Home›New Mexico›Santa Fe County›Casa Real

Poor

Casa Real

1650 Galisteo Street · Santa Fe, NM 87505

5059848313 · For profit - Limited Liability company

118 beds109.3 residents125 staff

CMS Five-Star Ratings

Overall

★★★★★

Staffing

★★★★★

Quality

★★★★★

Inspections

★★★★★

Staffing Grades

Poor

Total Staff

Below Standard

RN Staff

Poor

Overall

✗CMS Benchmark(≥ 3.48 HPRD)

✗RN Recommendation(≥ 0.75 HPRD)

✗Research Standard(≥ 4.10 HPRD)

📋

What This Means in Plain English

Casa Real receives an overall staffing grade of D (Poor). With 2.8559 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4895 HPRD, below the recommended 0.75. It is 1.04 HPRD below the national average.

Weekend staffing drops significantly — dropping 29.67% compared to weekdays. The facility uses a moderate level of agency staff (13.13% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (4)

⚠️Had 2 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8559 HPRD — needs 0.62 more hours per resident per day.

⚠️RN staffing (0.4895 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

⚠️Weekend staffing drops 29.67% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD

2.8559hrs/resident/day▼ 1.04

CMS benchmark: 3.48

RN HPRD

0.4895hrs/resident/day▼ 0.19

Recommended: 0.75

Weekend Drop-off

29.67%

3.1173 weekday → 2.1923 weekend

⚠ Significant weekend reduction

Agency Staff

13.13%

11.69% of RN hours from contractors

Days with Zero RN

2days this quarter

4+ days = auto 1-star

CNA HPRD

1.273hrs/resident/day

Direct care aides

LPN HPRD

0.9248hrs/resident/day

Licensed practical nurses

Consistency

0.5246std dev

Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Santa Fe County Average+1.26 HPRD

1.60

02.86 HPRD

vs. New Mexico State Average-0.71 HPRD

3.57

02.86 HPRD

vs. National Average-1.04 HPRD

3.90

02.86 HPRD

■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

Facility	Distance	Grade	Total HPRD	RN HPRD	CMS Rating
Casa Real ★ Santa Fe · This facility	—	D	2.8559	0.4895	☆☆☆☆☆
Santa Fe Care Center Santa Fe	0.2 mi	F	0.3345	0	★☆☆☆☆
Los Alamos Wellness & Rehabilitation Los Alamos	24.4 mi	D	3.2674	0.3871	★★☆☆☆
The NM Behavioral Health Institute at Las Vegas Las Vegas	40 mi	C	3.3339	0.7694	★★☆☆☆
La Vida Buena Healthcare Las Vegas	41 mi	F	2.2858	0.5963	★★☆☆☆
The Neighborhood In Rio Rancho Rio Rancho	48 mi	A+	6.0844	1.1565	★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

Inspections

Total Deficiencies

$350,027

Fines Assessed

Mar 27, 2025Health

4 deficiencies cited

▼

Jan 23, 2025Health

5 deficiencies cited

▼

Oct 24, 2024Health

4 deficiencies cited

▼

Sep 24, 2024Health

3 deficiencies cited· Includes actual harm

▼

Aug 7, 2024Health

2 deficiencies cited· Includes actual harm

▼

Jul 16, 2024Health

27 deficiencies cited· Includes actual harm

▼

Mar 14, 2024Health

1 deficiency cited

▼

Nov 3, 2023Health

1 deficiency cited

▼

Sep 29, 2023Health

1 deficiency cited

▼

May 24, 2023Health

18 deficiencies cited· Includes actual harm

▼

May 1, 2023Health

4 deficiencies cited· Includes actual harm

▼

Mar 23, 2022Health

17 deficiencies cited· Includes actual harm

▼

Penalty History

Jan 6, 2026Fine

$24,486

Sep 24, 2024Fine

$32,760

Sep 24, 2024Payment Denial

Jul 16, 2024Payment Denial

Jul 16, 2024Fine

$95,805

May 1, 2023Fine

$196,976

May 1, 2023Payment Denial

CMS Severity Scale

A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.