Elm Wood Center At Claremont

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 86 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 61.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 68 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 68 beds and averages 58.2 residents a day — about 86% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.77 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.85 hrs/resident/day on weekends vs 3.32 on weekdays — 14% thinner on weekends. RN hours go from 0.82 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

• Potential for harm · D2025-09-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to protect that residents' right to be free from emotional abuse and exploitation by staff for 3 of 6 residents reviewed for abuse. (Resident identifiers are Resident #1, #2 and #3.)Findings include: Review on 9/11/25 of the facility reported incident and investigation for Resident #1 revealed that Staff I (Licensed Nurse Aide (LNA)) was video recorded by Staff J (LNA) laying in Resident #1's bed next to them talking about cuddling and mocking the resident. Both Staff I and Staff J were giggling. This video was sent via social media to the daughter of Staff G (Registered Nurse) on 4/23/25. Staff G was shown the videos on 8/25/25 and reported it immediately to Staff A (Administrator) and Staff B (Director of Nursing).Review on 9/11/25 of Resident #1's care plan, initiated 8/26/25, revealed interventions due to the resident being a victim abuse related to a social media posting. Review on 9/11/25 of the facility reported incidents and investigation for Resident #2 revealed that Staff I video recorded themselves sitting on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · E2025-08-01 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, it was determined that the facility failed to treat the residents with dignity by not serving the whole table together in the dining room in 5 of 5 meals observed (Resident identifiers are #12, #32, #41, #42, and #46).Findings include: Observation on 7/30/25 from approximately 8:20 a.m. until 8:40 a.m. of the Main Dining Room revealed Resident #41 and Resident #32 seated at the same table. Resident #41 was almost done with his/her breakfast and Resident #32 did not have any food or drink. Another table had Resident #64 eating his/her breakfast and Resident #46 was seated at the same table without any food or drink. Interview on 7/30/25 at approximately 8:40 a.m. with Staff J (Licensed Practical Nurse) revealed there was no process for ensuring that all residents at the same table are served their meals together when dining in the Main Dining Room. Observation on 7/30/25 between at 12:19 p.m. to 12:31 p.m. in the main dining room during lunch revealed the following: At 12:19 p.m., there were two residents sitting at one table, one resident was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-01 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, it was determined the facility failed have an accurate Level I Pre-admission Screening and Resident Review (PASARR) for 2 of 2 residents reviewed for PASARR in a final sample of 19 residents (Resident identifiers are #38 and #2).Findings include: Resident #38 Review on 7/30/25 of Resident #38's diagnosis list revealed mental illness diagnosis of Post Traumatic Stress Disorder, Anxiety, Major Depression, and a personal history of suicidal behavior. Review on 7/30/25 of Resident #38's PASARR Level I screening, dated 5/14/25, was checked no mental illness. Interview on 7/31/25 at approximately 11:00 a.m. with Staff A (Social Service Director) confirmed the above PASARR Level I was inaccurate. Resident #2 Review on 7/30/25 of Resident #2's medical record revealed Resident #2 was admitted to the facility in December 2023. Review on 7/30/25 of Resident #2's medical diagnosis revealed the following diagnosis: Post Traumatic Stress Disorder (5/9/23), Major Depressive Disorder, Recurrent, Unspecified (5/9/23), Anxiety Disorder, Unspecified (5/9/23), and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-01 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that residents' individual preferences for meals were given for 2 of 4 residents reviewed for food in a final sample of 19 residents. (Resident identifiers are #9 and #2.)Findings include:Resident #9Interview on 7/30/25 at approximately 8:15 a.m. with Resident #9 revealed that he/she does not always get the protein that they request. Half of the time I don't get items that are on my meal tickets, I really need the extra protein in my diet because I am on dialysis.Review on 7/30/25 of Resident #9's meal ticket revealed: 8 oz (ounces) chocolate milkObservation on 7/30/25 at approximately 8:15 a.m. of Resident #9's breakfast tray revealed that there was no chocolate milk on the tray. There was no substitution for the chocolate milk on the tray.Review on 7/31/25 of Resident #9's meal ticket revealed: 8 oz chocolate milkObservation on 7/31/25 at approximately 8:20 a.m. of Resident #9's breakfast tray revealed that there was no chocolate milk on the tray. There was no substitution for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-01 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, it was determined that the facility failed to coordinate hospice care in 1 of 1 resident reviewed for hospice care in a final sample of 19 residents (Resident identifier is #24).Findings include:Review on 7/30/25 of Resident #24's medical record revealed admitted to [name of hospice provider omitted] Hospice 7/17. Review on 7/31/25 of Resident #24's hospice binder revealed no hospice certification and plan of care. Review on 7/31/25 of Resident #24's care plan revealed that following interventions for hospice initiated on 7/17/25: hospice licensed nursing assistant visits three times a week, hospice nursing daily and as needed visits, one hospice social work visit, and one hospice volunteer visit. Review on 7/31/25 of Resident #24's resident sign-in sheet showed Resident #24 had an admission visit on 7/17/25 and a spiritual care visit on 7/29/25. There were no other visits on the resident sign-in sheet. Interview on 7/31/25 at approximately 11:10 a.m. with Staff B (LNA) revealed that he/she did not know when hospice staff were coming or what…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-01 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and policy review, it was determined that the facility failed to implement their policy on Enhanced Barrier Precautions (EBP) for 2 of 3 residents observed for EBP and failed to implement their policy on cleaning and disinfecting a point of care device for 1 of 1 glucometer observed. (Resident identifiers are #23 and #49.)Findings include: Observation on 7/30/25 at 9:45 a.m. of the [NAME] medication cart revealed a plastic cup on top of the medication cart with a glucometer in it. The glucometer had a dried pink/red smear on the back of the glucometer. Interview on 7/30/25 at 9:45 a.m. with Staff F (Licensed Practical Nurse) revealed that the glucometer is to be cleaned after each use with the Sani-wipes from the purple top container and confirmed the above substance on the glucometer. Review on 7/30/25 of the facility's policy Fingerstick glucose Measurement with a revision date of 7/15/25, revealed the following: 23. Clean and disinfect the blood glucose meter after use with EPA (Environmental Protection Agency) approved…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-13 · tag F0685 — pattern
  Assist a resident in gaining access to vision and hearing services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, it was determined that the facility failed to ensure that a resident received proper treatment to maintain hearing abilities by ensuring audiology appointments were made for 1 of 1 residents reviewed for Communication-Sensory in a final sample of 17 residents (Resident identifier is #36). Findings include: Interview on 6/11/24 at 10:38 a.m. with Resident #36 revealed that he/she was very hard of hearing and that his/her hearing aids were not working well. Resident #36 stated that he/she had been waiting a long time to see the hearing doctor and was not sure the status of the referral. Review on 6/11/24 of Resident #36's care plan revealed that the resident had impaired communication related to impaired hearing in both ears. Further review revealed an intervention initiated on 6/8/22 to obtain audiology exams as indicated. Review on 6/11/24 of Resident #36's Clinical Documentation Supporting Medical and/or Surgical Need for Audiology Services revealed that Complaints of vertigo and/or dizziness was checked. This form was signed on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-13 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, it was determined that the facility failed to provide sufficient staff to meet residents' needs on Saturdays and Sundays in January 2024, February 2024, and March 2024. Findings include: Review of the facility's Payroll Based Journal (PBJ) Staffing Data Report for Fiscal Year Quarter 2 2024 (January 1 - March 31) revealed that the facility triggered for excessively low weekend staffing. Interview on 6/13/ 24 at 8:30 a.m. with Staff B (Unit Manager) revealed that during the winter months especially in January, February and March, short staffing was a real concern on the weekends. Review on 6/13/24 of the 2024 Facility Assessment revealed the following staffing levels for direct care staff: Licensed Nurses (Registered Nurse (RN), Licensed Practical Nurse (LPN), or Medication Nursing Assistant (MNA)) - 12-hour day shift was 3 and 12-hour night shift was 2; Nurse aides (Certified Nursing Assistant (CNA), Licensed Nursing Assistant (LNA)) - 7:00 a.m. to 3:00 p.m. (day)shift was 6, 3:00 p.m. to 11:00 p.m. (Evening) shift was 6, and 11:00 p.m. to 7:00…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2024-06-13 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined that the facility failed to follow physician's orders for 3 residents in a final sample of 17 residents (Resident Identifiers are #22, #25, and #64). Findings include: Standards: [NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 7th ed. St. Louis, Missouri: Mosby Elsevier, 2009. Page 336- Physicians' Orders, .The physician is responsible for directing medical treatment. Nurses follow physician's orders unless they believe the orders are in error or harm clients. Therefore you need to assess all orders, and if you find one to be erroneous or harmful, further clarification from the physician is necessary . Resident #25 Review on 6/12/24 of Resident #25's June Medication Administration Record (MAR) revealed a physician's order for Metoprolol Tartrate 25 milligrams (mg) twice daily for blood pressure. Hold for systolic blood pressure (SBP) less than 100. Further review revealed the following: -On 6/2/24 at 8:00 a.m. a SBP of 99 and was documented as being…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-13 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined that the facility failed to ensure that a resident received effective pain management for 1 out 1 resident reviewed for pain in a final sample of 17 residents (Resident Identifier is #118). Findings include: Interview on 6/11/24 at approximately 11:00 a.m. with Resident #118 revealed that he/she was admitted to the facility on [DATE] around lunch time. Further interview revealed that Resident #118 was in pain at the time of admission and the pain continued until about 5:00 a.m. this morning when he/she received their pain medications. Resident # 118 stated I guess they were unable to get my pain medication and I was in pain all night, I barely slept. Review on 6/12/24 of Resident #118's Clinical Admission, dated 6/10/24 at 12:45 p.m. revealed resident #36's pain level was a 7 out of 10. Review on 6/12/24 of Resident #118's June 2024's Medication Administration Record revealed the following physician's order: Oxycodone Hydrochloric Acid (HCL) Tablet 5…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to GENESIS HEALTHCARE — 184 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 70% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $939K paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NH