Elder Care Record

New Mexico › Santa Fe County › Santa Fe

Casa Real

1650 Galisteo Street, Santa Fe, NM 87505

CCN 325038 · For-profit, limited liability company · 118 certified beds · chain Genesis Healthcare

Special Focus Facility
Overallnot rated
Health inspectionnot rated
Staffingnot rated
Quality measuresnot rated

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Casa Real, in Santa Fe, New Mexico, is certified for 118 beds under for-profit, limited liability company ownership and belongs to the Genesis Healthcare chain.

CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.

Inspectors recorded 95 health deficiencies across the three most recent survey cycles (29, 45, 21 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 80.5 per 100 beds, more than the state median of 47.5.

CMS lists 5 penalties in the period covered: fines totalling $153K and 2 payment denials.

Reported nurse staffing is 3.6 hours per resident per day (0.4 RN), close to the New Mexico median of 3.4; nursing staff turnover is 61.9%.

CMS flags that the facility is a Special Focus Facility.

95health deficiencies, 3 survey cycles7 at actual harm or worse
$153Kfines listed by CMS5 penalties in period
3.6nurse hours per resident per daystate median 3.4
89%occupancy (residents ÷ beds)105 residents a day

Compared with county, state and nation

MeasureThis facilitySanta Fe Co. medianNew Mexico medianUS average
Overall star rating—133.0
Health citations, 3 cycles95954928.7
Citations per 100 beds80.580.547.526.8
Total nurse hours per resident day3.63.63.43.9
RN hours per resident day0.40.40.60.7
Nursing staff turnover61.9%61.9%52.9%45.8%
Fines listed$153,051$153,051$19,971—

County and state figures are medians across facilities (2 in the county, 68 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)29
Cycle 245
Cycle 321

Dark bar: this facility. Grey bar: New Mexico average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Jan 2026, 16 Jul 2024.

Severity mix: K ×2 G ×4 H ×1 D ×48 E ×28 F ×10 B ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
24 Jun 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation23 Jul 2026
24 Jun 2026F0761Ensure 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.DComplaint investigation23 Jul 2026
8 Apr 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation28 May 2026
8 Apr 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation28 May 2026
8 Apr 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation28 May 2026
26 Mar 2026F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation9 Mar 2026
26 Mar 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation27 Apr 2026
26 Mar 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation27 Apr 2026
26 Mar 2026F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint investigation27 Apr 2026
26 Mar 2026F0808Ensure 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.DComplaint investigation27 Apr 2026
26 Mar 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint investigation27 Apr 2026
6 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey14 Feb 2026
6 Jan 2026F0880Provide and implement an infection prevention and control program.FStandard survey14 Feb 2026
6 Jan 2026F0881Implement a program that monitors antibiotic use.FStandard survey14 Feb 2026
6 Jan 2026F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey14 Feb 2026
6 Jan 2026F0584Honor 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.EStandard survey14 Feb 2026
6 Jan 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey14 Feb 2026
6 Jan 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey14 Feb 2026
6 Jan 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey14 Feb 2026
6 Jan 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey14 Feb 2026
6 Jan 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey14 Feb 2026
6 Jan 2026F0761Ensure 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.EStandard survey14 Feb 2026
6 Jan 2026F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DStandard survey14 Feb 2026
6 Jan 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation14 Feb 2026
6 Jan 2026F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey14 Feb 2026
6 Jan 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey14 Feb 2026
6 Jan 2026F0685Assist a resident in gaining access to vision and hearing services.DStandard survey14 Feb 2026
6 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey14 Feb 2026
6 Jan 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey14 Feb 2026
27 Mar 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation2 May 2025
27 Mar 2025F0624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint investigation2 May 2025
27 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation2 May 2025
27 Mar 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation2 May 2025
23 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation5 Mar 2025
23 Jan 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation5 Mar 2025
23 Jan 2025F0687Provide appropriate foot care.DComplaint investigation5 Mar 2025
23 Jan 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation5 Mar 2025
23 Jan 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.CComplaint investigation5 Mar 2025
24 Oct 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation3 Dec 2024
24 Oct 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation3 Dec 2024
24 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation3 Dec 2024
24 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation3 Dec 2024
24 Sep 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation31 Oct 2024
24 Sep 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation31 Oct 2024
24 Sep 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation31 Oct 2024
7 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation22 Aug 2024
7 Aug 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation22 Aug 2024
16 Jul 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KStandard survey6 Sep 2024
16 Jul 2024F0692Provide enough food/fluids to maintain a resident's health.HStandard survey22 Aug 2024
16 Jul 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.GStandard survey22 Aug 2024
16 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey22 Aug 2024
16 Jul 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey22 Aug 2024
16 Jul 2024F0809Ensure 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.FStandard survey22 Aug 2024
16 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey22 Aug 2024
16 Jul 2024F0880Provide and implement an infection prevention and control program.FStandard survey22 Aug 2024
16 Jul 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey22 Aug 2024
16 Jul 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard survey22 Aug 2024
16 Jul 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey22 Aug 2024
16 Jul 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation22 Aug 2024
16 Jul 2024F0679Provide activities to meet all resident's needs.EStandard survey22 Aug 2024
16 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey22 Aug 2024
16 Jul 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey22 Aug 2024
16 Jul 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.EStandard survey22 Aug 2024
16 Jul 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey22 Aug 2024
16 Jul 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard survey22 Aug 2024
16 Jul 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey22 Aug 2024
16 Jul 2024F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DStandard survey22 Aug 2024
16 Jul 2024F0637Assess the resident when there is a significant change in conditionDStandard survey22 Aug 2024
16 Jul 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey22 Aug 2024
16 Jul 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey22 Aug 2024
16 Jul 2024F0761Ensure 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.DStandard survey22 Aug 2024
16 Jul 2024F0790Provide routine and 24-hour emergency dental care for each resident.DComplaint investigation22 Aug 2024
16 Jul 2024F0791Provide or obtain dental services for each resident.DStandard survey22 Aug 2024
16 Jul 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey22 Aug 2024
14 Mar 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint investigation18 Apr 2024
3 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Dec 2023
29 Sep 2023F0760Ensure that residents are free from significant medication errors.DComplaint investigation1 Nov 2023
24 May 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KStandard survey28 Jun 2023
24 May 2023F0761Ensure 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.FStandard survey28 Jun 2023
24 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey28 Jun 2023
24 May 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey28 Jun 2023
24 May 2023F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EStandard survey28 Jun 2023
24 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey28 Jun 2023
24 May 2023F0679Provide activities to meet all resident's needs.EStandard survey28 Jun 2023
24 May 2023F0692Provide enough food/fluids to maintain a resident's health.EStandard survey28 Jun 2023
24 May 2023F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey28 Jun 2023
24 May 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard survey28 Jun 2023
24 May 2023F0880Provide and implement an infection prevention and control program.EStandard survey28 Jun 2023
24 May 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey28 Jun 2023
24 May 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey28 Jun 2023
24 May 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Jun 2023
24 May 2023F0687Provide appropriate foot care.DStandard survey28 Jun 2023
24 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 Jun 2023
24 May 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey28 Jun 2023
24 May 2023F0760Ensure that residents are free from significant medication errors.DStandard survey28 Jun 2023

Penalties

DateTypeAmountDetail
6 Jan 2026Fine$24,486
24 Sep 2024Payment denial—39 days
24 Sep 2024Fine$32,760
16 Jul 2024Payment denial—10 days
16 Jul 2024Fine$95,805

Staffing

Total nursing3.63 h
Nurse aides2.23 h
LPN1 h
RN0.4 h
Weekend total3.19 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Mexico average. Turnover: nursing staff 61.9%, RNs 53.8%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityNew Mexico medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.8%10.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.1%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.9%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.7%3.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.7%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.7%10.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.7%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay28.4%13.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: 1650 Galisteo Street Operations Llc. Chain: Genesis Healthcare (184 facilities).

OrganisationRole in the CMS recordInterestSince
Genesis Omg Operations LLC5% or greater direct ownership interest100%11/01/2018
Fc-Gen Operations Investment LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/01/2018
Gen Operations I LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/01/2018
Genesis Healthcare Inc5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/01/2018
Genesis Healthcare LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/01/2018
Genesis Holdings LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/01/2018
Ghc Holdings LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/01/2018
Sun Healthcare Group Inc5% or greater indirect ownership interestNO PERCENTAGE PROVIDED11/01/2018

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Santa Fe County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Santa Fe Care CenterSanta Fe1201215747.5$26K9 Apr 2026

All 2 facilities in Santa Fe County

Questions and answers

How many deficiencies has Casa Real been cited for?

95 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The New Mexico median is 49 per facility.

Has Casa Real been fined?

Yes. CMS lists fines totalling $153K in the period covered, plus 2 payment denials.

How does staffing at Casa Real compare?

Reported total nurse staffing is 3.6 hours per resident per day against a New Mexico median of 3.4 and a national average of 3.9.

Who operates Casa Real?

It is part of the Genesis Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Genesis Omg Operations LLC, Fc-Gen Operations Investment LLC and Gen Operations I LLC. Individual owners and managers are not listed on this site.

When was Casa Real last inspected?

The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 6 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.