Inspection Results » Fort Bayard Medical Center

Health Inspection on May 10, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-06-15)
   • 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. (Corrected 2018-06-15)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-06-15)
   • 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. (Corrected 2018-06-15)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-15)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Implement a program that monitors antibiotic use. (Corrected 2018-06-15)
   • 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. (Corrected 2018-06-15)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-06-15)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-06-15)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-06-15)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-06-15)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-15)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-15)

4. Pattern: No actual harm with potential for minimal harm

   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-06-15)