Fort Bayard Medical Center
Santa Clara, New Mexico · CCN 325120
22 surveys since 2011, 7 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 147
- Surveys
- 22
- Harm or worse
- 7
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 200
- Ownership
- Government - State
- Chain
- Independent
- County
- Grant · rural
- Medicare-certified since
- 2009
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 5
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 68 facilities in New Mexico.
Last survey on record
Apr 8, 2026
215 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 6.27 | 6.02 |
| Registered-nurse hours per resident day | 1.21 | — |
| Annual nurse turnover | 33.1% | 33.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $83,501 across 1 penalty
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K11.4% | L— |
| Actual harm | G— | H11.4% | I— |
| No harm, potential for more than minimal | D2637.7% | E3347.8% | F811.6% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5505×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6575×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F8424×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F6042×
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- F6052×
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
In the surveyor’s words
From the most serious findings on record at Fort Bayard Medical Center, in the surveyor’s own words.
- Immediate jeopardy, patternF684Jun 11, 2024
Based on record review and interview, the facility failed to provide quality of care for 1 (R #4) of 3 (R #3, R #4, and R #5) residents reviewed for diabetes (chronic condition that happens from persistently high blood sugar levels) when staff did not administer diabetic medications to R #4 upon admission to the facility and did not monitor the resident's blood glucose when exhibiting symptoms of high blood sugar. This deficient practice likely resulted in R #4 being admitted to the hospital for diabetic ketoacidosis (DKA; a serious complication of diabetes that can be life-threatening. […]
- Actual harm, patternF689Jun 11, 2024
Based on observation, interview, and record review, the facility failed to keep residents free from accidents for 1 (R #21) of 3 (R #21, R #22, & R #23) residents reviewed for falls, when staff failed to: 1. Identify the cause of R #21's onset of fatigue and weakness. 2. Evaluate R #21's ability to safely use a wheelchair independently. This deficient practice likely resulted in R #21 falling multiple times and sustaining an intracranial hemorrhage (bleeding in the skull or brain tissue). The findings are: A. Record review of R #21's face sheet revealed she was admitted to the facility on [DATE]. B. Record review of R #21's care plan, dated 12/26/23, revealed the following: 1. […]
- No harm, potential for more than minimal, widespreadF851Nov 17, 2025
Based on record review and interview, the facility failed to submit direct care staffing information to the federal agency overseeing certification for long term care facilities for February 10, 2025, through February 22, 2025. This has the potential to affect all 117 residents in the facility, (residents were identified by the Resident Matrix provided by the Administrator on 09/15/25). This deficient practice could likely result in inaccurate direct care staffing information for residents/facility. The findings are: A. […]
- No harm, potential for more than minimal, widespreadF732Aug 9, 2024
Based on observation and interview, the facility failed to post nurse staffing data on a daily basis for all 105 residents in the facility (residents were identified by the census list provided by the Administrator on 08/05/24), when staff failed to: 1) Post Staffing Information that included the following: a. Facility name. b. The current date. c. The total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift: i. Registered nurses. ii. Licensed practical nurses. iii. Certified nurse aides. iv. Resident census. 2) Retain 18 months of staff posting records. These deficient practices could cause residents anxiety not knowing what staff are working. The findings are: A. […]
- No harm, potential for more than minimal, widespreadF880Aug 9, 2024
Based on record review of the facilities Legionella Water Management Program policy and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections when they failed to have a water management program to minimize the risk of Legionella [a bacteria that can grow in parts of building water systems that are continually wet (e.g., pipes, faucets, water storage tanks, decorative fountains) and cause a serious type of pneumonia], and other opportunistic pathogens (bacteria that do not usually cause diseases in healthy people but may become extremely injurious to unhealthy individuals) in the building's water… […]
Read 27 findings in full →The most serious and the most recent: 27 of 147 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 13, 2026Complaint5 findings
- Apr 8, 2026Complaint1 finding
- Nov 17, 2025Standard21 findings
- Jul 10, 2025Complaint4 findings
- Jan 24, 2025Complaint2 findings
- Aug 9, 2024Standard12 findings
- Jun 11, 2024Complaint5 findings · 2 harm
- Jun 1, 2023Standard13 findings
Show the 14 earlier surveys
- Mar 3, 2022Standard11 findings
- Jan 28, 2021Standard2 findings
- Jan 27, 2021Standard2 findings
- Jun 28, 2019Standard13 findings
- May 10, 2018Standard14 findings
- Jun 20, 2017Standard8 findings · 3 harm
- Jun 24, 2016Complaint5 findings
- Mar 4, 2016Standard4 findings
- Oct 29, 2015Complaint3 findings
- Apr 17, 2015Standard4 findings
- Feb 25, 2015Complaint2 findings
- May 22, 2014Standard9 findings
- Apr 26, 2013—2 findings
- Mar 4, 2011—5 findings · 2 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction