New Mexico › Santa Fe County › Santa Fe
Casa Real
1650 Galisteo Street, Santa Fe, NM 87505
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.
Compared with county, state and nation
| Measure | This facility | Santa Fe Co. median | New Mexico median | US average |
|---|---|---|---|---|
| Overall star rating | — | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 95 | 95 | 49 | 28.7 |
| Citations per 100 beds | 80.5 | 80.5 | 47.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.6 | 0.7 |
| Nursing staff turnover | 61.9% | 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
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Jun 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 23 Jul 2026 |
| 24 Jun 2026 | F0761 | 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. | D | Complaint investigation | 23 Jul 2026 |
| 8 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 28 May 2026 |
| 8 Apr 2026 | F0726 | 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. | D | Complaint investigation | 28 May 2026 |
| 8 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 May 2026 |
| 26 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 9 Mar 2026 |
| 26 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 27 Apr 2026 |
| 26 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 27 Apr 2026 |
| 26 Mar 2026 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 27 Apr 2026 |
| 26 Mar 2026 | F0808 | 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. | D | Complaint investigation | 27 Apr 2026 |
| 26 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint investigation | 27 Apr 2026 |
| 6 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0584 | 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. | E | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0761 | 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. | E | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 14 Feb 2026 |
| 6 Jan 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Feb 2026 |
| 6 Jan 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 14 Feb 2026 |
| 27 Mar 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 2 May 2025 |
| 27 Mar 2025 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 2 May 2025 |
| 27 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 May 2025 |
| 27 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 2 May 2025 |
| 23 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 5 Mar 2025 |
| 23 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 5 Mar 2025 |
| 23 Jan 2025 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 5 Mar 2025 |
| 23 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 5 Mar 2025 |
| 23 Jan 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | C | Complaint investigation | 5 Mar 2025 |
| 24 Oct 2024 | F0622 | 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. | D | Complaint investigation | 3 Dec 2024 |
| 24 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 3 Dec 2024 |
| 24 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Dec 2024 |
| 24 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Dec 2024 |
| 24 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 31 Oct 2024 |
| 24 Sep 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 31 Oct 2024 |
| 24 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Oct 2024 |
| 7 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Aug 2024 |
| 7 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Aug 2024 |
| 16 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Standard survey | 6 Sep 2024 |
| 16 Jul 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | H | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | G | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0809 | 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. | F | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0578 | Honor 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. | E | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 22 Aug 2024 |
| 16 Jul 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0758 | Implement 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. | E | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0761 | 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. | D | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Complaint investigation | 22 Aug 2024 |
| 16 Jul 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 22 Aug 2024 |
| 16 Jul 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 22 Aug 2024 |
| 14 Mar 2024 | F0585 | Honor 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. | E | Complaint investigation | 18 Apr 2024 |
| 3 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 12 Dec 2023 |
| 29 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 1 Nov 2023 |
| 24 May 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0761 | 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. | F | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0758 | Implement 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. | E | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 28 Jun 2023 |
| 24 May 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 28 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Jan 2026 | Fine | $24,486 | |
| 24 Sep 2024 | Payment denial | — | 39 days |
| 24 Sep 2024 | Fine | $32,760 | |
| 16 Jul 2024 | Payment denial | — | 10 days |
| 16 Jul 2024 | Fine | $95,805 |
Staffing
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
| Measure | Residents | This facility | New Mexico median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.8% | 10.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.7% | 3.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.7% | 10.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.4% | 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).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Genesis Omg Operations LLC | 5% or greater direct ownership interest | 100% | 11/01/2018 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/01/2018 |
| Gen Operations I LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/01/2018 |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/01/2018 |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/01/2018 |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/01/2018 |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/01/2018 |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/01/2018 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Santa Fe Care Center | Santa Fe | 120 | 1 | 2 | 1 | 57 | 47.5 | $26K | 9 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.