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Casa Real

Nursing Home Facility

1650 Galisteo Street, Santa Fe, NM 87505

Nursing Home Care Senior Living

Casa Real, a Genesis HealthCare facility located at 1650 Galisteo Street, Santa Fe, NM 87505, specializing in LongTerm care, ShortStay care, VA Contracted, and .

Operated by Genesis HealthCare, which runs 507 communities in our directory.

Employer rating 3.0 out of 5 4,439 reviews from their own employees on Indeed. See what they say.

With 118 beds, Casa Real is one of the larger communities in the area, senior care communities in Santa Fe average about 88 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 89% of its licensed beds.

Residents receive about 3.6 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Communities in Santa Fe average about 2.0 hours. Nursing staff turnover over the past year was about 62%, which is high and can affect continuity of care.

The community is located in Santa Fe County, NM.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 95 problems at Casa Real. 7 findings involved harm to a resident, including 2 that put residents in immediate danger. 35 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 3 times, a total of $153,051. Medicare also stopped paying for new admissions twice in that period.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Inspected June 2026, after a complaint. Corrected by July 23, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected June 2026, after a complaint. Corrected by July 23, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected April 2026, after a complaint. Corrected by May 28, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    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.

    Inspected April 2026, after a complaint. Corrected by May 28, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected April 2026, after a complaint. Corrected by May 28, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected March 2026, after a complaint. Corrected by March 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected March 2026, after a complaint. Corrected by April 27, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected March 2026, after a complaint. Corrected by April 27, 2026.

Show 21 more
  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Inspected March 2026, after a complaint. Corrected by April 27, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    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.

    Inspected March 2026, after a complaint. Corrected by April 27, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, widespread Infection Control

    Implement a program that monitors antibiotic use.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, widespread Infection Control

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected January 2026, after a complaint. Corrected by February 14, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Assist a resident in gaining access to vision and hearing services.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected January 2026. Corrected by February 14, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected January 2026. Corrected by February 14, 2026.

  • Minimal harm or the potential for it, a pattern Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected March 2026, after a complaint. Corrected by April 27, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Casa Real offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 118
  • Occupancy 89%
  • Nursing hours per resident/day 3.6
  • Annual staff turnover 62%
  • Last health inspection January 2026

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