Federal Nursing-Home Survey Record
Fort Bayard Medical Center
Does Fort Bayard Medical Center have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Fort Bayard Medical Center (CCN 325120), in Santa Clara, NM, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 16 deficiencies; the most serious carries scope/severity F. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $83,501 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
CMS has $83,501 in civil money penalties on file against this facility.
Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
Scope & Severity — current cycle
Civil money penalties on file
$83,501
CMS has $83,501 in civil money penalties on file against this facility. CMS also records 20 day(s) of payment denial.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 3 · CMS state average: 2.9
Deficiency timeline — full federal history
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Ensure that residents are fully informed and understand their health status, care and treatments.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Post nurse staffing information every day.
Provide and implement an infection prevention and control program.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide enough food/fluids to maintain a resident's health.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Plan the resident's discharge to meet the resident's goals and needs.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide safe and appropriate respiratory care for a resident when needed.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Implement a program that monitors antibiotic use.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Provide or obtain dental services for each resident.
Document what happened
Were you or a loved one harmed at Fort Bayard Medical Center?
Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.
Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.