Nursing home report
Santa Fe, NM · Medicare-certified · 118 beds
Casa Real in Santa Fe is not rated overall, but it has special-focus facility status, reported nurse staffing below the federal benchmark (3.63 vs. 4.1 hours per resident per day), and $153,051 in fines over the last 24 months. Recent inspection concerns included pressure ulcer care, adequate food and fluids, and protection from abuse and neglect.
Health inspections
Staffing
3.6256 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6256.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 686 — 42 CFR §483.25(b) — S/S: K
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2024 — limited pattern, actual harm.
F-Tag 692 — 42 CFR §483.25(g) — S/S: H
The nursing home failed to protect residents from abuse and neglect by others. Cited September 2024 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2024 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
A federal fine of $24,486 was recorded.
Health inspection found 18 health deficiencies.
Health inspection found 4 health deficiencies.
A federal payment denial was recorded.
A federal fine of $32,760 was recorded.
A federal payment denial was recorded.
A federal fine of $95,805 was recorded.
On record with Medicare: 3 fines · $153,051 in total fines · 2 payment denials.
Federal fine
Jan 6, 2026
Medicare/Medicaid payment denial
Sep 24, 2024
Federal fine
Sep 24, 2024
Medicare/Medicaid payment denial
Jul 16, 2024
Federal fine
Jul 16, 2024
Now operated by 1650 Galisteo Street Operations LLC, previously Sf Health Facilities-casa Real, LP.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
