All citations for Fort Bayard Medical Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Fort Bayard Medical Center

Last standard health inspection on record

November 17, 2025

Showing 1 to 18 of 18 citations

  1. No harm, with potential for more than minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level F.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  2. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  3. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 24, 2025).

  4. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  5. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  6. No harm, with potential for more than minimal harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  7. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  8. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  9. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  10. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of July 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 24, 2025).

  11. No harm, with potential for more than minimal harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 24, 2025).

  12. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 10, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 24, 2025).

  13. No harm, with potential for more than minimal harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  14. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  15. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  16. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  17. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

  18. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of August 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 25, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.