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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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
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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
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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
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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
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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.