Fort Bayard Medical Center

Grant · NM · Government - State · 200 certified beds · CCN 325120 · STATE OF NEW MEXICO


Fort Bayard Medical Center operates 200 certified beds in Santa Clara, New Mexico. Its Medicare and Medicaid certification dates to 2009-06-20. It averages 127.0 residents a day.

What harm was found in the violations cited at Fort Bayard Medical Center?

CMS lists 48 health-inspection deficiencies for Fort Bayard Medical Center since 2022-03-03, 24 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-08.

Survey dateTagDeficiencySeverity
2026-04-08F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2025-07-10F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E
2025-07-10F0552, F0605, F0842Ensure that residents are fully informed and understand their health status, care and treatments. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-01-24F0604, F0657Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2024-08-09F0732, F0880Post nurse staffing information every day. / Provide and implement an infection prevention and control program.F
2024-08-09F0550, F0584, F0604, F0700, F0756, F0758Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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.E
2024-08-09F0582, F0655, F0657, F0692Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough food/fluids to maintain a resident's health.D
2024-06-11F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K
2024-06-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.H
2024-06-11F0661, F0711Ensure 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.E
2024-06-11F0660Plan the resident's discharge to meet the resident's goals and needs.D
2023-06-01F0803, F0882Ensure 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. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2023-06-01F0623, F0625, F0655, F0656, F0657, F0695, F0812, F0842, F0943Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E
2023-06-01F0550, F0805Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D
2022-03-03F0576, F0812, F0881Ensure 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.F
2022-03-03F0550, F0625, F0657, F0758, F0761, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2022-03-03F0740, F0791Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide or obtain dental services for each resident.D

Why was Fort Bayard Medical Center fined?

DateTypeAmount
2024-06-11Fine$83,501

Has Fort Bayard Medical Center had payment denied by Medicare?

Payment denial startLength in days
2024-07-1313

How is Fort Bayard Medical Center staffed?

MeasureThis facilityNM average
Total nurse staffing hours per resident per day6.266733.53305
Total nursing staff turnover (%)33.153.3
Average number of residents per day127.084.9

Who owns Fort Bayard Medical Center?

Fort Bayard Medical Center is registered with CMS as Government - State, operates under the legal business name STATE OF NEW MEXICO.

RoleOwnerAssociation date
CORPORATE DIRECTORBAYS, SHERRI, HAMILTON, JASONsince 10/01/2018
CORPORATE OFFICERBAYS, SHERRI, HAMILTON, JASONsince 10/01/2018
OPERATIONAL/MANAGERIAL CONTROLBAYS, SHERRI, HAMILTON, JASONsince 10/01/2018

Were you or a family member harmed at Fort Bayard Medical Center?