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Nursing HomeMedicaid Investigative

Santa Fe Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

635 Harkle Road, Santa Fe, NM 87505120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 33 Google reviews

5
4
3
2
1
Santa Fe Care Center Nursing Home in Santa Fe, NM — Street View
Street View

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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)

Bottom 25% in NM · Critically understaffed (RN) · Significantly below average staffing · $59,072 in fines

Source: Medicare data

What this means for your family

While the facility is frequently praised for its engaging activities and dedicated therapy team, the reports of medical neglect and understaffing are serious. We strongly recommend that you conduct an unannounced visit during a weekend or evening shift to observe staffing levels and response times firsthand before making a decision.

Google Reviews

Google Reviews

33 reviews on Google
Santa Fe Care Center receives highly polarized reviews, with some families praising the warm, home-like atmosphere and dedicated therapy staff, while others report severe neglect and safety concerns. Critics frequently cite issues with understaffing, poor communication, and inadequate medical oversight, including reports of untreated injuries and infections. Families considering this facility should be aware of these significant inconsistencies in care quality.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean4.0Activities8.0Meds2.0MemoryN/AComms3.0Value2.0

Strengths

  • Warm, home-like environment
  • Engaging activities and entertainment
  • Dedicated rehabilitation therapy team
  • Friendly front-desk and administrative staff

Concerns

  • Chronic understaffing and staff inattentiveness (mentioned by 6 reviewers)
  • Poor medical oversight and failure to address health issues (bedsores, infections, injuries) (mentioned by 4 reviewers)
  • Lack of cleanliness and sanitation (mentioned by 3 reviewers)
  • Poor communication with families regarding patient care (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(2)'21(4)'23(5)'25(7)'26(1)

Distribution · 35 analyzed

5
17
4
3
3
0
2
2
1
13

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure residents receive timely assistance with daily needs like hygiene and call-light response?
  • 2I noticed the facility has had a high volume of state violations recently; what concrete steps is the leadership team taking to improve clinical oversight and prevent recurring health issues like infections or skin integrity problems?
  • 3How do you maintain consistent communication with families regarding changes in a resident's health status, especially when urgent medical decisions need to be made?
  • 4With cleanliness being a priority for our family, could you walk us through your current housekeeping schedule and how you ensure high-touch areas are sanitized throughout the day?
  • 5I've heard wonderful things about your activities and rehabilitation team; how do you balance those engaging social programs with the need for consistent, hands-on medical monitoring?
  • 6How does your nursing staff coordinate with the pharmacy and medical team to ensure that medication management is accurate and that any side effects are identified quickly?

Personalized based on this facility's data


Key Review Excerpts

The activities staff do a great job of offering activities for the residents and including family. The therapy staff works very hard to get loved ones back home or to the least restrictive environment.

Long-term resident's family · 2025★★★★★

My 90 year old husband was in the hospital for 8 days and could not come home until he was able to walk... I held my breath walking into Santa Fe Care Center, expecting to feel the now familiar vibes of despair. But no such thing. There was laughter and the residents in the rotunda seem to be content.

Rehab patient's family · 2025★★★★

On July 26 he was admitted to St. Vincent where he was diagnosed with a UTI, bedsores on both heels and his tailbone. At least one of the bedsores was "unstage

Rehab patient's family · 2021☆☆☆☆
Source: 33 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NM
1.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.4%
Worse than Avg
Here
25.4%
US
15.3%
NM
13.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility24.1%
Worse than Avg
Here
24.1%
US
14.4%
NM
13.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.5%
NM
14.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NM
97.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.9%
Worse than Avg
Here
24.9%
US
19.4%
NM
20.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.6%
Better than Avg
Here
97.6%
US
81.8%
NM
86.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility73.2%
Worse than Avg
Here
73.2%
US
79.8%
NM
86.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
US
1.6%
NM
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
2penalties
Above state avg (16.6)
19 complaint-triggered
$59,072 in fines

Recent complaints from families triggered investigations revealing ongoing concerns about care planning, notification of families about incidents, and proper treatment delivery. The facility shows recurring problems with resident assessment and care planning, medication management, and nursing staffing levels across multiple surveys. While all deficiencies have correction dates, the pattern of repeated issues in core care areas suggests persistent operational challenges families should investigate further during visits.

Apr 9, 2026Complaint
2
0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Nov 25, 2025Complaint
2
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

Apr 8, 2025Complaint
1
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Oct 25, 2024Complaint
6
0580Actual harm · IsolatedCorrected

Resident Rights Deficiencies

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

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jul 11, 2024Routine
16
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Jul 2, 2024Complaint
1
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Federal Penalties

Fine

Oct 25, 2024

$12,255

Fine

Nov 21, 2023

$13,307

Ownership & Operations

Who Operates This Facility

Owner / Operator

Santa Fe Care Center

Organization Type

for profit

Ownership & Management

Owners

Compassion Care Management Services INC

Owner · Organization

Kerlab Health Care Management LLC

Owner · Organization

Matley 828 Endeavors LLC

Owner · Organization

Martin, Joseph

Owner

Meyer, Matthew

Owner

Key personnel

Meyer, MatthewOfficer / DirectorMeyer, MatthewManager
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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