Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 325120

Fort Bayard Medical Center

47 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $83,501.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
47
Total citations
36
Last 3 years
2
Actual harm+
3
Federal penalties
$83,501
Total fines
3
Overall ★ rating

Most common violation categories here

Care Planning12 Resident Rights10 Quality of Care7 Abuse & Neglect4 Medication & Pharmacy4

Most common F-tags at this facility

F6574 F8423 F5503 F6042 F6552

Citation history

47 on record
SurveyF-TagViolationSeveritySource
Jul 10, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 10, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jul 10, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint
Jul 10, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Jan 24, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jan 24, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Aug 9, 2024F880Provide and implement an infection prevention and control program.FStandard
Aug 9, 2024F758Implement 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
Aug 9, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Aug 9, 2024F732Post nurse staffing information every day.FStandard
Aug 9, 2024F700Try 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
Aug 9, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 9, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 9, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Aug 9, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard
Aug 9, 2024F584Honor 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
Aug 9, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Aug 9, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jun 11, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint
Jun 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HComplaint
Jun 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KComplaint
Jun 11, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.EComplaint
Jun 11, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Jun 1, 2023F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard
Jun 1, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Jun 1, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jun 1, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jun 1, 2023F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Jun 1, 2023F803Ensure 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
Jun 1, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Jun 1, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jun 1, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jun 1, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Jun 1, 2023F625Notify 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
Jun 1, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Jun 1, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Mar 3, 2022F881Implement a program that monitors antibiotic use.FStandard
Mar 3, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Mar 3, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 3, 2022F791Provide or obtain dental services for each resident.DStandard
Mar 3, 2022F761Ensure 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
Mar 3, 2022F758Implement 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
Mar 3, 2022F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Mar 3, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 3, 2022F625Notify 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
Mar 3, 2022F576Ensure residents have reasonable access to and privacy in their use of communication methods.FStandard
Mar 3, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 1 civil money penalties totaling $83,501 and 2 payment-denial actions spanning 20 days.

DateTypeFinePayment denial
Jun 11, 2024Fine$83,501—
Jun 11, 2024Payment Denial—Jul 13, 2024 · 13 days
Jun 1, 2023Payment Denial—Sep 1, 2023 · 7 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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