Casa Real

Nursing Home Santa Fe, NM Medicare and Medicaid
Certified Beds
118
Residents
109
Total Fines
$350,027

Ratings & Quality

Overall
Not rated
Health Inspection
Not rated
Staffing
Not rated
Quality
Not rated

Staffing Details

RN Hours per Resident per Day0.49
Total Nurse Hours per Resident per Day2.86
Number of Certified Beds118
Number of Residents109

Inspection Deficiencies (87)

0580 2025-03-27 D Not Corrected

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

Correction date: 2025-05-02

0624 2025-03-27 D Not Corrected

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

Correction date: 2025-05-02

0686 2025-03-27 D Not Corrected

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

Correction date: 2025-05-02

0842 2025-03-27 D Not Corrected

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

Correction date: 2025-05-02

0657 2025-01-23 D Not Corrected

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

Correction date: 2025-03-05

0658 2025-01-23 D Not Corrected

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

Correction date: 2025-03-05

0687 2025-01-23 D Not Corrected

Provide appropriate foot care.

Correction date: 2025-03-05

0880 2025-01-23 D Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2025-03-05

0921 2025-01-23 C Not Corrected

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

Correction date: 2025-03-05

0622 2024-10-24 D Not Corrected

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.

Correction date: 2024-12-03

0623 2024-10-24 D Not Corrected

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

Correction date: 2024-12-03

0684 2024-10-24 D Not Corrected

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

Correction date: 2024-12-03

0689 2024-10-24 D Not Corrected

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

Correction date: 2024-12-03

0583 2024-09-24 D Not Corrected

Keep residents' personal and medical records private and confidential.

Correction date: 2024-10-31

0600 2024-09-24 G Not Corrected

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

Correction date: 2024-10-31

0609 2024-09-24 D Not Corrected

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

Correction date: 2024-10-31

0658 2024-08-07 D Not Corrected

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

Correction date: 2024-08-22

0689 2024-08-07 G Not Corrected

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

Correction date: 2024-08-22

0561 2024-07-16 E Not Corrected

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

Correction date: 2024-08-22

0573 2024-07-16 D Not Corrected

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

Correction date: 2024-08-22

0578 2024-07-16 E Not Corrected

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.

Correction date: 2024-08-22

0637 2024-07-16 D Not Corrected

Assess the resident when there is a significant change in condition

Correction date: 2024-08-22

0645 2024-07-16 D Not Corrected

PASARR screening for Mental disorders or Intellectual Disabilities

Correction date: 2024-08-22

0657 2024-07-16 E Not Corrected

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

Correction date: 2024-08-22

0661 2024-07-16 G Not Corrected

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

Correction date: 2024-08-22

0676 2024-07-16 D Not Corrected

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

Correction date: 2024-08-22

0679 2024-07-16 E Not Corrected

Provide activities to meet all resident's needs.

Correction date: 2024-08-22

0684 2024-07-16 G Not Corrected

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

Correction date: 2024-08-22

0686 2024-07-16 K Not Corrected

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

Correction date: 2024-09-06

0689 2024-07-16 E Not Corrected

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

Correction date: 2024-08-22

0692 2024-07-16 H Not Corrected

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

Correction date: 2024-08-22

0698 2024-07-16 E Not Corrected

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

Correction date: 2024-08-22

0725 2024-07-16 F Not Corrected

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

Correction date: 2024-08-22

0740 2024-07-16 E Not Corrected

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

Correction date: 2024-08-22

0756 2024-07-16 E Not Corrected

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

Correction date: 2024-08-22

0758 2024-07-16 E Not Corrected

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.

Correction date: 2024-08-22

0761 2024-07-16 D Not Corrected

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.

Correction date: 2024-08-22

0791 2024-07-16 D Not Corrected

Provide or obtain dental services for each resident.

Correction date: 2024-08-22

0809 2024-07-16 F Not Corrected

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.

Correction date: 2024-08-22

0812 2024-07-16 F Not Corrected

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

Correction date: 2024-08-22

0880 2024-07-16 F Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2024-08-22

0921 2024-07-16 E Not Corrected

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

Correction date: 2024-08-22

0947 2024-07-16 D Not Corrected

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

Correction date: 2024-08-22

0677 2024-07-16 E Not Corrected

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

Correction date: 2024-08-22

0790 2024-07-16 D Not Corrected

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

Correction date: 2024-08-22

0585 2024-03-14 E Not Corrected

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.

Correction date: 2024-04-18

0689 2023-11-03 D Not Corrected

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

Correction date: 2023-12-12

0760 2023-09-29 D Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2023-11-01

0550 2023-05-24 E Not Corrected

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

Correction date: 2023-06-28

0557 2023-05-24 E Not Corrected

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Correction date: 2023-06-28

0582 2023-05-24 D Not Corrected

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Correction date: 2023-06-28

0655 2023-05-24 D Not Corrected

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction date: 2023-06-28

0656 2023-05-24 E Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2023-06-28

0679 2023-05-24 E Not Corrected

Provide activities to meet all resident's needs.

Correction date: 2023-06-28

0684 2023-05-24 D Not Corrected

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

Correction date: 2023-06-28

0687 2023-05-24 D Not Corrected

Provide appropriate foot care.

Correction date: 2023-06-28

0689 2023-05-24 D Not Corrected

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

Correction date: 2023-06-28

0695 2023-05-24 E Not Corrected

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

Correction date: 2023-06-28

0755 2023-05-24 D Not Corrected

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

Correction date: 2023-06-28

0758 2023-05-24 E Not Corrected

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.

Correction date: 2023-06-28

0761 2023-05-24 F Not Corrected

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.

Correction date: 2023-06-28

0812 2023-05-24 F Not Corrected

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

Correction date: 2023-06-28

0880 2023-05-24 E Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2023-06-28

0686 2023-05-24 K Not Corrected

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

Correction date: 2023-06-28

0692 2023-05-24 E Not Corrected

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

Correction date: 2023-06-28

0760 2023-05-24 D Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2023-06-28

0684 2023-05-01 J Not Corrected

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

Correction date: 2023-06-22

0697 2023-05-01 H Not Corrected

Provide safe, appropriate pain management for a resident who requires such services.

Correction date: 2023-06-22

0740 2023-05-01 G Not Corrected

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

Correction date: 2023-06-22

0760 2023-05-01 G Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2023-06-22

0550 2022-03-23 E Not Corrected

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

Correction date: 2022-05-04

0584 2022-03-23 E Not Corrected

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.

Correction date: 2022-05-04

0600 2022-03-23 E Not Corrected

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

Correction date: 2022-05-04

0655 2022-03-23 E Not Corrected

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction date: 2022-05-04

0656 2022-03-23 E Not Corrected

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction date: 2022-05-04

0657 2022-03-23 D Not Corrected

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

Correction date: 2022-05-04

0658 2022-03-23 E Not Corrected

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

Correction date: 2022-05-04

0677 2022-03-23 E Not Corrected

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

Correction date: 2022-05-04

0686 2022-03-23 G Not Corrected

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

Correction date: 2022-05-04

0758 2022-03-23 D Not Corrected

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.

Correction date: 2022-05-04

0759 2022-03-23 E Not Corrected

Ensure medication error rates are not 5 percent or greater.

Correction date: 2022-05-04

0760 2022-03-23 E Not Corrected

Ensure that residents are free from significant medication errors.

Correction date: 2022-05-04

0761 2022-03-23 F Not Corrected

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.

Correction date: 2022-05-04

0800 2022-03-23 E Not Corrected

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Correction date: 2022-05-04

0806 2022-03-23 D Not Corrected

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

Correction date: 2022-05-04

0812 2022-03-23 F Not Corrected

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

Correction date: 2022-05-04

0880 2022-03-23 F Not Corrected

Provide and implement an infection prevention and control program.

Correction date: 2022-05-04

Penalties & Fines

Date Type Fine Amount
2026-01-06 Fine $24,486
2024-09-24 Fine $32,760
2024-09-24 Payment Denial
2024-07-16 Fine $95,805
2024-07-16 Payment Denial
2023-05-01 Fine $196,976
2023-05-01 Payment Denial

About Casa Real

Casa Real is a medicare and medicaid certified nursing home in Santa Fe, New Mexico. The facility has 118 certified beds and currently houses 109 residents. The facility has 87 inspection deficiencies on record. Total fines assessed: $350,027 across 7 penalties. Registered nurse hours are 0.49 per resident per day.