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Fort Bayard Medical Center

41 Fort Bayard Road, Santa Clara, NM 88026
5755378604
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Overall CMS Rating

3.0/5

vs State Average: 2.8 stars

2.0/5

Health Inspections

vs State Average: 2.7/5

5.0/5

Staffing Level

vs State Average: 2.6/5

2.0/5

Quality Measures

vs State Average: 3.7/5

3 penalties in last 3 years
Penalties
vs State Average: 1.9 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.7
National Average
2.8
5 Deficiencies found in last inspections
3 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Jul 10, 2025 Ensure that residents are fully informed and understand their health status, care and treatments. D
Jul 10, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E
Jul 10, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D
Jul 10, 2025 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. D
Jan 24, 2025 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D
Score
5.0
State Average
2.6
National Average
2.9
1.2 RN Hours / Resident / Day
6.5 Total Nurse Hours / Resident / Day
16.1% RN Turnover Rate
Score
2.0
State Average
3.7
National Average
3.6
2.0 Long-Stay QM Rating
Short-Stay QM Rating
114.0 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL BAYS, SHERRI
OPERATIONAL/MANAGERIAL CONTROL HAMILTON, JASON
CORPORATE DIRECTOR BAYS, SHERRI
CORPORATE DIRECTOR HAMILTON, JASON
CORPORATE OFFICER BAYS, SHERRI
CORPORATE OFFICER HAMILTON, JASON
Recent Penalties
Date Type Fine
Jun 11, 2024 Fine $83,501
Jun 11, 2024 Payment Denial $0
Jun 1, 2023 Payment Denial $0

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