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 25 of 63 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 26, 2024).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 26, 2024).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2026).

  4. 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).

  5. 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).

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

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of June 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of June 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 8, 2023).

  8. 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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2026. Found during a complaint inspection.

    No plan of correction on record.

  9. 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 November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2026).

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

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2026).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2026).

  12. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2026).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2026).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2026).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2026).

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 26, 2026).

  18. 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).

  19. 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).

  20. 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).

  21. 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).

  22. 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).

  23. 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).

  24. 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).

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

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 26, 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.