Starfile / New Mexico

Fort Bayard Medical Center

41 Fort Bayard Road, Santa Clara, NM 88026 · CCN 325120

Inspection history vs New Mexico & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$83,501

Number of fines

1

Number of penalties

3

Payment denials

2

Inspection citations (47)1 immediate jeopardy1 actual harm

1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-07-10 · Health · corrected 2025-08-24

   Potential for more than minimal harm

2. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-07-10 · Health · corrected 2025-08-24

   Potential for more than minimal harm

3. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-10 · Health · corrected 2025-08-24

   Potential for more than minimal harm

4. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-07-10 · Health · corrected 2025-08-24

   Potential for more than minimal harm

5. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-01-24 · Health · corrected 2025-04-01

   Potential for more than minimal harm

6. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-24 · Health · corrected 2025-04-01

   Potential for more than minimal harm

7. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-09 · Health · corrected 2024-10-25

   Potential for more than minimal harm

8. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-08-09 · Health · corrected 2024-10-25

   Potential for more than minimal harm

9. EF0584Honor 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.2024-08-09 · Health · corrected 2024-10-25

   Potential for more than minimal harm

10. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-08-09 · Health · corrected 2024-10-25

    Potential for more than minimal harm

11. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-08-09 · Health · corrected 2024-10-25

    Potential for more than minimal harm

12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-09 · Health · corrected 2024-10-25

    Potential for more than minimal harm

13. DF0692Provide enough food/fluids to maintain a resident's health.2024-08-09 · Health · corrected 2024-10-25

    Potential for more than minimal harm

14. EF0700Try 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.2024-08-09 · Health · corrected 2024-10-25

    Potential for more than minimal harm

15. FF0732Post nurse staffing information every day.2024-08-09 · Health · corrected 2024-10-25

    Potential for more than minimal harm

16. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-08-09 · Health · corrected 2024-10-25

    Potential for more than minimal harm

17. EF0758Implement 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.2024-08-09 · Health · corrected 2024-10-25

    Potential for more than minimal harm

18. FF0880Provide and implement an infection prevention and control program.2024-08-09 · Health · corrected 2024-10-25

    Potential for more than minimal harm

19. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-06-11 · Health · corrected 2024-07-26

    Potential for more than minimal harm

20. EF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-06-11 · Health · corrected 2024-07-26

    Potential for more than minimal harm

21. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-11 · Health · corrected 2024-07-26

    Immediate jeopardy

22. HF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-11 · Health · corrected 2024-07-26

    Actual harm

23. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-06-11 · Health · corrected 2024-07-26

    Potential for more than minimal harm

24. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

25. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

26. EF0625Notify 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.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

27. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

28. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

29. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

30. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

31. FF0803Ensure 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.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

32. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

33. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

34. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

35. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

36. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-06-01 · Health · corrected 2023-09-08

    Potential for more than minimal harm

37. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

38. FF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

39. EF0625Notify 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.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

40. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

41. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

42. EF0758Implement 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.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

43. EF0761Ensure 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.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

44. DF0791Provide or obtain dental services for each resident.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

45. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

46. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

47. FF0881Implement a program that monitors antibiotic use.2022-03-03 · Health · corrected 2022-04-30

    Potential for more than minimal harm

Ownership

Other facilities in Santa Clara

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.