Quick answers
- Where is Casa Real?
- 1650 Galisteo Street, Santa Fe, NM 87505, in Santa Fe County, New Mexico.
- What is the phone number of Casa Real?
- (505) 984-8313, as listed by Medicare (CMS).
- What is the Medicare star rating of Casa Real?
- Medicare (CMS) does not show a star rating for Casa Real in the current data.
- Has Casa Real been fined?
- Medicare lists 4 fines totaling $242,371 and 2 payment denials.
- What did inspectors find at Casa Real?
- In its last three inspection cycles (November 3, 2023 to August 28, 2026), Medicare lists 83 health citations; the most serious was level K. 7 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (November 3, 2023 to August 28, 2026), Casa Real had 83 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 7 of them were level G or higher (actual harm or immediate jeopardy). It was fined $242,371 in total (4 fines, the latest on June 24, 2026) and had 2 Medicare payment denials. Nurse staffing is 3.61 hours per resident per day; the New Mexico average is 3.58 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 23, 2026 — 18 health citations
Inspections in this cycle: January 6, 2026 (complaint investigation); March 26, 2026 (complaint investigation); April 8, 2026 (complaint investigation); June 24, 2026 (complaint investigation); July 23, 2026 (standard health inspection); August 28, 2026 (complaint investigation).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 17 less serious citations (levels A to F)
F0679 Level E
“Provide activities to meet all resident's needs.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0584 Level D
“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.”
F0761 Level D
“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.”
F0585 Level D
“Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0761 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0726 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0808 Level D
“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.”
F0842 Level B
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Previous cycle: January 6, 2026 — 31 health citations
Inspections in this cycle: October 24, 2024 (complaint investigation); January 23, 2025 (complaint investigation); March 27, 2025 (complaint investigation); January 6, 2026 (standard health inspection).
Show 31 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0881 Level F
“Implement a program that monitors antibiotic use.”
F0882 Level F
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
F0584 Level E
“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.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0757 Level E
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0761 Level E
“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.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0640 Level D
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0624 Level D
“Prepare residents for a safe transfer or discharge from the nursing home.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0687 Level D
“Provide appropriate foot care.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0622 Level D
“Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0921 Level C
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
Earlier cycle: July 16, 2024 — 34 health citations
Inspections in this cycle: November 3, 2023 (complaint investigation); March 14, 2024 (complaint investigation); July 16, 2024 (complaint investigation); July 16, 2024 (standard health inspection); August 7, 2024 (complaint investigation); September 24, 2024 (complaint investigation).
F0686 Level K
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0692 Level H
“Provide enough food/fluids to maintain a resident's health.”
actual harm to residents; pattern (some residents) · Quality of Life and Care Deficiencies
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0661 Level G
“Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”
actual harm to residents; isolated (a few residents) · Resident Assessment and Care Planning Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 28 less serious citations (levels A to F)
F0725 Level F
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0809 Level F
“Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0561 Level E
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0578 Level E
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0698 Level E
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0740 Level E
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0758 Level E
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0585 Level E
“Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0573 Level D
“Let each resident or the resident's legal representative access or purchase copies of all the resident's records.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0761 Level D
“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.”
F0790 Level D
“Provide routine and 24-hour emergency dental care for each resident.”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0947 Level D
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (43)
E0037 Level F
“Establish staff and initial training requirements.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0100 Level F
“Meet other general requirements.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0346 Level F
“Follow proper procedures when the fire alarm was out of service for more than 4 hours.”
K0351 Level F
“Install an approved automatic sprinkler system.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0926 Level F
“Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0761 Level E
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0914 Level E
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0223 Level D
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0281 Level D
“Install proper backup exit lighting.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0911 Level D
“Meet requirements for the installation and maintenance of electrical systems.”
E0007 Level F
“Address patient/client population and determine types of services needed.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
E0007 Level F
“Address patient/client population and determine types of services needed.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0223 Level E
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0341 Level E
“Install a fire alarm system that can be heard throughout the facility.”
3 more fire safety citations are not listed here.
Fines and payment denials
Total fines over about the last three years: $242,371 (4 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| June 24, 2026 | Fine | $89,320 |
| January 6, 2026 | Fine | $24,486 |
| September 24, 2024 | Fine | $32,760 |
| September 24, 2024 | Payment denial | from October 25, 2024, 39 days |
| July 16, 2024 | Fine | $95,805 |
| July 16, 2024 | Payment denial | from August 27, 2024, 10 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | New Mexico | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.33 | 0.65 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.13 | 0.71 | 0.86 |
| Nurse aide hours per resident per day | 2.16 | 2.22 | 2.35 |
| Total nurse staff hours per resident per day | 3.61 | 3.58 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.08 | 3.14 | 3.43 |
| RN hours per resident per day on the weekend | 0.17 | 0.48 | 0.48 |
| Nursing staff turnover (per year) | 62.0% | 53.5% | 45.3% |
| RN turnover (per year) | 66.7% | 54.0% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.9 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 183 nursing homes: Genesis Healthcare.
Legal business name: 1650 Galisteo Street Operations LLC.
Owners and managers Medicare lists (10)
| Name | Role | Share | Since |
|---|---|---|---|
| Genesis Omg Operations LLC | Direct owner | 100% | November 1, 2018 |
| Fc-Gen Operations Investment LLC | Indirect owner | — | November 1, 2018 |
| Gen Operations I LLC | Indirect owner | — | November 1, 2018 |
| Gen Operations II LLC | Indirect owner | — | November 1, 2018 |
| Genesis Healthcare Inc | Indirect owner | — | November 1, 2018 |
| Genesis Healthcare LLC | Indirect owner | — | November 1, 2018 |
| Genesis Holdings LLC | Indirect owner | — | November 1, 2018 |
| GHC Holdings LLC | Indirect owner | — | November 1, 2018 |
| Sun Healthcare Group Inc | Indirect owner | — | November 1, 2018 |
| Whitman, Arnold | Indirect owner | — | March 2, 2015 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 118 |
| Average residents per day | 101.2 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Genesis Healthcare |
| Legal business name | 1650 Galisteo Street Operations LLC |
| First approved by Medicare/Medicaid | 1985-01-10 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1650 Galisteo Street, Santa Fe, NM 87505 |
| County | Santa Fe County |
| State | New Mexico |
| Phone | (505) 984‑8313 |
| CMS Certification Number | 325038 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Santa Fe Care Center0.2 mi · Santa Fe, NM · 1 of 5 stars
- Los Alamos Wellness & Rehabilitation24 mi · Los Alamos, NM · 2 of 5 stars
Nearest hospital emergency rooms
- Presbyterian Santa Fe Medical Center5.4 mi · Santa Fe, NM · Acute Care Hospital
- CHRISTUS St Vincent Regional Medical Center5.5 mi · Santa Fe, NM · Acute Care Hospital
- Presbyterian Espanola Hospital24 mi · Espanola, NM · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13