Nursing home
Casa Real
1650 Galisteo Street, Santa Fe, NM 87505 · Map
For profit - Limited Liability company · Part of Genesis Healthcare (193 facilities) · 118 certified beds
Casa Real is a Medicare-certified nursing home in Santa Fe, New Mexico. Nurse staffing is 2.86 hours per resident per day, below the New Mexico average of 3.56. Its most recent inspection on Jul 16, 2024 cited 32 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus FacilityCMS has identified this facility for enhanced oversight.
- 4 fines totaling $350,027In CMS records: 7 total penalties, 3 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Casa Real compares
This facility vs. the New Mexico and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Mexico avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.86 | 3.56 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.49 | 0.62 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.44 | 2.23 | 2.34 | below avg |
| Nursing staff turnover | 62.4% | 53.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 32.0 | 16.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 4 fines totaling $350,027, 7 total penalties, 3 Medicare payment denials.
What inspectors found at Casa Real
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 26, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Jan 6, 2026 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Jan 6, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 6, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 6, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jan 6, 2026 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1650 Galisteo Street
Santa Fe, NM 87505 - CMS certification #
- 325038
- Ownership
- For profit - Limited Liability company
- Certified beds
- 118
- Avg residents/day
- 109.3
- Provider type
- Medicare and Medicaid
- First certified
- 1985-01-10
- Chain
- Genesis Healthcare (193 facilities)
- Setting
- Urban
Part of Genesis Healthcare
Genesis Healthcare operates 193 nursing facilities across the United States. View all Genesis Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Casa Real using Google Maps.
Other public records
- Website says A memory care unit, respite stays, transportation, pets allowed, secured outdoor area
- Workplace safety 2 OSHA workplace safety inspections since 2017, 1 violation cited
Full public records, with dates and sources
Care and services
From the community’s website
What Casa Real says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Private balcony/porch/patio on Memory Care Unit
(page, checked Oct 12, 2026) - Offers respite or short-term stays.
Casa Real is a skilled nursing facility offering post-hospital, short-term rehabilitation as well as long-term and respite care.
(page, checked Oct 12, 2026) - Provides transportation.
Coordinated transportation
(page, checked Oct 12, 2026) - Pets allowed.
Pets Permitted
(page, checked Oct 12, 2026) - Has a secured outdoor area.
Enclosed courtyard
(page, checked Oct 12, 2026) - Staff speak Spanish.
Bilingual Spanish-speaking staff
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Private and Semi-Private Rooms
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 17, 2026: programmed (planned) inspection, complete (health). Case open. No violations cited. OSHA record. OSHA recorded the employer as Genesis Healthcare. Matched by street address; the name OSHA recorded differs from the community's.
- Sep 28, 2017: programmed (planned) inspection, complete (health). Case closed Feb 5, 2018. 1 violation cited (1 serious). Penalties: $1,800 proposed, $1,800 now. OSHA record. OSHA recorded the employer as Casa Real.
Details
- Serious: Handling and storing materials (1910.176(b)). Penalty $1,800 proposed, $1,800 now. To be fixed by Jan 26, 2018.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Presbyterian Santa Fe Medical Center, Santa Fe. 5.4 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Santa Fe Care Center, Santa Fe. 0.2 miles away, straight line.
- Nearest home health agency office
- Professional Home Health Care, Inc., Santa Fe. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Del Norte Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 87505 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- 322501 Santa Fe Dialysis (Fmc), Santa Fe, 0.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
322538 Santa Fe Home (Fmc), Santa Fe, 0.2 miles away, straight line
322557-Home Dialysis Of Santa Fe,LLC, Santa Fe, 2.0 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 87505.
Compassus- Santa Fe, office in Santa Fe, 0.2 miles away, straight line
Enchanted Sky Hospice LLC, office in Santa Fe, 0.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Del Corazon Hospice LLC, office in Santa Fe, 0.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- St Vincent Hospital, Santa Fe. 5.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Santa Fe, NM, risk to homes is greater than 66% of communities in New Mexico and 86% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very low. By hazard: inland flooding relatively low, wildfire relatively moderate, tornado very low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
How is Casa Real staffed?
Casa Real reports 2.86 total nurse hours per resident per day, compared with the New Mexico average of 3.56.
Has Casa Real had inspection problems?
Its most recent CMS inspection cited 32 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Casa Real have?
Casa Real is certified for 118 beds.