Jaffrey Rehabilitation And Nursing Center

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.

47.2% 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 71 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.2% 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 41 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 0.21 therapist hours per resident per day in 2026Q1 — more than 25% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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 83 beds and averages 76.1 residents a day — about 92% occupied, or roughly 7 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 3.41 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.81 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 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 3.20 hrs/resident/day on weekends vs 3.50 on weekdays — 9% thinner on weekends. RN hours go from 0.86 to 0.68 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Fcited before2026-05-21 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  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 implement control measures from their water management plan to prevent the growth and spread of Legionella and other water borne pathogens in a facility with a census of 72 residents. Findings Include: Review on 5/20/26 of facility's Legionella Water Management Plan revealed: Control Measures and Corrective Actions 4. Flush hot water tank sediment at least annually. 7. Remove and clean shower heads (including handheld wands) used for resident bathing. Clear strainers and pressure restrictors of sediment and potential biofilm, at least annually. Interview on 5/20/2026 at 9:28 a.m. with Staff B (Director of Maintenance) confirmed that there was no documentation the above control measures were performed. Review on 5/20/26 of facility policy titled Legionella Water Management Program, revised in September 2022, revealed: 5. The water management program includes the following elements: f. The control limits or parameters that are acceptable and that are monitored .

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-21 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on Interview and record review, the facility failed to provide documentation that the resident or resident representative was informed in advance of treatment risks and benefits, options and alternatives prior to initiating psychotropic medications for 1 of 5 residents reviewed for unnecessary medications in a final sample of 18. (Resident identifier is #31.)Findings include: Review on 5/21/26 of Resident #31's current physician's orders revealed the following order Clonazepam Oral Tablet 0.5 MG (Milligrams) give 0.5 tablet by mouth one time a day for anxiety related to Dementia in other diseases classified elsewhere, unspecified severity with anxiety and give 1 tablet by mouth at bedtime; dated 11/14/25Review on 5/21/26 of Resident #31's medical record revealed there was no consent signed by the resident or resident representative at the initiation of the medication on 11/14/25.Interview on 5/21/26 at approximately 12:02 p.m. with Staff A (Director of Nursing) confirmed the above findings.Review on 5/22/26 of the facility's policy Psychotropic Medication use, Revision 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-21 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 that a resident receiving psychotropic medications received a gradual dose reduction (GDR) for 1 or 5 residents reviewed for unnecessary medications in a final sample of 18 residents (Resident identifier is #6 ).Findings include: Resident #6 Review on 5/21/26 of Resident #6's medication orders revealed an order for Seroquel 50 milligrams (mg) with an order date of 8/17/23 and Remeron 30mg with an order date of 3/2/2023. Review on 5/21/26 of Resident #6's psychiatric notes dated 2/4/26, 2/18/26, 4/15/26, 5/13/26, and 5/18/26 revealed no clinical contraindication for a GDR. Review on 5/21/26 of Resident #6's progress notes for the last year revealed no documentation of a gradual dose reduction. Interview on 5/21/26 at approximately 12:30 p.m. with Staff A (Director of Nursing) confirmed Resident #6 had not had a GDR in the last year and that there was no documentation of a clinical contraindication for a GDR.in Resident #6's medical record. Review on 5/21/26 of facility policy titled Tapering Medication and Gradual…

  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 · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-21 · 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, the facility failed to follow physician's order for 1 of 2 residents reviewed for choices in a final sample of 18 residents (Resident identifier is #1).Findings include:[NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 10th edition St. Louis, Missouri: Elsevier, 2021. Page 614 .It is essential to verify the accuracy of every medication you give to your patients with the patient's order. If the medication order is incomplete, incorrect, or inappropriate, or if there is a discrepancy between the original order and the information on the MAR [Medication Administration Record]. consult with the health care provider. 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 5/19/26 of Resident #1's May 2026 Medication Administration…

  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 · Dcited before2026-05-21 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facility failed to ensure all drugs and biologicals were maintained in a locked cart in 1 of 2 medication carts observed (Chapel Unit medication cart).Findings include:Chapel Unit medication cartObservation on 5/19/26 at approximately 8:15 a.m. of Chapel Unit medication cart revealed the cart was left unlocked for approximately 3 minutes with no responsible staff nearby.Interview on 5/19/26 at approximately 8:15 a.m. of Staff H (Medication Nursing Assistant) confirmed the above finding.Review on 5/20/26 of facility policy titled Medication Labeling and Storage revised date February 2023 revealed . Policy Interpretation and Implementation.4. Compartments (including but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing medications and biologicals are locked when not in use.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-21 · tag F0800 — isolated
  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
  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 that a resident's dietary preferences were taken into consideration 1 of 2 residents reviewed for choices in a final sample of 18 residents. (Resident identifier is #12.)Findings include: Interview on 5/19/26 at approximately 9:08 a.m. with Resident #12 revealed that he/she does not get what they want for breakfast. Resident #12 further revealed that, The Speech pathologist made all kinds of changes to my diet and that I can't have bacon. Resident #12 revealed that he/she would like bacon with his/her breakfast each day.Observation on 5/20/26 at approximately 8:41 a.m. of Resident #12 in the main dining room revealed the Resident #12's breakfast consisted of fried eggs, oatmeal with syrup, and pancakes.Interview on 5/20/26 at approximately 8:45 a.m. with Resident #12 revealed that he/she did not have bacon with breakfast and that I am not allowed to have bacon.Review on 5/20/26 of Resident #12's medical record Health status note 5/10/26 revealed, .ST (Speech Therapist) screened resident during lunch .…

  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 · F2025-04-16 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  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 a Registered Nurse (RN) was on duty for at least eight (8) consective hours a day, 7 days a week, for 2 days in Fiscal Year Quarter 1 2025. Findings include: Review on 4/14/25 of the Payroll Based Journal Staffing Data [NAME] Report for Fiscal Year Quarter 1 2025 revealed that the facility triggered for failing to have Registered Nurse (RN) hours for 8 consecutive hours a day for 78 days during October 2025, November 2025, and December 2025. Review on 4/16/25 of the facility's Payroll Detail and Daily Attendance Report revealed that there was no RN coverage on 10/7/24 and 11/24/24. Interview on 4/16/25 at 2:37 p.m. with Staff K (Human Resources) confirmed there was no RN coverage on 10/7/24 and 11/24/24.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-16 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  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 a medication error rate less than 5 percent (%) for 2 of 28 medication administrations observed. (Resident Identifiers are #38 and #224). Findings include: Resident #38 Observation on 4/14/25 at 9:02 a.m. of the morning medication administration for Resident #38 with Staff L (Licensed Practical Nurse (LPN)) revealed Staff L prepared one tablet of Calcium Carbonate 600 milligrams (mg) and one tablet of Vitamin D 1000 units and attempted to administer the medications to Resident #38. Review on 4/14/25 of Resident #38's April 2025 Medication Administration Record (MAR) revealed a physician's order for Calcium Carbonate (600 mg) with Vitamin D and minerals (400 units) and to give 1 tablet by mouth daily. Interview on 4/14/25 at 9:02 am. with Staff L revealed that the facility did not have the Calcium Carbonate (600 mg) with Vitamin D (400 units) and minerals at the facility. Interview on 4/14/25 at 1:55 p.m. with Staff L confirmed the above and that he/she had administered 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-16 · tag F0851 — pattern
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  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 submit complete and accurate data for Payroll Based Journal (PBJ) for Fiscal Year Quarter 1 2025 (October 1, 2025 to December 31, 2025). Findings include: Review on 4/14/25 of the Payroll Based Journal Staffing Data [NAME] Report for Fiscal Year Quarter 1 2025 revealed that the facility failed to have Registered Nurse (RN) hours and failed to have Licensed Nursing Coverage 24 hours a day on the following dates: 10/1/24 to 10/31/24; 11/1/24 to 11/30/24; and 12/15/25 to 12/31/25. Review on 4/16/25 of the facility's Payroll Detail and Daily Attendance Report revealed that there was 24 hour of Licensed Nurse coverage on the above days. Further review revealed that there was RN coverage on all but 2 days days (10/7/24 and 11/24/24). Interview on 4/16/25 at 2:37 p.m. with Staff K (Human Resources) confirmed there was Licensed Nursing Coverage 24 hours a day and there was no RN coverage on 10/7/24 and 11/24/24. Review on 4/16/25 of Centers for Medicare & Medicaid Services (CMS) Electronic Staffing Data…

  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 · Dcited before2025-04-16 · 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 observation, interview, and record review, it was determined that the facility failed to follow professional standards for 1 of 1 residents reviewed for respiratory care in a final sample of 18 residents (Resident identifier is #223). Findings include: Resident #223 [NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 10th edition St. Louis, Missouri: Elsevier, 2021. Page 614 .It is essential to verify the accuracy of every medication you give to your patients with the patient's order. If the medication order is incomplete, incorrect, or inappropriate, or if there is a discrepancy between the original order and the information on the MAR [Medication Administration Record]. consult with the health care provider. 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 .…

  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

“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 EPHRAM LAHASKY — 22 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 5 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

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