Mountain Ridge Center, Genesis HealthCare
7 Baldwin Street, Franklin, NH 03235 · For profit - Limited Liability company · 86 certified beds · (603) 934-2541 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- CMS lists it as a Special Focus candidate — not on the watch list itself, but among the homes CMS is watching because of its recent inspection history
- it has a citation for mishandling residents’ money or property (F0565)
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $38,842 in federal fines (most recent 2026-05-29)
- its independent health-inspection rating is low (1/5)
- its payroll-based staffing rating is low (1/5)
- its facility-reported quality-measure rating is low (1/5)
- nursing-staff turnover (68%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 1 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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
| Overall quality measures | 1 of 5 |
| Long-stay residentspeople who live here | 1 of 5 |
| Short-stay residentsrehab / post-hospital | 1 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 1 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 34.7% | 22.7% | 15.4% | worse |
| Long-stay residents who lose too much weight | 5.8% | 5.4% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.4% | 1.1% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 3.6% | 2.1% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 21.5% | 13.7% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.2% | 4.4% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 26.5% | 17.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 16.9% | 19.0% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 98.6% | 98.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 10.8% | 4.2% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 30.4% | 25.7% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 19.7% | 17.8% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 3.9% | 1.3% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 81.4% | 83.0% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 26.8% | 22.2% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 19.7% | 13.4% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.02 | 1.64 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 4.11 | 1.87 | 1.80 | worse |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
40.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 101 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 45.5% 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 55 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 0.45 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 15% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 40.6%CMS range 32.1–50.2 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.8%CMS range 9.5–17.0 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 45.5% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 45.5% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 36.4% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.2% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 15.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 9.8%CMS range 6.4–16.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.20 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 86 beds and averages 59.8 residents a day — about 70% occupied, or roughly 26 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.40 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.72 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.96 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 2.91 hrs/resident/day on weekends vs 3.60 on weekdays — 19% thinner on weekends. RN hours go from 0.88 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 68% is well above the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
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 more than at the previous inspection — worsening. 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.
19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.
- Immediate jeopardy · J2026-05-29 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, and record review, the facility failed to ensure residents were free from potential exposure to bloodborne pathogens when staff used a resident's insulin pen on two residents (Resident identifiers are #62 and #70). The facility also failed to implement infection control policies for hand hygiene and disinfection of equipment for 2 of 7 residents observed during medication administration (Resident identifiers are #41 and #48). Findings include: Resident #62 and Resident #70 Interview on 5/28/26 at approximately 8:30 a.m. with Resident #62 revealed he/she received someone else's insulin yesterday afternoon. Interview on 5/28/26 at approximately 9:30 a.m. with Staff B (Licensed Practical Nurse (LPN)) revealed that on 5/27/26, he/she used Resident #70's used Novolog (insulin) pen to administer a lunch meal dose of insulin to Resident #62 then put back Resident #70's insulin pen in the medication cart. At approximately 4:00 p.m., Staff B was notified by Staff E (Director of Nursing) that he/she administered insulin to the wrong resident. Resident #70's…
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.
- Potential for harm · E2026-05-29 · tag F0565 — failed to support the resident council — patternHonor the resident's right to organize and participate in resident/family groups in the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and medical record review, the facility failed to act promptly upon the grievances and recommendations of issues of resident care raised at Resident Council Meeting for 2 of 2 months of resident council minutes reviewed. Findings include:Interview on 5/27/26 at approximately 10:00 a.m. during Resident Council Meeting revealed that the group had complained about long call bell wait times over the last 2 months. Residents at this meeting stated they do not feel this concern was addressed and that no one had followed up to inform them of what if any actions had been taken since the initiation of the concerns.Review on 5/27/26 of the facility's Resident Council Meeting minutes revealed the following documented concerns under Nursing:March 19, 2026, minutes: Residents are concerned that call lights aren't consistently responded to timely.April 16, 2026, minutes: Residents are concerned that call lights aren't consistently responded to timely. Previous months grievances reviewed for resolution was marked No.May 21, 2026, minutes: Previous months grievances reviewed 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.
- Potential for harm · Dcited before2026-05-29 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, interview, and record review, the facility failed to ensure that insulin was administered per manufacturer's instructions for 1 of 7 residents observed for medication administration (Resident identifier is #55).Findings include: Resident #55 Review on 5/26/26 of Resident #55's physician orders revealed an order for Novolog Insulin (Aspart Insulin) per sliding scale before meals for Diabetes Mellitus. Observation on 5/26/26 at 11:45 a.m. of Resident #55's insulin administration with Staff A (Licensed Practical Nurse (LPN)) revealed when injecting the insulin, with the insulin pen, Staff A held the plunger of the insulin pen for approximately 4 seconds. Interview on 5/26/26 at approximately 11:45 a.m. with Staff A confirmed the above observation. Review on 5/26/26 of Insulin Aspart manufacturer instructions for use revealed .Keep the needle in the skin for at least 6 seconds, and keep the push-button pressed all the way in until the needle has been pulled out from the skin.This will make sure that the full dose has been given.
- Potential for harm · D2026-05-29 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure residents remained free of insulin medication errors for 2 of 2 residents reviewed for significant medication error in a final sample of 19 residents. (Resident identifier are #62 and #70.) Findings include:Resident #62Interview on 5/28/26 at approximately 8:30 a.m. with Resident #62 revealed he/she received someone else's insulin yesterday afternoon. Resident #62 stated that a male staff member approached her in the dining room and asked, Are you [first name omitted]?Review on 5/28/26 of Resident #62's provider note dated 5/27/26 revealed that .Nursing discovered that this pt likely received another pt's insulin (with the same first name). This insulin [pronoun omitted] received was rapid acting, whereas the pt typically receives BID (twice a day) 70/30 (long acting) insulin. For this reason, the pt was assessed for signs of acute hypoglycemia .Review on 5/28/26 of Resident #62's active physician orders revealed the following: Novolin 70/30 Flexpen Subcutaneous Suspension Pen-Injector (70-30) 100 Unit/ML…
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.
- Potential for harm · Dcited before2026-05-29 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, interview, and record review, the facility failed to ensure medications were labeled according to professional standards on 1 of 3 medication carts observed. Findings include:Review on 5/28/26 of the facility's policy, Insulin Pens, revised 5/1/25, revealed: .Insulin pens will be clearly labeled with the patient's name, physician name, dated used. Observation on 5/28/26 at approximately 9:30 a.m. of the 200's Medication Cart with Staff E (Director of Nursing (DON)) revealed the following: Resident #59's Novolog insulin pen (Insulin Aspart), the pen was not labeled with the patient or physician's name.Resident #70's Novolog insulin pen (Insulin Aspart), the pen was not labeled with the patient or physician's name.Resident #70's Lantus insulin pen (Insulin Glargine), the pen was not labeled with the patient or physician's name. Interview on 5/28/26 at approximately 9:45 a.m. with Staff E confirmed the above findings.
- Potential for harm · D2026-05-29 · tag F0806 — failed to honor food preferences — isolatedEnsure 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 observations, interview, and record review, the facility failed to ensure a resident's diet preferences were followed for 1 of 4 residents reviewed for nutrition in a final sample of 19 residents. (Resident identifier is #70.)Findings include:Interview on 5/26/26 at approximately 9:50 a.m. with Resident #70 revealed, I am supposed to be on a vegetarian diet.Review on 5/27/26 of Resident #70's medical record revealed a nutritional assessment, dated 3/3/26, that stated .on a low sodium diet/Vegetarian (per [pronoun omitted] request). Nutritional care plan, created 7/12/24, revealed an intervention to honor food preferences within meal plan.Observation on 5/28/26 at approximately 12:15 p.m. of Resident #70 in the main dining room with chicken salad on their plate for lunch. Resident #70's meal ticket that read, . 2gm [gram] Sodium No salt packet! No pork; requests vegetarian diet.Interview on 5/28/26 at 1:20 p.m. with Staff C (Dietary Manager) stated that Resident #70's preference is for a vegetarian diet but since he/she has an order for a 2gm sodium diet they are only given…
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.
- Potential for harm · Fcited before2025-06-20 · tag F0725 — failed to have enough nursing staff — widespreadProvide 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 record review and interview, it was determined that the facility failed to provide sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in a census of 68 residents. Findings include: Review on 6/19/25 of Mountain Ridge Facility Assessment 2025 revealed staff/personnel required listed staff by shift for the entire facility and did not list staff/personnel required per resident unit. Review on 6/19/25 of personnel files revealed the following staff with light duty restrictions: Staff F (LNA with a 10 pound lifting restriction) and Staff R (LNA with a 10 pound lifting restriction). Interview on 6/19/25 at approximately 1:00 p.m. with Staff A (Administrator) revealed that the facility considered Licensed Nursing Assistant (LNA) that are on light duty as a full duty staff when scheduling. Review on 6/19/25 of 30 days of staffing schedules from 5/20/25 to 6/18/25 revealed the following days with Staff F and/or Staff R working on light duty: On 5/20/25, 5/21/25, 5/26/27, 5/27/25, 5/28/25, 5/29/25,…
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.
- Potential for harm · D2025-06-20 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, it was determined the facility failed to provide needed care for 2 of 3 residents reviewed for quality of care. (Resident identifiers are #5 and #17 ). Findings include: Resident #5 Review on 6/19/25 of Resident #5's Bowel Movement Size Task Record revealed the following: Resident #5 had a bowel movement on 5/21/25 and 5/31/25. Resident #5 did not have a bowel movement on 5/22/25-5/30/25 (9 days). Resident #5's most recent bowel movement was on 6/12/25. Resident #5 did not have a bowel movement on 6/13/25-6/18/25 (6 days). Review on 6/19/25 of Resident #5's May and June 2025's MAR's (Medication Administration Records) revealed the following physician orders: May 2025 Milk of Magnesia Suspension 400 mg/ml (milliliters) (Magnesium Hydroxide) Give 30 ml by mouth as needed for Constipation give at bedtime if no BM (Bowel Movement) in 3 days, start date 5/15/25. This was not documented as being offered to Resident #5 from 5/25/25-5/30/25. Dulcolax Suppository 10 mg (milligrams) (Bisacodyl) Insert 1 suppository rectally as needed for Constipation, if…
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.
- Potential for harm · D2025-06-20 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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 maintain weight for 1 of 2 residents reviewed for nutrition in a complaint survey. (Resident identifiers are #16). Findings include:Resident #16 Review on 6/20/25 of the facility provided matrix revealed that Resident #16 had significant weight loss. Review on 6/20/25 of Resident #16's Weight Summary revealed: 5/1/25 Resident #16's weight was 154.6 6/6/25 Resident #16's weight was 144.0 (9.4 pound loss) Review on 6/20/25 of Resident #16's Nutrition Assessments revealed that the last time he/she was seen by the dietician was 2/18/25. Review on 6/20/25 of Resident #16's Physician Regulatory Visit, dated 5/31/25 revealed no mention of recent weight loss, under Past Medical History mentioned weight loss Review on 6/20/25 of Resident #16's documented meal intake titled, Eating Task, Amount eaten (last 30 days) revealed: 5/23 1 meal documented eaten 5/25 2 meals documented eaten 5/26 1 meal documented eaten 5/28 1 meal documented eaten 5/30 1 meal documented eaten 5/31 2 meals documented eaten 6/1 1 meal…
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.
- Potential for harm · Dcited before2025-06-20 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
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 medications were labeled according to professional standards on 2 of 3 medication carts observed. Findings include: Observation on 6/19/25 at approximately 7:15 a.m. of the 200's Medication Cart with Staff T (Licensed Practical Nurse (LPN)) revealed the following: Resident #10's Incruse Ellipta inhaler, opened and not labeled with an open/expiration date Resident #11's Breztri inhaler, opened and not labeled with an open/expiration date Interview on 6/19/25 at approximately 7:15 a.m. with Staff T confirmed the above findings. Observation on 6/19/25 at approximately 7:30 a.m. of the 300's Medication Cart with Staff BB (LPN) revealed the following: Resident #5's Breztri inhaler, opened and not labeled with an open/expiration date Resident #12's 2 Breztri inhalers, opened and not labeled with an open/expiration date Resident #13's Spiriva inhaler, opened and not labeled with an open/expiration date Resident #14's Trelegy inhaler, opened and not labeled with an open/expiration date…
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.
- Potential for harm · D2025-06-20 · tag F0770 — failed to provide lab services — isolatedProvide timely, quality laboratory services/tests to meet the needs of residents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, it was determined the facility failed to provide timely laboratory services to meet the needs of its residents for 1 of 1 resident reviewed for laboratory services. (Resident identifier is #2.) Findings include: Interview on 6/19/25 at 7:55 a.m. with Staff CC (Licensed Practical Nurse) revealed that Resident #2 had a physician's order to obtain a UA (urinalysis) that had not been completed timely. Review on 6/19/25 of Resident #2's physician's orders revealed an order written on 5/6/25, UA with culture and sensitivity one time only for delusions Review on 6/19/25 of Resident #2's May 2025's Treatment Administration Record revealed that the urine had been obtained on 5/7/25. Review on 6/19/25 of Resident#2's medical record revealed that there were no laboratory results for UA on 5/7/25. Review on 6/19/25 of Resident #2's medical record revealed a nursing note, dated 5/13/25 revealed: a urine specimen was collected on 5/13/25 and brought to local laboratory. Interview on 6/19/25 at 11:20 a.m. with Staff Z (Nurse Practitioner) revealed that 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.
Show the remaining 8 citations
- Potential for harm · D2025-04-17 · tag F0553 — failed to let residents help plan their care — isolatedAllow resident to participate in the development and implementation of his or her person-centered plan of care.
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 facilitate the inclusion of the resident and/or representative in quarterly care plan meetings for 2 residents in a final sample of 18 residents. (Resident identifiers are #4 and #54). Findings include: Resident #4 Interview on 4/14/25 at approximately 11:00 a.m. with Resident #4's Durable Power of Attorney (DPOA) revealed that he/she had not been notified or invited and had not attended a care plan meeting in about two years. Review on 4/14/25 of Resident #4's medical record revealed that Resident #4 was admitted to the facility in 2023 and there were no care plan meeting notes after 2023. Interview on 4/14/25 at approximately 1:00 p.m. with Staff A (Director of Social Services) revealed that Resident #4 was on the calendar for care plan meetings on 12/3/24 and 5/28/24 but Staff A had no documentation or recollection of the meetings or of Resident #4's DPOA being invited to the meeting. Resident #54 Interview on 4/15/25 at 9:10 a.m. with Resident #54's DPOA revealed that Resident #54 was admitted to…
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.
- Potential for harm · Dcited before2025-04-17 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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 professional standards for physician ordered medication parameters for 1 of 8 residents reviewed for unnecessary medications in a final sample of 18 residents (Resident Identifier is #38). Findings include: Standards: [NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 10th edition St. Louis, Missouri: Elsevier, 2021. Page 614 .Do not give a medication until you are certain that you can follow the seven rights of medication administration . Page 672 .seven rights of medication administration include right medication, right dose, right patient, right route, right time, right documentation and right indication . Review on 4/16/25 of Resident #38's medical record revealed the following a physician's orders: Morphine Sulfate Oral Tablet 30 MG (Milligram) (Morphine Sulfate), give 30 mg by mouth every 4 hours as needed for pain (PRN) 7/10 (a pain level of 7 out of 10) or greater, start date 2/17/25 and discontinued 3/20/25.;…
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.
- Potential for harm · Dcited before2025-04-17 · tag F0725 — failed to have enough nursing staff — isolatedProvide 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 observation, interview, and record review, it was determined that the facility failed to provide sufficient nursing staff for 24 out of 30 days of nursing staff schedules reviewed reviewed between 3/15/25 and 4/15/25. (Resident identifiers are #34, #36, #52, #54, #55, and #278). Findings include: Interview on 4/14/25 at approximately 10:47 a.m. with Resident #278 revealed that he/she waits for staff to get him/her up and dressed. Resident #278 stated that he/she is at the facility for short-term rehabilitation following a back fracture and he/she requires assistance for care. Resident #278 stated that he/she has had an incontinent episode while waiting for his/her call bell to be answered to go to the bathroom. Interview on 4/17/25 with Staff I (Scheduling Coordinator) revealed that the schedule has been consitantly short staffed since they started three weeks ago. Interview on 4/11/25 with Staff N (Anonymous direct care staff) revealed that the facility does not have enough Licensed Nursing Assistant (LNA) staff to care for the residents on a routine basis. Staff N stated…
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.
- Potential for harm · Dcited before2025-04-17 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
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 ensure that expired medications were removed from stock and multi-dose vials were dated when opened in 1 of 1 medication room observed. Findings include: Observation on 4/14/25 at approximately 8:15 a.m. of Medication Room with Staff B (Registered Nurse) revealed the following expired and opened/undated medications and biological: One opened bottle of Tuberculin Purified Protein Derivative (Mantoux) solution with no open date or open expiration date in the vaccine refridgerator; One bottle of opened Afluria, Influenza Vaccine 2024-2025 Formula with no open date or open expiration date in the vaccine refridgerator; Three bags of IV (Intravenous) Vancomycin (antibiotics) 850 mg (milligrams)/267 ml (milliliters) NS (Normal Saline) for Resident #48 with an expiration date of 3/10/25 in the medication room refrigerator; Three bags of IV Zosyn (antibiotic) Intravenous Solution 3-0.375 GM (Grams)/50 ml for Resident #46 with an expiration date of 3/26/25 in the medication room refrigerator. Interview 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.
- Potential for harm · Dcited before2024-06-27 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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 adhere to physician ordered medication parameters for 1 of 3 residents reviewed for pain in a final sample of 22 residents (Resident Identifier #1). 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 . Review on 6/25/24 at approximately 12:48 p.m. of Resident #1's physician orders revealed an order for Oxycodone HCI [Hydrochloride] 5 MG [Milligrams] give 1 tablet by mouth at bedtime for pain management AND give 1 tablet by mouth every 6 hours as needed for pain 5/10 or greater. With a start date of 5/29/24. Review 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.
- Potential for harm · D2024-06-27 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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 ensure residents were offered and/or provided education on the risks and benefits of Pneumococcal immunization for 1 of 5 residents reviewed for immunizations (Resident Identifier #73). Findings include: Review on 6/27/24 of Resident #73's medical record revealed that Resident #73 was admitted to the facility in February 2024. Further review revealed that Resident #73 had no Pneumococcal immunization history in the medical record nor was their education/consent/declination for Pneumococcal vaccine present. Interview on 6/27/24 at approximately 8:45 a.m. with Staff C (Infection Preventionist) confirmed that Resident #73 had not been offered or educated on the risks/benefits of pneumonia vaccines and should have been on admission. Review on 6/27/24 of facility policy titled Pneumococcal Vaccination, revealed: . 1. Upon admission, obtain the pneumococcal vaccination history of all patients .Adults aged greater than or equal to 65 years who have not previously received a pneumococcal conjugate vaccine or…
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.
- No harm found · C2025-06-20 · tag F0838 — failed to assess facility resources and resident needs — widespreadConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and record review, it was determined that the facility failed to ensure that the facility assessment included specific staffing needs for each resident unit for a census of 68 residents. Findings include: Review on 6/19/25 of Mountain Ridge Facility Assessment 2025 revealed .3. Staff/Personnel required .Combination of RN/LPN: 24 hours Day Shift, 24 Hours evening Shift, 16 Hours night shift (Hours listed for full census) LNA Staff: 52.5 hours Day Shift, 52.5 hours Evening Shift, 22.5 Evening Shift Hours listed for full census) May fluctuate based on census and acuity Further review revealed that the facility assessment did not identify staffing needs per resident unit. Interview with Staff A (Administrator) on 6/20/25 at approximately 11:00 a.m. confirmed the Facility Assessment did not consider the needs of each resident unit.
- No harm found · B2025-04-17 · tag F0582 — patternGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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 the resident and/or resident representative a timely Notice of Medicare Non-Coverage (NOMNC) for 1 out of 3 residents, and failed to provide the resident and/or representative the Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) for 2 out of 3 residents reviewed for beneficiary notices. (Resident identifiers are #53 and #48). Finding include: Resident #48 Review on 4/15/25 of Beneficiary Notice - Residents discharged Within the Last Six Months form, completed by the facility, revealed that Resident #48's last covered day of Medicare Part A Services was on 4/8/25 with benefit days remaining. Resident #48 remained in the facility. Review on 4/15/25 of Resident #48's NOMNC revealed a last covered day of 4/8/25. Resident #48 was notified on 4/7/25. Interview on 4/15/25 at approximately 1:30 p.m. with Staff H (Business Office Manager) confirmed that Resident #48's NOMNC was not given 48 hours notice. Further interview with Staff H revealed that the SNF ABN was not provided to Resident…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$38,842 in federal fines across 1 penalty.
- $38,842 — penalty dated 2026-05-29
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 1 of 5 | 2.4 | -1.4 vs chain |
| Health inspection | 1 of 5 | 2.3 | -1.3 vs chain |
| Staffing | 1 of 5 | 2.5 | -1.5 vs chain |
| Quality measures | 1 of 5 | 3.5 | -2.5 vs chain |
The other 183 homes this chain runs (chain average 2.4★, per CMS)
Showing 40 of 183; lowest-rated first.
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
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| GENESIS NH HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 04/01/2011 |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GENESIS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GENESIS OPERATIONS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| GHC HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/02/2015 |
| WHITMAN, ARNOLD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/31/2011 |
| BERG, MICHAEL | Individual | CORPORATE OFFICER | — | since 12/01/2012 |
| BRIDGEFORD, LAURA | Individual | CORPORATE OFFICER | — | since 06/01/2024 |
| MENDELSON, AVI | Individual | CORPORATE OFFICER | — | since 06/01/2024 |
| EPHREM, VERCIN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/10/2025 |
| HAIDEMENOS, NICHOLAS | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2019 |
CMS files one row per role, so the 19 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.
10 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.
This home reported $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New Hampshire Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 305075. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-29, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.