Nursing home report
Santa Fe, NM · Medicare-certified · 118 beds
Overall rating: not rated. Casa Real is a Special Focus Facility, with reported nurse staffing below the federal benchmark (3.30 vs 4.1 hours per resident per day) and $153,051 in fines over the last 24 months; recent inspection citations included pressure ulcer care, treatment and care according to orders, and enough food/fluids to maintain health.
Health inspections
Staffing
3.2951 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2951.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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 nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
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 home failed to provide safe, appropriate pain management for a resident who needed it. Cited May 2023 — limited pattern, actual harm.
F-Tag 697 — 42 CFR §483.25(k) — 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
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
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.
