Casa Real
Casa Real in Santa Fe, NM — inspection on March 27, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F0686 for pertinent findings related to this citation.
B. On 03/25/25 at 10:59 am during an interview with R #3's POA, he stated he was not notified of R #3 having a new pressure ulcer located on his coccyx (discovered on 07/03/24) by the facility. R #3's POA confirmed he was made aware of the new pressure ulcer by the hospital on 08/05/24.
C. On 03/26/25 at 5:08 pm during an interview with the Skin Health Lead (SHL), she stated she could not remember if she contacted R #3's POA after discovering R #3's new coccyx pressure ulcer.
The SHL also she did not remember contacting a provider for R #3's coccyx pressure ulcer.
The SHL confirmed a provider and R #3's POA should have been notified of R #3's new coccyx pressure ulcer.
D. On 03/26/25 at 5:39 pm during an interview with the Unit Manager (UM) #1, she stated if a resident develops a new wound or pressure ulcer, a provider and the resident's POA should be notified immediately.
E. On 03/27/25 at 2:05 pm during an interview with the Nurse Practitioner (NP) #1, she stated she was not notified of R #3's coccyx pressure and she did not know that R #3 had a pressure ulcer on his coccyx.
The NP #1 confirmed she would expect to be notified immediately of a new pressure ulcer that developed on one of her residents.
F. On 03/27/25 at 2:38 pm during an interview with the Director of Nursing (DON), she stated a provider should have been notified of R #3's coccyx pressure ulcer as soon as the pressure ulcer was identified, and one was not.
The DON also confirmed R #3's POA should have been notified as well.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
325038
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 325038 B.
Wing 03/27/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Casa Real 1650 Galisteo Street Santa Fe, NM 87505
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.