Nursing Homes · Medicare certified
Casa Real
1650 Galisteo Street · Santa Fe, NM 87505 · 118 certified beds
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About Casa Real
Casa Real is a nursing home in Santa Fe, New Mexico. Its capacity is 118 beds, above the New Mexico median of 101 for nursing homes. It is run by a for-profit operator and is part of Genesis Healthcare. It is Medicare certified. Its public inspection record shows 93 citations, the most recent on April 8, 2026. CMS also lists 6 fines or payment denials against it. Nurse staffing averages 3.61 hours per resident per day. It is one of 2 nursing homes listed in Santa Fe. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility
CMS has placed this nursing home in its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. CMS inspects homes in the program more often. About the program.
Certification
Medicare-certified.
Ratings
CMS has not published a star rating for this nursing home. That usually follows a recent certification or a change of owner.
Inspection history (93)
Records from May 2023 to April 2026.
April 8, 2026
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
April 8, 2026
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
April 8, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
March 26, 2026
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 27, 2026.
March 26, 2026
Tag F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 27, 2026.
March 26, 2026
Tag F0808Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm.
March 26, 2026
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 9, 2026.
March 26, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected April 27, 2026.
March 26, 2026
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm.
January 6, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
January 6, 2026
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
January 6, 2026
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
January 6, 2026
Tag F0881Implement a program that monitors antibiotic use.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
January 6, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
January 6, 2026
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
January 6, 2026
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
January 6, 2026
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
January 6, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
January 6, 2026
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
January 6, 2026
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2026.
Penalties (6)
Total fines: $153,051
June 24, 2026 · Fine
CMS recorded a civil money penalty of $89,320 against this nursing home on June 24, 2026.
January 6, 2026 · Fine
CMS recorded a civil money penalty of $24,486 against this nursing home on January 6, 2026.
September 24, 2024 · Fine
CMS recorded a civil money penalty of $32,760 against this nursing home on September 24, 2024.
September 24, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting October 25, 2024, lasting 39 days (triggered by inspection on September 24, 2024).
July 16, 2024 · Fine
CMS recorded a civil money penalty of $95,805 against this nursing home on July 16, 2024.
July 16, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting August 27, 2024, lasting 10 days (triggered by inspection on July 16, 2024).
Staffing
3.61 nurse hours per resident per day in Q2 2026, up from 3.30 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Genesis Healthcare, a chain of 183 nursing homes.
Average CMS star ratings across the chain: 2.4 overall, 2.3 for health inspections, 2.6 for staffing, 3.6 for quality measures.
- Parent company: Genesis Omg Operations LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in New Mexico.
Nearby alternatives
Other licensed providers in Santa Fe.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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