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FORT BAYARD MEDICAL CENTER

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FORT BAYARD MEDICAL CENTER VS
All other Nursing Homes USA
General
City SANTA CLARA   vs 0% Nursing Homes USA have SANTA CLARA
State attribute explanation NM   vs 0.5% Nursing Homes USA have NM
Street 41 FORT BAYARD ROAD  
Zip Code 88026  
Phone 5755378600  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(1.83 higher than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
200  (91.06 higher than average)
vs
108.94

Total Number of Residents
124  (32.75 higher than average)
vs
91.25

Percent of Occupied Beds
62 % (21.65 % lower than average)
vs
83.65 %

Health Survey Date 5/25/2012  
Fire Survey Date 5/23/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Government - State  vs 0.9% Nursing Homes USA have Government - State
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(56.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(53.31 lower than average)
vs
56.31

# of deficiencies
(5.48 lower than average)
vs
7.48

Staff Information
Number of Residents
124  (32.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.29  (0.52 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.23  (0.61 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.52  (0.07 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.08  (5.41 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.08  (0.02 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 05/20/2009
date Of Correction: 06/20/2009 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 05/20/2009
date Of Correction: 06/20/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.3 (79.3) % (1.21 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
13.3 % (3.36 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
9.2 % (3.38 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
3.4 % (8.43 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
27 % (17.54 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.6 % (14.03 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
13.7 % (0.24 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.3 % (24.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
0.8 % (42.88 % lower than average)
vs
43.68 %

Percent of short-stay residents who newly received an antipsychotic medication
(44.9 lower than average)
vs
45.90

Percent of long-stay residents experiencing one or more falls with major injury
3.3 % (12.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.5 % (2.11 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
4.2 % (19.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 9.4 / 10.4 % 
Percent of long-stay high-risk residents with pressure ulcers 9.9:1 % 
Percent of long-stay residents who lose too much weight
3.6 % (4.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
27.8 (82.0) % (15.58 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.9 % (7.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
16.5 % (6.92 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms 5.6:1 % 
Percent of long-stay residents who were physically restrained
1.4 % (37.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
11.1 % (0.37 % higher than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain 19.4:1 % 
Percent of short-stay residents with Pressure ulcers that are new or worsened
60.5 % (14.25 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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