Casa Real Health Care Ctr

Pros

• Admission was quick and efficient.
• The staff was very pleasant and patient.
• The facility is clean.
• Arlene at the front desk was helpful, assisting with visitor registration and directions to the patient's room.
• Everyone was great, friendly, and helpful.
• The meals looked great.
• All the nurses are really nice and the staff seem to care about the well-being of the residents.
• The receptionist was very helpful and friendly.
• The staff on the southside unit go above and beyond to make residents feel safe and cared for.
• Nick and April provided therapy that helped the patient sit up on the first day.

Cons

• The facility is described as a terrible place that fails to deliver services or amenities in long-term memory care and appears to sedate patients to avoid disturbances.
• It allegedly uses sedatives such as Quetiapine (Seroquel) to keep patients sedated, claimed not to be FDA approved for this use and linked to a high mortality rate.
• The staff appear understaffed and fail to engage or provide cognitive therapy, with some workers seen on their phones.
• The facility has citations and a history of wrongful deaths and reportedly filed bankruptcy again this year.
• The place is described as hostile with a urine smell, front desk rarely staffed, poor security, and missed medications for several days.
• Overall it is described as poorly run to the point of endangering patient lives, with calls for Genesis to be kicked out of the state.
• There are concerns that the facility acts with financial motivation and manipulation, including threats of large bills to families to deter removal of patients.

Review

The collection of reviews paints a picture of a facility that many visitors find welcoming and well run at the moment of arrival, even as others raise serious concerns about safety, management, and long-term care dynamics. A number of reviewers describe quick admissions, efficient processes, clean facilities, and staff who are friendly, patient, and helpful. One caller commended the admission experience as "quick and very efficient," and numerous comments highlight a clean environment and a smooth visitor experience. Front desk interactions stand out positively in several accounts, with Arlene noted for being especially helpful during both visitor registration and exit, and several reviewers mentioning a warm, welcoming first impression upon entering.

Beyond the initial reception, there are many accounts praising the day-to-day care and attentiveness of staff. Families repeatedly note that the nursing staff, aides, and other personnel are courteous and engaged in the well-being of residents. Comments such as "Everything I saw very clean and all in proper place," and "The service here is wonderful the employees care lovingly to all of the elderly members here at this facility including my mother" echo across multiple visits. Several reviewers specifically credit therapy staff and activities for improving mobility and quality of life, with mentions of supportive aides like Nick, April, and PB, who helped residents reach goals and regain confidence in their abilities. The praise for therapy appears repeatedly, with at least one visitor stating they believe the facility offers among the best therapy they've experienced in the Genesis network.

Cleanliness, safety, and daily care routines are repeatedly highlighted as strengths. Several reviewers say there is little to no odor, and that rooms and common areas are well maintained. Visitors describe routine checks on residents, attentive meals, and staff who check on residents in all rooms. Some family members describe leaving a loved one in a care setting with greater peace of mind when staff are visible, engaged, and proactive about safety, such as ensuring patients are attended to and that assistance is readily available when needed.

Despite these positive notes, a sizable thread of concerns runs through the feedback. A number of reviewers raise serious criticisms about management, staffing levels, and the overall culture within the facility. One review alleges a pattern of sedation, claiming that Quetiapine (Seroquel) is used to keep patients sedated and that this reflects a preference for a less engaged resident population. The same reviewer mentions a broader context of under-staffing and insufficient cognitive engagement for memory-care residents, and links these practices to a history of wrongful deaths and citations, with a claim that pricing for Medicaid remains high despite these issues. Such statements are presented as what the reviewer observed or heard about, and include references to external reporting and bankruptcy filings.

Other reviews describe a more chaotic or poorly supervised environment. Some critics emphasize a sense that staff are overworked and under-supported, with complaints that staff spend time on phones or are not sufficiently present with residents. There are also stern criticisms regarding administrative leadership, with a caller describing management as overly focused on dress codes and rules rather than leading by example or supporting frontline caregivers. Specific concerns include perceived misalignment between management behavior and frontline care, and worries that staff morale and retention could deteriorate if leadership does not adapt. A number of remarks call for better communication with families, clearer policies on discharge or transfer, and greater transparency around decisions that affect residents' medical releases and overall well-being.

There are a few highly critical, even alarming, anecdotes that some reviewers relay with strong language. One complaint paints a picture of hostile staff dynamics, unsafe conditions such as a pervasive urine odor, and front-door security problems that allegedly allow unauthorized access. The reviewer asserts the facility failed to obtain medications in a timely manner, resulting in missed doses, and questions the adequacy of the nursing and social-work teams to coordinate care. Following such accounts, the reviewer describes the overall operation as poorly run and suggests that the company (Genesis) ought to be re-evaluated or reconsidered for state-level oversight. While these claims are serious and are presented vividly by the reviewer, they are still framed as individual experiences and perceptions within the broader pool of feedback.

Amid the mix, some reviewers acknowledge the challenges and emphasize a need for ongoing improvements. A number of comments point to communication gaps, especially around who can share information and how med-release decisions are made. Others describe the staff as "drowning with work" or not being present enough to support families, even as they acknowledge specific staff members who try hard or go the extra mile. Several testimonials reference a change in morale tied to new management, with mixed feelings: some praise particular staff for their hard work, while others worry that leadership changes have led to inconsistent expectations or reduced visibility of managers on the floor. In one notably detailed note, a caregiver thanks specific staff members - Julian and Nurse Catie - for their consistent effort and for making a family member feel safe and cared for, underscoring that positive individual relationships can persist even in the face of broader organizational concerns.

Overall, the message is one of a facility that many families visit with hopeful expectations: a clean campus, accessible admissions, friendly faces at the front desk, and capable therapy and nursing staff. Yet the feedback also clearly signals that for some residents and their loved ones, critical questions remain about safety, staffing, transparency, and long-term governance. Positive experiences - responsive care, engaging therapy, and caring interactions - coexist with serious warnings about sedation practices, safety vulnerabilities, and managerial gaps. If you're considering Casa Real, the volume of varied experiences suggests you should plan an in-depth, firsthand visit, ask detailed questions about staffing levels, medication practices, family communication policies, and discharge planning, and request to speak with frontline staff and managers to gauge how well the facility's strengths align with your expectations and your loved one's needs.

This part of Santa Fe, New Mexico, offers a convenient and well-equipped location for senior living. With several medical facilities nearby, including physicians, imaging centers, and pharmacies, residents have easy access to healthcare services. The variety of restaurants and cafes in the area provide plenty of dining options for seniors looking to enjoy a meal out or grab a coffee with friends. Additionally, the proximity to parks and places of worship offers opportunities for outdoor recreation and spiritual fulfillment. The presence of transportation options such as the Rail Runner stations makes it easy for residents to travel around the city. Overall, this part of Santa Fe provides a comfortable and accessible environment for seniors seeking a vibrant community to call home.

Physicians

• Santa Fe Imaging (0.1 miles)
• Nephrophiles (0.1 miles)
• The Endoscopy Center of Santa Fe (0.1 miles)
• Santa Fe Medical Plaza (0.2 miles)
• New Mexico Foot & Ankle (0.2 miles)
• Jose Sterling, MD (0.2 miles)
• CHRISTUS St. Vincent Surgical Associates (0.2 miles)

Pharmacies

• Pharmacy (0.1 miles)
• Smith's Food & Drug (0.6 miles)
• CVS Pharmacy (0.8 miles)
• Sav-On Pharmacy (0.8 miles)
• Walgreens (1 miles)
• Walgreens (1 miles)
• Albertsons Market Pharmacy (1.1 miles)

Hospitals

• Physicians Plaza Surgery Center (0.2 miles)
• Major Medical (0.4 miles)

Restaurants

• Sweetwater Harvest Kitchen (0.6 miles)
• Kai Sushi & Dining (0.6 miles)
• Clafoutis (0.8 miles)
• Blake's Lotaburger (0.9 miles)
• Taco Bell (0.9 miles)
• Burrito Spot (1 miles)
• McDonald's (1 miles)

Cafes

• The New Baking Company (0.8 miles)
• Cafecito (1.1 miles)
• Starbucks (1.2 miles)
• Modern General (1.3 miles)
• Sky Coffee (1.5 miles)
• Peet's Coffee and Tea (1.5 miles)
• Mille (1.9 miles)

Places of Worship

• Christ Church Santa Fe (0.8 miles)

Transportation

• Rail Runner South Capitol (0.8 miles)
• Rail Runner: Santa Fe Depot (1.6 miles)

Parks

• Railyard Park (1.1 miles)
• Santa Fe Railyard (1.3 miles)
• Ragle Park (1.7 miles)
• John F Ray Griego Park (1.8 miles)
• Frenchy's Field Park (1.8 miles)
• Stations Of The Cross Prayer Garden (1.9 miles)

Theaters

• Violet Crown Cinemas Santa Fe (1.5 miles)