Casa Real
1650 Galisteo Street · Santa Fe, NM · 87505 · 5059848313
118 certified beds For profit - Limited Liability company Chain: Genesis Healthcare
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $153,051 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$153,051 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 2.73 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 3 · $153,051 |
Inspection citations (93 in the current record)
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Potential for harm · D April 8, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 28, 2026 · Quality of Life and Care
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Potential for harm · D April 8, 2026 · found via complaint
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.
Corrected May 28, 2026 · Nursing and Physician Services
-
Potential for harm · D April 8, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 28, 2026 · Infection Control
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Potential for harm · D March 26, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 27, 2026 · Resident Rights
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Potential for harm · E March 26, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 9, 2026 · Resident Rights
-
Potential for harm · D March 26, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · D March 26, 2026 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 27, 2026 · Nutrition and Dietary
-
Potential for harm · D March 26, 2026 · found via complaint
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.
Deficient, Provider has no plan of correction · Nutrition and Dietary
-
No harm found · B March 26, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E January 6, 2026
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.
Corrected February 14, 2026 · Resident Rights
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Potential for harm · D January 6, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected February 14, 2026 · Resident Rights
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Potential for harm · D January 6, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 14, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 6, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 14, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 6, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 14, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 6, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 14, 2026 · Quality of Life and Care
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Potential for harm · D January 6, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected February 14, 2026 · Quality of Life and Care
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Potential for harm · D January 6, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 14, 2026 · Quality of Life and Care
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Potential for harm · D January 6, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 14, 2026 · Quality of Life and Care
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Potential for harm · E January 6, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 14, 2026 · Nursing and Physician Services
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Potential for harm · E January 6, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 14, 2026 · Pharmacy Service
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Potential for harm · E January 6, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 14, 2026 · Pharmacy Service
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Potential for harm · E January 6, 2026
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.
Corrected February 14, 2026 · Pharmacy Service
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Potential for harm · F January 6, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 14, 2026 · Nutrition and Dietary
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Potential for harm · F January 6, 2026
Provide and implement an infection prevention and control program.
Corrected February 14, 2026 · Infection Control
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Potential for harm · F January 6, 2026
Implement a program that monitors antibiotic use.
Corrected February 14, 2026 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 6, 2026 | Fine | $24,486 |
| September 24, 2024 | Fine | $32,760 |
| September 24, 2024 | Payment Denial | 39 days |
| July 16, 2024 | Fine | $95,805 |
| July 16, 2024 | Payment Denial | 10 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 325038 · certified since January 10, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.