Casa Real: Staffing, Turnover, and Inspection Record
Casa Real is a 118-bed for-profit nursing home in Santa Fe, New Mexico, part of Genesis Healthcare. In the CMS August 2026 release it reported 2.23 nurse aide hours per resident per day, about the same as the New Mexico average of 2.21, and 61.9% nursing staff turnover (New Mexico average 53.3%).
Casa Real
1650 Galisteo StreetSanta Fe, NM 87505
Santa Fe County
CMS Care Compare, August 2026 release
Special Focus Facility. CMS places nursing homes with a history of serious quality issues in its Special Focus Facility program, which brings more frequent inspections.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Casa Real, nurse aides logged 2.23 hours per resident per day, about the same as the New Mexico average. With about 105 residents a day, that works out to roughly 234 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
CMS note: Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
| Hours per resident per day | This home | New Mexico avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.23 | 2.21 | 2.32 |
| Licensed practical nurses | 1.00 | 0.70 | 0.86 |
| Registered nurses | 0.40 | 0.63 | 0.69 |
| All nursing staff | 3.63 | 3.53 | 3.86 |
| All nursing staff, weekends | 3.19 | 3.10 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
61.9% of nursing staff at Casa Real left over the year CMS measured, against a New Mexico average of 53.3% and a US average of 45.8%. Registered nurse turnover was 53.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 6, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 29 health deficiencies (New Mexico average 17.8). CMS lists 3 fines totaling $153,051 and 2 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 6, 2026 | Fine | $24,486 |
| Sep 24, 2024 | Fine | $32,760 |
| Sep 24, 2024 | Payment Denial | 39 days from Oct 25, 2024 |
| Jul 16, 2024 | Fine | $95,805 |
| Jul 16, 2024 | Payment Denial | 10 days from Aug 27, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
About Casa Real
- Ownership: For profit - Limited Liability company
- Chain: Genesis Healthcare, 184 homes
- Legal name: 1650 Galisteo Street Operations LLC
- Medicare and Medicaid certified since: Jan 10, 1985
- Councils: resident council
- Area: urban
Nursing homes near Casa Real
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Santa Fe Care Center Santa Fe · many days without an RN | 0.2 | 120 | 0.30 | 0.30 | — | 1 | $25,562 |
| Los Alamos Wellness & Rehabilitation Los Alamos · abuse citation | 24.4 | 64 | 2.06 | 3.09 | 54.2% | 2 | $91,403 |
| The NM Behavioral Health Institute at Las Vegas Las Vegas | 40.1 | 162 | 2.78 | 4.08 | 25.4% | 5 | $18,353 |
| La Vida Buena Healthcare Las Vegas | 41.1 | 102 | 1.75 | 2.78 | 40.7% | 2 | $105,374 |
| The Neighborhood in Rio Rancho Rio Rancho · abuse citation | 48.2 | 48 | 3.24 | 4.83 | 82.3% | 2 | $8,278 |
| Las Palomas Center Albuquerque · SFF candidate · abuse citation | 48.2 | 120 | 1.79 | 3.51 | 67.9% | 1 | $294,513 |
| Bear Canyon Rehabilitation Center Albuquerque | 48.3 | 178 | 2.12 | 3.69 | 70.3% | 3 | $167,434 |
| La Vida Llena Albuquerque | 48.7 | 58 | 2.59 | 4.15 | 64.2% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.