Nursing HomeInspections

Casa Real

Nursing home in Santa Fe, NM

Medicare & Medicaid certifiedSpecial Focus Facility (CMS)

Call (505) 984-8313Send a messageMap ↗

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
105
Ownership
For-profit, limited Liability company
Legal business name
1650 Galisteo Street Operations LLC
Chain
Genesis Healthcare (184 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 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 6, 2026. CMS lists 95 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 24, 2023 to Jun 24, 2026): 35 from complaint inspections, 7 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. 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
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
Mar 26, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		B
Potential for minimal harm, pattern
Mar 26, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Ensure 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.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 26, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 6, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 95. 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 Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $153,051 and 2 denials of Medicare payment for new admissions in the last three years.

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 Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.63 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
2.23 hours
Total nurse staffing on weekends
3.19 hours
Nursing staff turnover (yearly)
62%
RN turnover (yearly)
54%
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-profit57 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 →