Skilled nursing · Santa Fe, NM

Casa Real

1650 Galisteo Street, Santa Fe, NM 87505

0 / 5CMS 118 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Casa Real carries a Palmelle Clarity Score of 0 out of 100, derived from federal CMS Care Compare data plus New Mexico state records. Health inspection rating sits at 0-star, staffing at 0-star, quality measures at 0-star. Long-stay antipsychotic prescribing is at 26.6 percent, above the 14 percent national median. Long-stay sedative prescribing is at 20.2 percent, above the 15 percent national median. RN coverage is 0.45 hours per resident per day. Nurse turnover 62 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, New Mexico DPH

Your trusted senior advocate

Independent senior placement and family advocacy.

Palmelle helps families check facility safety, vet nursing home red flags, and find the right placement after a hospital discharge. We index all 67,750 U.S. facilities, including the ones with active CMS violations or open complaints. The data is on the page so families can see what's actually there.

Call (888) 282-7256 to talk with a Placement Specialist. Intake Monday, written recommendation Thursday, follow-up Friday.

In their own words

No operator description yet.

Claim this listing →

Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

0.45

National

0.78

Annual nurse turnover

This

62%

National

53%

Worth asking about

Antipsychotic, long-stay

This

26.6%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + New Mexico state data

The full inspection record.

Federal CMS ratings

Overall★★★★★0 / 5

Health inspection★★★★★0 / 5

Staffing★★★★★0 / 5

Quality measures★★★★★0 / 5

Staffing

RN hours per resident, daily

This

0.45

Nat

0.78

Total nurse hours / resident, daily

This

3.3

Nat

3.62

Annual nurse turnover

This

62%

Nat

53%

Annual RN turnover

This

45%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

26.6%

Nat

14%

Sedative / sleep med

This

20.2%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

4.4%

Nat

1.6%

Penalties & status

No abuse iconSFFInspection current$350,027 in fines (4)

Identity & licensing

CMS ID325038

OwnershipFor profit - Limited Liability company

ChainIndependent

Beds118

Avg residents102

Citations · last 36 months

Flagged by CMS data
CMS has designated this facility as a Special Focus Facility (SFF). This designation is given to nursing homes with a history of serious quality problems. Only the worst performers in the country receive this designation.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay antipsychotic rate is 27% — above the national median of about 14%. CMS already excludes residents with primary psychotic diagnoses from this measure. Worth asking what specific behaviors the medication is targeting and what non-medication options were tried first.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, New Mexico DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

Has Casa Real been cited for resident harm?

It has $350,027 in federal fines across 4 penalties on record in the last 36 months. CMS data flagged 2 concerns on the latest reconcile. The full record for Casa Real appears in the record section above.

Does Casa Real use antipsychotic medications?

26.6 percent of long-stay residents at Casa Real are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 20.2 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Casa Real's Palmelle Clarity Score?

Casa Real has a Palmelle Clarity Score of 0 out of 100, putting it below the national median. The score is a composite of federal CMS and New Mexico state inspection data. Higher is better.

How can I tour or contact Casa Real?

Casa Real is located at 1650 Galisteo Street, Santa Fe, NM 87505. Phone: (505) 984-8313. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Casa Real a special focus facility?

Casa Real carries special focus status (SFF) on the federal program that identifies facilities with persistent quality problems.

What does F-689 mean on Casa Real's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Casa Real has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Casa Real compare to other Santa Fe skilled nursing facilities?

Casa Real holds a Palmelle Clarity Score of 0. Browse the full Santa Fe directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Casa Real?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Casa Real and two other facilities on your shortlist.

Not sure if this is the one?

We do the calling. You do the choosing.

A real human compares this facility to two others. Phone calls, pricing, availability, the questions you would not think to ask.

$199 · 3-business-day money-back promise

Get your answer →