Casa Real

1650 Galisteo Street, Santa Fe, NM 87505 · (505) 984-8313
For profit - Limited Liability company · 118 certified beds

Casa Real is a Special Focus Facility, so Medicare doesn't rate it. Its last standard inspection, in January 2026, found 18 citations (the New Mexico average is 17.9). It was fined 3 times in the last three years, $153,051 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on January 6, 2026 found 18 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 6, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.January 6, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Implement a program that monitors antibiotic use.January 6, 2026 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.January 6, 2026 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.January 6, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 6, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.January 6, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.January 6, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.January 6, 2026 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident’s drug regimen must be free from unnecessary drugs.January 6, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.January 6, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.January 6, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.January 6, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.January 6, 2026 · F0640 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.January 6, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assist a resident in gaining access to vision and hearing services.January 6, 2026 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 6, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.January 6, 2026 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 34 citations.

• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.June 24, 2026 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 24, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.April 8, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 8, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 8, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 26, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.March 26, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 26, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.March 26, 2026 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 26, 2026 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 26, 2026 · F0842 · Level of harm: Potential for minimal harm · Residents affected: Some
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.January 6, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 27, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prepare residents for a safe transfer or discharge from the nursing home.March 27, 2025 · F0624 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 27, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 27, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 23, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.January 23, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate foot care.January 23, 2025 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 23, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.January 23, 2025 · F0921 · Level of harm: Potential for minimal harm · Residents affected: Many
• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.October 24, 2024 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.October 24, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 24, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 24, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.September 24, 2024 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 24, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.September 24, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.August 7, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 7, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 16, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide routine and 24-hour emergency dental care for each resident.July 16, 2024 · F0790 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor 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.March 14, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 3, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $24,486January 6, 2026
• Fine of $32,760September 24, 2024
• Fine of $95,805July 16, 2024
• Medicare payment denial for 39 daysStarting October 25, 2024
• Medicare payment denial for 10 daysStarting August 27, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home