Casa Real

Special Focus Facility · Santa Fe · NM · For profit - Limited Liability company · GENESIS HEALTHCARE chain · 118 certified beds · CCN 325038 · 1650 GALISTEO STREET OPERATIONS LLC


Casa Real operates 118 certified beds in Santa Fe, New Mexico. Its Medicare and Medicaid certification dates to 1985-01-10. It averages 104.9 residents a day.

What harm was found in the violations cited at Casa Real?

CMS lists 95 health-inspection deficiencies for Casa Real since 2023-05-24, 77 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-24.

Survey dateTagDeficiencySeverity
2026-06-24F0604, F0761Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / 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.D
2026-04-08F0695, F0726, F0880Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide and implement an infection prevention and control program.D
2026-03-26F0558Reasonably accommodate the needs and preferences of each resident.E
2026-03-26F0550, F0755, F0806, F0808Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / 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.D
2026-03-26F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2026-01-06F0812, F0880, F0881, F0882Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2026-01-06F0584, F0657, F0658, F0725, F0756, F0757, F0761Honor 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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.E
2026-01-06F0627, F0628, F0640, F0677, F0685, F0689, F0698Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2025-03-27F0580, F0624, F0686, F0842Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Prepare residents for a safe transfer or discharge from the nursing home. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-01-23F0657, F0658, F0687, F0880Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate foot care. / Provide and implement an infection prevention and control program.D
2025-01-23F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.C
2024-10-24F0622, F0623, F0684, F0689Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-09-24F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-09-24F0583, F0609Keep residents' personal and medical records private and confidential. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-08-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-08-07F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-07-16F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.K
2024-07-16F0692Provide enough food/fluids to maintain a resident's health.H
2024-07-16F0661, F0684Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2024-07-16F0725, F0809, F0812, F0880Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2024-07-16F0561, F0578, F0657, F0677, F0679, F0689, F0698, F0740, F0756, F0758, F0921Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2024-07-16F0573, F0637, F0645, F0676, F0761, F0790, F0791, F0947Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / Assess the resident when there is a significant change in condition / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / 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. / Provide routine and 24-hour emergency dental care for each resident. / Provide or obtain dental services for each resident. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2024-03-14F0585Honor 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.E
2023-11-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-09-29F0760Ensure that residents are free from significant medication errors.D
2023-05-24F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.K
2023-05-24F0761, F0812Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-05-24F0550, F0557, F0656, F0679, F0692, F0695, F0758, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide activities to meet all resident's needs. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide and implement an infection prevention and control program.E
2023-05-24F0582, F0655, F0684, F0687, F0689, F0755, F0760Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors.D

Why was Casa Real fined 3 times?

DateTypeAmount
2026-01-06Fine$24,486
2024-09-24Fine$32,760
2024-07-16Fine$95,805

Has Casa Real had payment denied by Medicare more than once?

Payment denial startLength in days
2024-10-2539
2024-08-2710

How is Casa Real staffed?

MeasureThis facilityNM average
Total nurse staffing hours per resident per day3.625593.53305
Total nursing staff turnover (%)61.953.3
Average number of residents per day104.984.9

Who owns Casa Real, and what chain is it in?

Casa Real is registered with CMS as For profit - Limited Liability company, operates under the legal business name 1650 GALISTEO STREET OPERATIONS LLC and belongs to the GENESIS HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTGENESIS OMG OPERATIONS LLCsince 11/01/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTFC-GEN OPERATIONS INVESTMENT LLC, GEN OPERATIONS I LLC, GEN OPERATIONS II LLC, GENESIS HEALTHCARE INC, GENESIS HEALTHCARE LLC, GENESIS HOLDINGS LLC, GHC HOLDINGS LLC, SUN HEALTHCARE GROUP INC, WHITMAN, ARNOLDsince 03/02/2015
CORPORATE OFFICERBERG, MICHAEL, BRIDGEFORD, LAURA, MENDELSON, AVIsince 06/01/2024
OPERATIONAL/MANAGERIAL CONTROLROTHMAN, EMILY, YANEZ, CARLOSsince 06/01/2024
ADP OF THE SNFROTHMAN, EMILY, YANEZ, CARLOSsince 01/31/2025

Were you or a family member harmed at Casa Real?