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Fort Bayard Medical CenterCMS ratings, inspections and fines

Address
41 Fort Bayard Road, Santa Clara, NM 88026
CCN
325120
Ownership type
Government, state
Certified beds
200
Chain
None in the CMS record
Residents per day
127
CMS flags
None in the CMS record
CMS star ratings
Overall rating4 of 5
Health inspection rating3 of 5
Staffing rating5 of 5
Quality measure rating3 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Fort Bayard Medical Center an overall rating of 4 of 5 stars. The last standard survey was on 9 Aug 2024. The latest survey cycle has 13 health citations. The median for nursing homes in New Mexico is 17. CMS lists 1 fine of $83,501 for this home in its penalties file. CMS also lists 1 payment denial.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Fort Bayard Medical Center, with medians
Rating (1 to 5 stars)This homeGrant County medianNew Mexico medianUS average (CMS)
Overall rating44.03.03.0
Health inspection rating33.02.02.8
Staffing rating55.03.02.9
Quality measure rating34.04.03.6

A median is the middle value of the homes in the group: 2 homes in the county, 68 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Fort Bayard Medical Center in the last three survey cycles
Survey cycleStandard surveyCitationsNew Mexico median
Cycle 1 (latest)9 Aug 20241317
Cycle 21 Jun 20231914
Cycle 3No date1615

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 48 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0L0
Actual harm that is not immediate jeopardyG0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 13 citations

Standard survey of this cycle: .

Health citations of Fort Bayard Medical Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
8 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation23 May 2026
9 Aug 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey25 Oct 2024
9 Aug 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey25 Oct 2024
9 Aug 2024F0584Honor 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.EStandard survey25 Oct 2024
9 Aug 2024F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard survey25 Oct 2024
9 Aug 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey25 Oct 2024
9 Aug 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey25 Oct 2024
9 Aug 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey25 Oct 2024
9 Aug 2024F0700Try 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.EStandard survey25 Oct 2024
9 Aug 2024F0732Post nurse staffing information every day.FStandard survey25 Oct 2024
9 Aug 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey25 Oct 2024
9 Aug 2024F0758Implement 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.EStandard survey25 Oct 2024
9 Aug 2024F0880Provide and implement an infection prevention and control program.FStandard survey25 Oct 2024

Survey cycle 2: 19 citations

Standard survey of this cycle: .

Health citations of Fort Bayard Medical Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
10 Jul 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation24 Aug 2025
10 Jul 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation24 Aug 2025
10 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation24 Aug 2025
10 Jul 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation24 Aug 2025
24 Jan 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation1 Apr 2025
24 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation1 Apr 2025
1 Jun 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey8 Sep 2023
1 Jun 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey8 Sep 2023
1 Jun 2023F0625Notify 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.EStandard survey8 Sep 2023
1 Jun 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey8 Sep 2023
1 Jun 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey8 Sep 2023
1 Jun 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey8 Sep 2023
1 Jun 2023F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey8 Sep 2023
1 Jun 2023F0803Ensure 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.FStandard survey8 Sep 2023
1 Jun 2023F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard survey8 Sep 2023
1 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Sep 2023
1 Jun 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey8 Sep 2023
1 Jun 2023F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey8 Sep 2023
1 Jun 2023F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard survey8 Sep 2023

Survey cycle 3: 16 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Fort Bayard Medical Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 Jun 2024F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation26 Jul 2024
11 Jun 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.EComplaint investigation26 Jul 2024
11 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KComplaint investigation26 Jul 2024
11 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HComplaint investigation26 Jul 2024
11 Jun 2024F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint investigation26 Jul 2024
3 Mar 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey30 Apr 2022
3 Mar 2022F0576Ensure residents have reasonable access to and privacy in their use of communication methods.FStandard survey30 Apr 2022
3 Mar 2022F0625Notify 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.EStandard survey30 Apr 2022
3 Mar 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey30 Apr 2022
3 Mar 2022F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey30 Apr 2022
3 Mar 2022F0758Implement 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.EStandard survey30 Apr 2022
3 Mar 2022F0761Ensure 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.EStandard survey30 Apr 2022
3 Mar 2022F0791Provide or obtain dental services for each resident.DStandard survey30 Apr 2022
3 Mar 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Apr 2022
3 Mar 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey30 Apr 2022
3 Mar 2022F0881Implement a program that monitors antibiotic use.FStandard survey30 Apr 2022

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Fort Bayard Medical Center in the CMS penalties file
DateTypeFineDays without payment
11 Jun 2024Fine$83,501
11 Jun 2024Payment denial13

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Fort Bayard Medical Center
StaffThis homeNew Mexico medianNew Mexico average (CMS)
All nurse staff6.273.403.53
Registered nurses (RN)1.210.600.63
Licensed practical nurses (LPN)0.670.70
Nurse aides4.392.21
All nurse staff, weekends5.063.003.10
Nurse staff turnover in a year
33.1%
Nurse staff turnover, New Mexico median
52.9%
RN turnover in a year
9.7%
Administrators who left in a year
No data

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Fort Bayard Medical Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNew Mexico medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay22.4%10.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay4.7%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay10.6%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.1%3.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.5%10.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay10.2%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay24.5%13.5%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
Government, state
Legal business name
State of New Mexico

The CMS ownership record of this home lists no organisation.

The site shows organisations only. It does not show the names of persons.

Other homes in Grant County

The other nursing home in Grant County, New Mexico
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Silver City Care CenterSilver City2 of 521$21,20013 Jan 2026

All 2 nursing homes in Grant County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Fort Bayard Medical Center (CCN 325120). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/fort-bayard-medical-center-santa-clara-nm-325120/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Fort Bayard Medical Center last inspected?
The latest inspection with a citation in the CMS record was on 8 Apr 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 1 Jun 2023.
Who operates Fort Bayard Medical Center?
The CMS record gives the ownership type as government, state. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
Is Fort Bayard Medical Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in New Mexico as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.