Deficiency Records for Fort Bayard Medical Center
Updated as of June 01, 2019
This is not the most recent data for Fort Bayard Medical Center. For the most recent information, click here.
A list of the most recent deficiencies for Fort Bayard Medical Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2018-05-09 | 2018-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-09 | 2018-06-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-05-10 | 2018-06-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-05-10 | 2018-06-15 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-05-10 | 2018-06-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-05-10 | 2018-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-10 | 2018-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-10 | 2018-06-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-05-10 | 2018-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-10 | 2018-06-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-10 | 2018-06-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-05-10 | 2018-06-15 | N |
| 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. | Health | 2018-05-10 | 2018-06-15 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-05-10 | 2018-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-10 | 2018-06-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-10 | 2018-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-13 | 2017-07-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-06-13 | 2017-07-20 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-06-20 | 2017-07-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-20 | 2017-07-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-20 | 2017-07-14 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-20 | 2017-07-14 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-20 | 2017-07-14 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-06-20 | 2017-07-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-20 | 2017-07-14 | Y |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-06-20 | 2017-07-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-24 | 2016-09-15 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-06-24 | 2016-09-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-06-24 | 2016-09-15 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-06-24 | 2016-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-24 | 2016-08-31 | Y |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-03-03 | 2016-06-03 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-03-03 | 2016-06-03 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-03 | 2016-06-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-04 | 2016-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-04 | 2016-05-05 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-03-04 | 2016-05-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-04 | 2016-05-05 | N |
