Nursing HomeInspections

Casa Real

Nursing home in Santa Fe, NM

Medicare & Medicaid certifiedSpecial Focus Facility (CMS)CMS abuse icon

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Public-record details

Address
1650 Galisteo Street, Santa Fe, NM 87505
Phone
(505) 984-8313
Listed under
For-profit
Medicare CCN
325038
Overall star rating
Not rated by CMS
Certified beds
118
Average residents per day
101
Ownership
For-profit, limited Liability company
Legal business name
1650 Galisteo Street Operations LLC
Chain
Genesis Healthcare (183 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 10, 1985
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 325038. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 23, 2026. CMS lists 83 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 3, 2023 to Aug 28, 2026): 36 from complaint inspections, 7 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS has placed this facility in its Special Focus Facility program for nursing homes with a persistent record of serious inspection problems; it gets more frequent inspections.

InspectionCitationSeverity
Aug 28, 2026Honor 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 28, 2026Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 23, 2026Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 23, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 23, 2026Provide or obtain dental services for each resident.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 23, 2026Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jul 23, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation		G
Actual harm, isolated
Jun 24, 2026Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 24, 2026Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 8, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 8, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 8, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 83. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $242,371 and 2 denials of Medicare payment for new admissions in the last three years.

Jun 24, 2026Fine: $89,320
Jan 6, 2026Fine: $24,486
Sep 24, 2024Fine: $32,760
Sep 24, 2024Payment denial for 39 days from Oct 25, 2024
Jul 16, 2024Fine: $95,805
Jul 16, 2024Payment denial for 10 days from Aug 27, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.61 hours
Registered nurse (RN) time per resident per day
0.33 hours
Nurse aide time per resident per day
2.16 hours
Total nurse staffing on weekends
3.08 hours
Nursing staff turnover (yearly)
62%
RN turnover (yearly)
67%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Santa Fe

Santa Fe Care Center635 Harkle Road · Santa Fe, NM 87505 · (505) 982-2574 · For-profit61 health citations in 3 inspection cycles · last standard inspection Jul 11, 2024 · $25,562 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Santa Fe →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error