Skilled Nursing

Casa Real

1650 Galisteo Street, Santa Fe, NM 87505

118beds
Skilled Nursingcare types
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.7h

Hrs/resident · weekday

Expected: 3.7h

3.0h

Hrs/resident · weekend

vs 2.7h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
46%
LPNs
CNAs
63%

Administrator turnover: 2 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0686Severity KJul 16, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected: Sep 6, 2024

74 standard deficiencies in the last 3 years

View all
0880Severity DApr 8, 2026

Provide and implement an infection prevention and control program.

0726Severity DApr 8, 2026

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.

0695Severity DApr 8, 2026

Provide safe and appropriate respiratory care for a resident when needed.

0842Severity BMar 26, 2026

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0808Severity DMar 26, 2026

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.

0806Severity DMar 26, 2026

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0755Severity DMar 26, 2026

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0558Severity EMar 26, 2026

Reasonably accommodate the needs and preferences of each resident.

0550Severity DMar 26, 2026

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0882Severity FJan 6, 2026

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0881Severity FJan 6, 2026

Implement a program that monitors antibiotic use.

0880Severity FJan 6, 2026

Provide and implement an infection prevention and control program.

0812Severity FJan 6, 2026

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity EJan 6, 2026

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.

0757Severity EJan 6, 2026

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0756Severity EJan 6, 2026

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0725Severity EJan 6, 2026

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0698Severity DJan 6, 2026

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0689Severity DJan 6, 2026

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0685Severity DJan 6, 2026

Assist a resident in gaining access to vision and hearing services.

0677Severity DJan 6, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity EJan 6, 2026

Ensure services provided by the nursing facility meet professional standards of quality.

0657Severity EJan 6, 2026

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0640Severity DJan 6, 2026

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0628Severity DJan 6, 2026

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0627Severity DJan 6, 2026

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0584Severity EJan 6, 2026

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.

0842Severity DMar 27, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0686Severity DMar 27, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0624Severity DMar 27, 2025

Prepare residents for a safe transfer or discharge from the nursing home.

0580Severity DMar 27, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0921Severity CJan 23, 2025

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0880Severity DJan 23, 2025

Provide and implement an infection prevention and control program.

0687Severity DJan 23, 2025

Provide appropriate foot care.

0658Severity DJan 23, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0657Severity DJan 23, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0689Severity DOct 24, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Severity DOct 24, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0623Severity DOct 24, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0622Severity DOct 24, 2024

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.

0609Severity DSep 24, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0600Severity GSep 24, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0583Severity DSep 24, 2024

Keep residents' personal and medical records private and confidential.

0689Severity GAug 7, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0658Severity DAug 7, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0947Severity DJul 16, 2024

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0921Severity EJul 16, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0880Severity FJul 16, 2024

Provide and implement an infection prevention and control program.

0812Severity FJul 16, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0809Severity FJul 16, 2024

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.

0791Severity DJul 16, 2024

Provide or obtain dental services for each resident.

0790Severity DJul 16, 2024

Provide routine and 24-hour emergency dental care for each resident.

0761Severity DJul 16, 2024

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.

0758Severity EJul 16, 2024

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.

0756Severity EJul 16, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0740Severity EJul 16, 2024

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0725Severity FJul 16, 2024

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0698Severity EJul 16, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0692Severity HJul 16, 2024

Provide enough food/fluids to maintain a resident's health.

0689Severity EJul 16, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Severity GJul 16, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0679Severity EJul 16, 2024

Provide activities to meet all resident's needs.

0677Severity EJul 16, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0676Severity DJul 16, 2024

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0661Severity GJul 16, 2024

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0657Severity EJul 16, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0645Severity DJul 16, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

0637Severity DJul 16, 2024

Assess the resident when there is a significant change in condition

0578Severity EJul 16, 2024

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.

0573Severity DJul 16, 2024

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

0561Severity EJul 16, 2024

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0585Severity EMar 14, 2024

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.

0689Severity DNov 3, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0760Severity DSep 29, 2023

Ensure that residents are free from significant medication errors.

View full inspection history on Medicare.gov

Civil Monetary Penalties

Fined 3 times · $153,051 total

Jan 6, 2026$24,486Fine
Sep 24, 2024$32,760Fine
Jul 16, 2024$95,805Fine
View on Medicare.gov

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

1650 GALISTEO STREET OPERATIONS LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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