Nursing homes › New Mexico › Fort Bayard Medical Center
41 Fort Bayard Road, Santa Clara, NM 88026 · 5755378604 · 200 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Government - State.
Total nurse staffing: 6.27 (New Mexico median: 3.43). RN hours: 1.21. Weekend total: 5.06. Nursing staff turnover: 33%.
All-time on record: 48 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-05-23 |
| 2025-07-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2025-08-24 |
| 2025-07-10 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2025-08-24 |
| 2025-07-10 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | complaint | corrected 2025-08-24 |
| 2025-07-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-08-24 |
| 2025-01-24 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | complaint | corrected 2025-04-01 |
| 2025-01-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-04-01 |
| 2024-08-09 | Post nurse staffing information every day. | F | Health | corrected 2024-10-25 |
| 2024-08-09 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-10-25 |
| 2024-08-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2024-10-25 |
| 2024-08-09 | 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. | E | Health | corrected 2024-10-25 |
| 2024-08-09 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Health | corrected 2024-10-25 |
| 2024-08-09 | 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. | E | Health | corrected 2024-10-25 |
| 2024-08-09 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2024-10-25 |
| 2024-08-09 | 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 | Health | corrected 2024-10-25 |
| 2024-08-09 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-10-25 |
| 2024-08-09 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-10-25 |
| 2024-08-09 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-10-25 |
| 2024-08-09 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-10-25 |
| 2024-06-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | corrected 2024-07-26 |
| 2024-06-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | complaint | corrected 2024-07-26 |
| 2024-06-11 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | complaint | corrected 2024-07-26 |
| 2024-06-11 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | complaint | corrected 2024-07-26 |
| 2024-06-11 | Plan the resident's discharge to meet the resident's goals and needs. | D | complaint | corrected 2024-07-26 |
| 2023-06-01 | 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. | F | Health | corrected 2023-09-08 |
| 2023-06-01 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2023-09-08 |
| 2023-06-01 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2023-09-08 |
| 2023-06-01 | 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. | E | Health | corrected 2023-09-08 |
| 2023-06-01 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2023-09-08 |
| 2023-06-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-09-08 |
| 2023-06-01 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2023-09-08 |
| 2023-06-01 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2023-09-08 |
| 2023-06-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-09-08 |
| 2023-06-01 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2023-09-08 |
| 2023-06-01 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Health | corrected 2023-09-08 |
| 2023-06-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-09-08 |
| 2023-06-01 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2023-09-08 |
| Date | Type | Amount |
|---|---|---|
| 2024-06-11 | Fine | $83,501 |
| 2024-06-11 | Payment Denial | 13 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BAYS, SHERRI | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2018 |
| HAMILTON, JASON | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2018 |
| BAYS, SHERRI | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2018 |
| HAMILTON, JASON | Corporate Officer | Individual | NOT APPLICABLE | since 10/01/2018 |
| BAYS, SHERRI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2018 |
| HAMILTON, JASON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2018 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 325120. Corrections: data@carerecords.org.