Santa Fe County, New Mexico · Nursing home
Casa Real
Not rated
1650 Galisteo Street, Santa Fe, NM 87505
At a glance
- Overall rating Not rated
- Nurse time per resident, per day 3.63 hours Above the state average of 3.54
- Nursing staff who left in a year 61.9% Above the state average of 53.3%
- Health citations, last 3 inspection cycles 95 7 at the harm level or above
- Fines in 3 years $153,051 3 fines
- Certified beds in use 88.9% of 118 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Casa Real is a 118-bed nursing home in Santa Fe, New Mexico (Santa Fe County). CMS has not published an overall star rating for it as of Sep 2026. It reports 3.63 nurse staffing hours per resident per day, above the New Mexico average of 3.54. CMS lists 3 fines totaling $153,051 in the past three years.
- Certified beds
- 118
- Residents per day (average)
- 104.9
- Certified since
- 1985 (41 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Genesis Healthcare (184 homes)CMS Special Focus: SFF
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus Facility. CMS has placed this home under closer oversight because of its inspection record. CMS does not publish star ratings for a home while it is in the program. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Casa Real
Chosen from this home's public data.
- CMS lists this home in its Special Focus Facility program. What is the improvement plan, and what has changed so far?Special Focus status in CMS data
- CMS lists 3 fines totaling $153,051 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 29 health deficiencies in the latest inspection cycle (the standard inspection on Jan 6, 2026 plus complaint and infection-control inspections); the New Mexico average is 17.9. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall Not rated New Mexico average 2.9
- Health inspections Not rated New Mexico average 2.7
- Staffing Not rated New Mexico average 2.9
- Quality measures Not rated New Mexico average 3.8
The vertical line marks the New Mexico average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.63 h New Mexico average 3.54
- Nurse aides 2.23 h New Mexico average 2.20
- Licensed practical nurses 1.00 h New Mexico average 0.70
- Registered nurses 0.40 h New Mexico average 0.63
- All staff, weekends 3.19 h New Mexico average 3.10
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the New Mexico average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover61.9%
- New Mexico average53.3%
- Registered nurse turnover53.8%
- New Mexico average53.6%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the New Mexico and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | New Mexico | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.8% | 11.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.9% | 4.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% | 0.9% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.9% | 0.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.9% | 2.0% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.7% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% | 96.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 10.7% | 11.7% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.6% | 14.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 98.7% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.7% | 5.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.9% | 20.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 28.4% | 14.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.07 | 1.65 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.25 | 2.81 | 1.78 |
Short-stay residents
| Measure | This home | New Mexico | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.2% | 85.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% | 1.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.9% | 86.4% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.6% | 22.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 19.3% | 15.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 95 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 5 involved actual harm; the rest were graded as no actual harm. 35 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 24, 2024: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 6, 2026 | 29 | 26 |
| Jul 16, 2024 | 43 | 5 |
| May 24, 2023 | 23 | 12 |
New Mexico homes averaged 17.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (95)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 23, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jul 23, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 28, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 28, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 28, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Past Non-Compliance (Mar 9, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 27, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Apr 27, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Apr 27, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Apr 27, 2026)
-
BPotential for minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 27, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Feb 14, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 14, 2026)
-
FPotential for more than minimal harm, widespread
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Feb 14, 2026)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · Deficient, Provider has date of correction (Feb 14, 2026)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Feb 14, 2026)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 14, 2026)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 14, 2026)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 14, 2026)
-
EPotential for more than minimal harm, pattern
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Feb 14, 2026)
-
EPotential for more than minimal harm, pattern
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Feb 14, 2026)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Feb 14, 2026)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · Deficient, Provider has date of correction (Feb 14, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Feb 14, 2026)
-
DPotential for more than minimal harm, isolated
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 14, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 14, 2026)
-
DPotential for more than minimal harm, isolated
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 14, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 14, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 14, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 2, 2025)
Showing the 30 most recent of 95.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 6, 2026 | Fine | $24,486 |
| Sep 24, 2024 | Fine | $32,760 |
| Sep 24, 2024 | Payment Denial | 39 days |
| Jul 16, 2024 | Fine | $95,805 |
| Jul 16, 2024 | Payment Denial | 10 days |
New Mexico homes averaged 1.3 fines and $45,849 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Mexico
- Size24 of 68 by certified beds
- New Mexico average residents per day84.9
- ChainGenesis Healthcare
- Chain average overall rating2.3 of 5
- Resident or family councilResident
- Homes in Santa Fe County2
Common questions
What is the CMS star rating for Casa Real?
CMS has not published an overall star rating for Casa Real as of Sep 2026.
How many beds does Casa Real have?
Casa Real has 118 certified beds. It averages 104.9 residents per day, about 88.9% of its certified beds.
How much nursing care do residents get at Casa Real?
The home reports 3.63 hours of nurse staffing per resident per day, including 0.40 hours from registered nurses. The New Mexico average is 3.54 hours and 0.63 hours from registered nurses.
Has Casa Real been fined?
Yes. CMS lists 3 fines totaling $153,051 in the past three years. It also lists 2 payment denials.
Does Casa Real accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Santa Fe Care Center 120beds 73.5%in use 0.30nurse hours a day
- 2 of 5 Los Alamos Wellness & Rehabilitation 64beds 93.0%in use 3.09nurse hours a day
- 5 of 5 The NM Behavioral Health Institute at Las Vegas 162beds 66.3%in use 4.08nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Santa Fe County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 325038. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.