Fort Bayard Medical Center

Nursing Home · Santa Clara, NM

CMS overall rating 4/5 Government - State

CMS certification number325120

Contact & location

41 Fort Bayard Road
Santa Clara, NM 88026
Grant County
Phone
(575) 537-8604
ZIP code
88026 – all care providers

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Facility details

Certified beds
200
Residents per day
127.0 (64% occupied)
Ownership
Government - State
Legal name
State of New Mexico
Medicare certified since
June 20, 2009
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 2.9
Health inspections★★★★★ 3/5
State avg 2.7
Staffing★★★★★ 5/5
State avg 2.8
Quality measures★★★★★ 3/5
State avg 3.8
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
6.27 (state 3.53 · U.S. 3.86)
Registered nurses (RN)
1.21 (state 0.63 · U.S. 0.69)
Licensed practical nurses
0.67 (state 0.70 · U.S. 0.86)
Nurse aides
4.39 (state 2.21 · U.S. 2.32)
Weekend total
5.06 (state 3.10 · U.S. 3.42)
Nursing staff turnover
33.1 (state 53.3 · U.S. 45.8)%
RN turnover
9.7 (state 53.6 · U.S. 42.9)%

Inspections

Last standard inspection
August 9, 2024
Health deficiencies (last cycle)
13.0 (state 17.8 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
48 health · 14 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-08 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-23
2025-07-10 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-08-24
2025-07-10 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-24
2025-01-24 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-01
2024-08-09 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-10-25
2024-08-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
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.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-25
2024-08-09 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0700 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0756 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-25
2024-08-09 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
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
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-25
2024-08-09 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-25
2024-06-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
H
Actual harm
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.
F0661 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
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.
F0711 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-26
2024-06-11 Plan the resident's discharge to meet the resident's goals and needs.
F0660 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
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.
F0803 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
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.
F0882 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
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.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0625 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
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
F0655 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-08
2023-06-01 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0842 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
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.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0805 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-08
2022-03-03 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-04-30
2022-03-03 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-04-30
2022-03-03 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-04-30
2022-03-03 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-04-30
2022-03-03 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.
F0625 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-04-30
2022-03-03 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-04-30
2022-03-03 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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-04-30
2022-03-03 Ensure 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-04-30
2022-03-03 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-04-30
2022-03-03 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-04-30
2022-03-03 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-04-30

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $83,501 in fines.

DateTypeAmount
2024-06-11Payment Denial13 days payment denial
2024-06-11Fine$83,501

Ownership & management

NameRoleSince
Bays, Sherri (individual)Corporate Director · NOT APPLICABLE
Hamilton, Jason (individual)Corporate Director · NOT APPLICABLE
Bays, Sherri (individual)Corporate Officer · NOT APPLICABLE
Hamilton, Jason (individual)Corporate Officer · NOT APPLICABLE
Bays, Sherri (individual)Operational/managerial Control · NOT APPLICABLE
Hamilton, Jason (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Fort Bayard Medical Center?

Fort Bayard Medical Center has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in New Mexico.

How many beds does Fort Bayard Medical Center have?

It has 200 certified beds and cares for about 127 residents per day.

Has Fort Bayard Medical Center been fined?

Yes. CMS lists 2 penalties totaling $83,501 in the last three years.

What is the phone number of Fort Bayard Medical Center?

(575) 537-8604. The facility is located at 41 Fort Bayard Road, Santa Clara, NM 88026.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.