
• Nexa Retreat: "Our residential program typically lasts four weeks, including assessment, detoxification, intensive therapy, and aftercare planning."
• Nexa Retreat: Staff biographies place several practitioners in private practice in other countries, so whether they carry clients elsewhere concurrently is not established.

C5 Continuity and aftercare · 4

Three elements are met: a follow-up plan is designed before departure, every tier includes an integration roadmap and continued-care recommendations, and a secondary care programme and an outpatient programme follow residential treatment inside the same operator. No duration, price or inclusion for the optional ongoing support, no remote delivery and no psychiatric follow-up are published. Coordination with family offices and advisors is not stated as post-discharge care, so it does not add an element.

ConfidenceHow well the evidence supports the score.: medium

Sources (4 cited items):

• Nexa Retreat: "Before you depart, we help design a follow-up plan so your experience continues to unfold long after your stay."
• Nexa Retreat: Every tier includes a personalised integration roadmap and recommendations for continued care and support.
• Nexa Retreat: A secondary care programme follows residential treatment and an outpatient programme follows secondary care, both inside the same operator, with location and deliverer not stated.
• Nexa Retreat: The psychedelic pathway lists post-experience clinical therapy and long-term planning protocols with no duration or format.

C6 Admission integrity and commercial conduct · 6

A sweep of the clinic's own domain found no self-ranking page, no paid recognition or award content, and an llms.txt that is a plugin page index with no directive to AI assistants. Two positive signals are met: price ranges are published per tier, and admission is made conditional on readiness and clinical fit. No referral position and no further positive signal are published, so the band above is not reached.

ConfidenceHow well the evidence supports the score.: medium

Sources (5 cited items):

• Nexa Retreat: Price ranges are published per tier: 10 days USD 80,000 to 95,000; 21 days USD 165,000 to 195,000; 6 weeks USD 330,000 to 390,000.
• Nexa Retreat: "Admission is based on readiness, clinical fit, and alignment with our philosophy."
• Nexa Retreat: The llms.txt file is a plugin-generated index of page titles and excerpts with no directive to AI assistants.
• Nexa Retreat: The page sitemap lists no ranking, sponsored or AI-instruction page.
• clinic and group domains, web search: Search of clinic and group domains, web search. Scope: domains checked nexaretreat.com (no other domain operated by the clinic or a group found on its own pages; no company record found), including https://nexaretreat.com/robots.txt, https://nexaretreat.com/llms.txt, https://nexaretreat.com/sitemap_index.xml.... Result: sweep recorded; outcome per the C6 V elements.

C7 Transparency toward the client · 1

No element is met. Tier inclusions are listed without exclusions, and no payment, deposit, refund, extension or early-departure terms are published. The footer names no legal entity and the address is given only as Costa Rica; no privacy notice, terms, complaints route, licence reference, ownership statement, inspection result or statement naming conditions not treated is published. No contradiction deduction was taken, and the score cannot fall below 1.

ConfidenceHow well the evidence supports the score.: low

Known gapsFacts the assessment needed but could not establish.:

• The about page (https://nexaretreat.com/about-us/) refers to THE BALANCE while the footer names no company; which entity operates the clinic is a question for the clinic.

Sources (4 cited items):

• Nexa Retreat: Tier inclusions are listed with no exclusions and no payment terms stated.
• Nexa Retreat: The footer reads "©2025-Healing . ALL RIGHTS RESERVED" and names no legal entity; the address given is "Costa Rica, Central America"; there is no privacy, terms or complaints link.
• Nexa Retreat: The page sitemap lists no privacy policy, terms or complaints page.
• Nexa Retreat: "Certain medical or psychiatric conditions may make this work inappropriate" names no condition.

C8 Track record and regulator standing · 5

No final regulator, court or tribunal finding and no open case was found for the brand, and the operating entity is not identified. There is no inspection record, no first-hand bylined reporting and no independent review profile, so the clinic sits in the not-published band. The earliest dating evidence on the site is 2025, so the track record is short.

ConfidenceHow well the evidence supports the score.: low

Known gapsFacts the assessment needed but could not establish.:

• The operating entity is not identified, which limits the reach of any court or regulator search.
• Short track record: earliest dated evidence is 2025.

Sources (7 cited items):

• Nexa Retreat: The footer reads "©2025-Healing . ALL RIGHTS RESERVED", the earliest dating evidence on the operator's own site.
• Nexa Retreat: The earliest post sitemap entry was last modified 2025-11-23.
• CourtListener API search type=r and type=o: Search of CourtListener API search type=r and type=o. Scope: "Nexa Retreat". Result: no record found.
• General web search: Search of General web search. Scope: "Nexa Retreat" Costa Rica Ministerio de Salud OR lawsuit OR demanda OR clausura. Result: no record found.
• Nexus PJ (nexuspj.poder-judicial.go.cr): Search of Nexus PJ (nexuspj.poder-judicial.go.cr). Scope: "Nexa Retreat" (script-only, unreachable). Result: no record found.
• press and news search: Search of press and news search. Scope: first-hand bylined reporting from inside the facility, last 5 years. Result: no record found.
• statutory regulator records: Search of statutory regulator records. Scope: inspection history and grades of this site. Result: no record found.

C9 Environment, safety and nutrition · 2

Only a concierge, named by role and covering guest relations and transport logistics, is established for the environment. No clinical room, on-site outdoor space, emergency route, equipment, training or medication rules are published, and the residence location is given only as a country, so it cannot be located. Meals are provided but no nutrition assessment, plan or professional is published; both environment and nutrition sit at 2.

ConfidenceHow well the evidence supports the score.: low

Known gapsFacts the assessment needed but could not establish.:

• Facility images carry filenames referring to a Los Angeles address and stock-library stamps, so there is no independent evidence of the premises.

Sources (4 cited items):

• Nexa Retreat: A concierge is named by role, covering guest relations, transportation logistics and concierge coordination.
• Nexa Retreat: Movement, tai chi, fitness and bodywork are described as more effective outdoors or in open-air spaces, which does not state an on-site garden, terrace or gym.
• Nexa Retreat: "Holistic Nutrition & Wellness" is listed as a service area with no detail, and chef-prepared meals are included in every tier.
• Nexa Retreat: Images on the facilities page carry filenames referring to a Los Angeles street address, and homepage images carry stock-library filename stamps, so no independent evidence of the premises is established.

C10 Clinical seniority and academic standing · 1

The staff page lists 21 named people with titles and licence designations but no registration numbers, and no person is titled medical director, clinical director or lead psychiatrist. No credential is confirmed on an official register: the Costa Rican medical and psychology registers need a person and the British Columbia social work directory needs a browser lookup. The facility licence is not proven, so no provisional verification is available.

ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: Clinician register lookups for this criterion were still open at the edition cut-off (see known_gaps). The points count as assessed on the evidence available; the band may change when the lookups are completed, which is resolved in a later edition.

ConfidenceHow well the evidence supports the score.: medium

Known gapsFacts the assessment needed but could not establish.:

• Eight register lookups were not complete at publication; the C10 band may change when they are completed.

Sources (5 cited items):

• Nexa Retreat: The staff page lists 21 named people with titles, degrees and licence designations, with no registration numbers and no external verification links.
• Nexa Retreat: No person is titled medical director, clinical director or lead psychiatrist on any page checked.
• medicos.cr: A lookup on the Colegio de Médicos y Cirujanos de Costa Rica professional profiles on 2026-09-15 needs a person: the register returned HTTP 403.
• psicologiacr.com: Lookups on the Colegio de Profesionales en Psicología de Costa Rica on 2026-09-16 need a person: there is no public member search and the only name-searchable route inside the register is behind a challenge gate.
• bccsw.alinityapp.com: A lookup on the British Columbia College of Social Workers public directory on 2026-09-15 is a browser lookup: the directory is a form application.