Casa Real, Santa Fe, New Mexico

95
Citations from health inspectionsNew Mexico average: 50 a home: 7
Residents harmed or put in dangerNew Mexico average: 2.0 a home: $153,051
Fines from the federal governmentNew Mexico average: $45,849 a home: No rating given
Overall rating in starsNew Mexico average: 2.9

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

14 inspection visits produced 95 citations. Residents were in immediate danger in two findings. Residents were found hurt in five cases. Federal fines came to $153,051 (three fines). Two times, Medicare stopped paying for new admissions.

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

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Quick Look at the Record

The home's overall star rating: No rating is given while the home stays on the Special Focus list
Rating for health inspections: No rating is given while the home stays on the Special Focus list
Rating for staffing: No rating is given while the home stays on the Special Focus list
Rating for quality of care: No rating is given while the home stays on the Special Focus list
Nurse time for each resident: 3.63 hours each dayThe New Mexico average is 3.54 hours
Time from registered nurses: 0.40 hours each dayThe New Mexico average is 0.63 hours
Nursing staff who left during one year: 61.9%against the New Mexico average of 53.3%
Beds that are certified: 118
Ownership: Limited Liability company (for profit)
Chain: Genesis Healthcare, with 184 homes
Street address: 1650 Galisteo Street, Santa Fe, New Mexico 87505
County: Santa Fe

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Two citations dated June 24, 2026

F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated April 8, 2026

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Six citations dated March 26, 2026

F842 Medical Records and Privacy: minimal risk to residents, a pattern, several residents, found on a complaint visit.
F808 Doctor Ordered Special Diets: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

18 citations dated Jan. 6, 2026

F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, widespread.
F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, a pattern, several residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F685 Help Getting Vision and Hearing Care: risk of harm, no one found hurt, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
F640 Send Assessment Data to State on Time: risk of harm, no one found hurt, one or a few residents.
F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.

Four citations dated March 27, 2025

F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F624 Prepare Residents for Safe Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Five citations dated Jan. 23, 2025

F921 A Safe, Clean Building: minimal risk to residents, widespread, found on a complaint visit.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F687 Proper Foot Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Four citations dated Oct. 24, 2024

F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated Sept. 24, 2024

F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated Aug. 7, 2024

F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

27 citations dated July 16, 2024

F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, one or a few residents.
F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, widespread.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
F790 Routine and Emergency Dental Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
F740 Behavioral Health Care and Services: risk of harm, no one found hurt, a pattern, several residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
F698 Dialysis Care: risk of harm, no one found hurt, a pattern, several residents.
F692 Enough Food and Fluids: residents were harmed, a pattern, several residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents.
F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, a pattern, several residents.
F684 Quality of Care: residents were harmed, one or a few residents.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents.
F661 Share Information at Planned Discharge: residents were harmed, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
F573 Right to See and Copy Records: risk of harm, no one found hurt, one or a few residents.
F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, a pattern, several residents.

One citation dated March 14, 2024

F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

One citation dated Nov. 3, 2023

F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Sept. 29, 2023

F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

18 citations dated May 24, 2023

F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, widespread.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F687 Proper Foot Care: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, a pattern, several residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, a pattern, several residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

Payment Denials and Fines

Date	Penalty	Amount
Jan. 6, 2026	Fine	$24,486
Sept. 24, 2024	Fine	$32,760
Sept. 24, 2024	Payment denial for new admissions	39 days
July 16, 2024	Fine	$95,805
July 16, 2024	Payment denial for new admissions	10 days

Ownership and Management of the Home

The direct 100% owner is Genesis Omg Operations LLC.
Owns a share through another company: FC-GEN Operations Investment LLC.
Owns a share through another company: Gen Operations I LLC.
Owns a share through another company: Gen Operations II LLC.
Owns a share through another company: Genesis Healthcare Inc..
Owns a share through another company: Genesis Healthcare LLC.
Owns a share through another company: Genesis Holdings LLC.
Owns a share through another company: Ghc Holdings LLC.

One additional company has a stake or a management role, according to CMS.

One person with an ownership stake is also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 325038. Other homes in New Mexico.