Casa Real in Santa Fe, NM was fined $350,027 by CMS across 4 separate penalties following 88 deficiency citations identified during federal surveys.

Casa Real (Santa Fe, NM) — $350,027 in CMS Fines

Outcome: Casa Real in Santa Fe, NM was fined $350,027 by CMS across 4 separate penalties following 88 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.


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


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


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


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


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


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


• 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.