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Medicare-certifiedSkilled Nursing

Casa Real

Santa Fe, New MexicoMedicare inspection record
(505) 984-8313

About Casa Real

Casa Real in Santa Fe, New Mexico combines skilled nursing with specialized rehabilitation services for seniors who need medical care and recovery support. Our team focuses on helping residents regain independence after hospitalization or illness through personalized treatment plans and compassionate daily attention.

Community at a glance

Capacity

118 residents

Location

Santa Fe, NM

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1650 Galisteo Street, Santa Fe, New Mexico 87505

(505) 984-8313

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare lists Casa Real as a Special Focus Facility: a home with a history of serious quality problems that inspectors visit more often until it improves.

At its most recent standard inspection, on January 6, 2026, state inspectors cited 29 health deficiencies (the New Mexico average is 17.6).

Nurses and nurse aides spend 3 hours 38 minutes with each resident a day, about the same as the New Mexico average.

Medicare fined Casa Real 3 times in the last three years, $153,051 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 38 minutes
Registered nurse time per resident, per day24 minutesBelow the New Mexico average
Nursing staff who left in the past year62%Above the New Mexico average

1 administrator has left the home in the past year.

Inspections

76 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 24, 2026 · Complaint investigation · 2 citations

  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 23, 2026
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 23, 2026

April 8, 2026 · Complaint investigation · 3 citations

  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 28, 2026
  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected May 28, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected May 28, 2026
March 26, 2026 · Complaint investigation · 6 citations+
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintAlready fixed by Mar 9, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 27, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 27, 2026
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Apr 27, 2026
  • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Apr 27, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 27, 2026
January 6, 2026 · Standard inspection · 18 citations+
  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Feb 14, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Feb 14, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Feb 14, 2026
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Feb 14, 2026
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 14, 2026
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 14, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 14, 2026
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 14, 2026
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 14, 2026
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 14, 2026
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Feb 14, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 14, 2026
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 14, 2026
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 14, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 14, 2026
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 14, 2026
  • Assist a resident in gaining access to vision and hearing services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 14, 2026
  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 14, 2026
March 27, 2025 · Complaint investigation · 4 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 2, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 2, 2025
  • Prepare residents for a safe transfer or discharge from the nursing home.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 2, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 2, 2025
January 23, 2025 · Complaint investigation · 5 citations+
  • Provide appropriate foot care.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 5, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Mar 5, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 5, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 5, 2025
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Minimal harm or risk, widespread (level C)EnvironmentalFrom a complaintCorrected Mar 5, 2025
October 24, 2024 · Complaint investigation · 4 citations+
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 3, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 3, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 3, 2024
  • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 3, 2024
September 24, 2024 · Complaint investigation · 3 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 31, 2024
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 31, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 31, 2024
August 7, 2024 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Aug 22, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 22, 2024
July 16, 2024 · Standard inspection · 13 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareCorrected Sep 6, 2024
  • Provide enough food/fluids to maintain a resident's health.

    Residents were harmed, a pattern (level H)Quality of Life and CareCorrected Aug 22, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Aug 22, 2024
  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Residents were harmed, a few residents (level G)Resident Assessment and Care PlanningCorrected Aug 22, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Aug 22, 2024
  • Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Aug 22, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Aug 22, 2024
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Aug 22, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Aug 22, 2024
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 22, 2024
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Aug 22, 2024
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Aug 22, 2024
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 22, 2024

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

3 fines totaling $153,051 and 2 Medicare payment denials in the last three years.

  • January 6, 2026Fine: $24,486
  • September 24, 2024Fine: $32,760
  • September 24, 2024Payment denial, 39 days
  • July 16, 2024Payment denial, 10 days
  • July 16, 2024Fine: $95,805

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
1650 Galisteo Street Operations LLC
Medicare-certified beds
118
Average residents per day
105
Accepts
Medicare and Medicaid
First certified
January 10, 1985
Part of a chain
Genesis Healthcare, 184 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
325038

Location

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1650 Galisteo StreetSanta Fe, NM 87505

12 other communities within 10 miles

Senior living near Santa Fe

Questions about Casa Real

How did Casa Real do on its last inspection?+

State inspectors visited on January 6, 2026 and cited 29 health deficiencies, 12 of them from complaint investigations. The New Mexico average is 17.6.

How much nursing care does each resident get at Casa Real?+

Nurses and aides spend 3 hours 38 minutes with each resident per day, including 24 minutes from registered nurses. 62% of nursing staff left over the past year.

Has Casa Real been fined by Medicare?+

Yes. Medicare fined Casa Real 3 times in the last three years, totaling $153,051.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Santa Fe Skilled Nursing in New Mexico Skilled Nursing guide Information last updated October 2026