CMS data shows Fort Bayard Medical Center earning a D grade with a score of 47/100, placing it below most facilities in New Mexico. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels at Fort Bayard Medical Center exceed national averages, with 6.48 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.23 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 47 deficiencies at Fort Bayard Medical Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 6.48 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.23 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.56 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 4.70 | 2.4 | Above Average |
| Weekend Total Nursing | 5.45 | 3.8 | Above Average |
| Weekend RN Hours | 0.84 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0609 Severity ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jul 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Jul 9, 2025 · Resident Rights Deficiencies
- Tag 0605 Severity DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Jul 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarJul 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0604 Severity DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.Jan 23, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 10.7% | 4.5% | Worse |
| Falls with major injury | 2.6% | 3.0% | Better |
| On antipsychotic medication | 20.4% | 14.5% | Worse |
| Urinary tract infections | 9.7% | 2.5% | Worse |
| ADL decline (daily activities) | 20.9% | 14.0% | Worse |
| Excessive weight loss | 4.4% | 7.5% | Better |
| New/worsened incontinence | 22.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $83,501
How This Grade Was Calculated
This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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