Laconia Rehabilitation 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.

54.1% 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 147 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.0% 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 110 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 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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 120 beds and averages 103.9 residents a day — about 87% occupied, or roughly 16 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 3.65 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 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 3.21 hrs/resident/day on weekends vs 3.82 on weekdays — 16% thinner on weekends. RN hours go from 0.81 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below 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 11 most serious are shown; the remaining 10 are one tap away and print in full.

• Actual harm · Gcited before2024-01-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and policy review it was determined that the facility failed to properly assess the resident after a fall for 1 of 1 residents reviewed for accidents (Resident Identifier is #1). Findings include: Review on 1/4/24 of Resident #1 Brief Interview for Mental Status (BIMS) dated 9/8/23 revealed a score of 15 which indicated that Resident #1 was cognitively intact. Further review of Resident #1's physician's orders revealed the following order for an anticoagulant for Resident #1: Apixaban 5 mg [milligrams], 1 tablet by mouth every 12 hours for anticoagulant, start date 10/13/22. Interview on 1/4/24 at approximately 9:15 a.m. with Resident #1 revealed that he/she was being transported to an appointment on 11/28/23 by Staff D (Wheelchair Van Driver) via the facility wheelchair van. Interview further revealed that Resident #1 had on a waist seat belt but not a shoulder seat belt when the incident occurred. Resident #1 stated that a car pulled out in front of them and Staff D slammed on the brakes causing him/her to land on the floor of the van with…

  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 · Past Non-Compliance
• Potential for harm · Ecited before2025-05-30 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Resident #6 Review on 5/30/25 of Resident #6's care plan meeting notes revealed that Resident #6 had care plan meetings on 11/29/24 and 1/10/25. There was no evidence of a quarterly care plan meeting documented after 1/10/25. Resident #22 Interview on 5/28/25 with Resident #22 at approximately 11:30 a.m. revealed that Resident #22 reported that he/she had was not invited or participated in a care plan meeting for about 6 months. Review on 5/30/25 of Resident #22's care plan meeting notes revealed that Resident #22 had a care plan meeting on 11/27/24. Interview on 5/30/25 at approximately 10:50 a.m. with Staff D (Regional Nurse) confirmed that there is no evidence of quarterly care plan meetings being completed after 11/27/24. Resident #23 Review on 5/30/25 of Resident 23's care plan meeting notes revealed that Resident #23 had a care plan meeting on 9/7/24 and 5/1/25. Further review revealed that there was no evidence of a quarterly care plan meeting documented in December of 2024 or March of 2024. Resident #29…

  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 · D2025-05-30 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 report an injury of unknown source timely to the State Survey Agency (SSA) for 1 of 2 residents reviewed for accidents in a final sample of 24 residents (Resident identifier is #7). Findings include: Review on 5/30/25 of Resident #7's medical records revealed a nurses note, dated 5/25/25, that stated Resident #7 had been sent to the emergency room for evaluation due to complaints of right wrist pain. Further review of Resident #7's medical record revealed a nurses note, dated 5/26/25, .brace for right wrist fx (fracture) .can be worn as long as needed for comfort and support. No other acute findings . Interview on 5/30/25 at approximately 9:00 a.m. with Staff A (Administrator) revealed that they were told about Resident #7's injury on 5/26/25. Staff A revealed that the source of the injury is unknown. Staff A confirmed that it was not reported to the SSA. Review on 5/3/25 of facility policy titled Abuse Prohibition, dated 1/24/22, revealed: 6.4 Injuries of unknown origin will be investigated 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-01 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview, and policy review, it was determined that the facility failed to establish and maintain a system of records of receipt and disposition of controlled drugs in sufficient detail to enable an accurate reconciliation for 3 out of 7 residents reviewed for controlled drugs (Resident Identifiers are #2, #6, and #7). Findings Include: Resident #7 Review on 10/1/24 of the controlled drug record for the Opechee Cart #1 for Resident #7's Diazepam 10 milligram (mg) tablets revealed that there were 22 tablets remaining on 9/30/24 at 8:20 a.m. Observation on 10/1/24 at approximately 9:20 a.m. with Staff A (Registered Nurse (RN)) of Resident #7's Diazepam 10 mg medication card revealed that there were 21 tablets remaining in the medication card. Interview on 10/1/24 at approximately 9:21 a.m. with Staff A confirmed the above findings. Resident #6 Review on 10/1/24 of the controlled drug record for Winnisquam D Cart for Resident #6's Clonazepam 0.5 mg tablets revealed that there were 58 tablets remaining on 10/30/24 at 10 p.m. Observation on 10/1/24 at…

  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 · Dcited before2024-10-01 · 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, policy review, and interview, it was determined that the facility failed to maintain locked storage of medications and biologicals in 1 of 3 medication carts. Findings include: Observation on 10/1/24 at 12:30 p.m. of Staff A (Registered Nurse) revealed they were at the Opechee Unit medication cart and walked into the medication room, leaving the medication cart unlocked in the hallway and out of sight until 12:33 p.m. with no other staff in the area of the medication cart. One resident was in the hallway in the area of the medication cart. Interview on 10/1/24 at 12:35 p.m. with Staff A confirmed the above findings. Review on 10/2/24 of the facility's policy, Storage and Expiration Dating of Medication, Biologicals, revised 8/7/23, revealed: .3.3 Facility should ensure that all medications and biologicals, including treatment items, are securely stored in a locked cabinet/cart or locked medication room that is inaccessible by residents and visitors .

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-31 · tag F0679 — failed to provide activities — isolated
  Provide activities to meet all resident's needs.
  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 activities were provided to support residents based on the resident's choices and care plan for 1 out of 1 residents reviewed for activities in a final sample of 23 residents (Resident Identifier is #106). Findings include: Resident #106 Observation on 5/29/24 at 9:48 a.m. in Resident #106's room revealed that Resident #106 was awake in her wheelchair with the television off. Resident #106 was staring into the hallway. Interview on 5/29/24 at 11:49 a.m. with Resident #106's family member revealed that he/she was concerned of the lack of music or television when he/she comes to visit Resident #106. Resident #106's family stated that Resident #106 may not be able to participate in activities, however Resident #5 can still listen, especially to activities like live music. He/She stated that Resident #106 was a singer and loved music, especially classical. Observation on 5/29/24 at 1:53 p.m. of the dining room revealed that there was a musician playing music for residents.…

  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 · D2024-05-31 · 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

  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 maintain infection control practices in regards to cleaning equipment during wound care in 1 out of 1 observations of pressure ulcer care observed in a final sample of 23 residents (Resident Identifier is #27). Findings include: Review on 5/31/24 of Resident #27's Skin and Wound Evaluation, dated 5/28/24, revealed that Resident #27 had a Deep Tissue Pressure Injury to the right dorsum hallux of the foot, measuring 0.1 by 0.4 by 0.5 centimeters. Review on 5/31/24 of Resident #27's May 2024 Treatment Administration Record revealed the following treatment orders: Cleanse pressure injury to right foot base of great toe with [wound cleanser], pat dry. Cover with oil emulsion to wound bed only, cover with non adherent foam and .wrap with a gauze bandaged roll every 3 days with a start date of 4/26/24. Cleanse [NAME] injuries to right calf with wound cleanser, pat dry, skin repair cream to dry periwound, apply oil emulsion…

  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 · D2023-08-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 with pressure ulcers had documentation of weekly assessments that contained measurements and descriptions of the pressure ulcers for 2 out of 5 residents reviewed for pressure ulcers (Resident Identifiers are #2 and #3). Resident #2 Review on 8/23/23 of Resident #2's weekly wound evaluations of their facility acquired Stage 3 pressure ulcer on their coccyx revealed the following: 8/23/23 Coccyx Stage 3 measurements 1.06 cm (centimeters) x (by) 1.52 cm; 8/10/23 Coccyx Stage 3 measurements 4.44 cm x 0.81 cm, progress stalled; 7/17/23 Coccyx Stage 3 measurements 2.9 cm x 0.5 cm, progress stalled; 6/28/23 Coccyx Stage 3 measurements 3.41 cm x 0.74 cm, progress stable; 6/9/23 Coccyx Stage 3 measurements 2.31 cm x 1.05 cm, progress stable; 5/24/23 Coccyx Stage 3 measurements 0.61 cm x 0.58 cm, progress improving. Interview on 8/23/23 at approximately 1:45 p.m. with Staff B (Director of Nursing) confirmed that Resident #2 was missing a total of 8 of the last 13 weeks. Resident #3 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-23 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview, and policy review it was determined that the facility failed to prevent a significant medication error for 1 of 5 residents reviewed for medication errors (Resident Identifier #1). Findings Include: Review on 8/23/23 at 8:30 a.m. of Resident #1's progress note dated 7/3/23 by Staff C (Nurse Practitioner) revealed that Resident #1 had an order for Torsmemide (diuretic) 20 milligram (mg) two times a day that had been discontinued by Staff A (Registered Nurse) on 5/24/23 as he/she thought it was a duplicate order. Review on 8/23/23 of Resident #1's Medication Administration Record (MAR) from 5/23/23 to 7/31/23 revealed that there was no order for Tormedmide from 5/24/23 to 7/3/23 and restarted 7/4/23. Resident #1 had not received the medication during that time period. Further review of the MAR revealed that the resident was taking Tormedmide for edema/congestive heart failure. Interview on 8/23/23 at 2:00 with Staff A (Registered Nurse) confirmed that they had discontinued the order without a physician's order as he/she thought it was a duplicate…

  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 · E2023-05-11 · tag F0658 — failed to meet professional standards of care — pattern
  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 4 out of a final sample of 35 residents. (Resident identifiers are #112, #56, #94 and #10). 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 #112 Interview on 5/9/23 at approximately 9:00 a.m. with Resident #112 revealed that he/she did not feel that their pain was being controlled. Review on 5/9/23 of Resident #112's medical record revealed that Resident #112 was admitted to the facility on [DATE]. Review on 5/9/23 of Resident #112's April and May 2023's 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 · E2023-05-11 · tag F0712 — pattern
  Ensure that the resident and his/her doctor meet face-to-face at all required visits.
  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 that the resident was seen by a physician at least once every 30 days for the first 90 days after admission, and at least once every 60 days thereafter, alternating with the nurse practitioner for 5 of 6 residents reviewed for physician visits in a final sample of 35 residents (Resident identifiers are #38, #44, #85, #95, and #110). Findings include: Resident #95 Interview on 5/9/23 at 2:14 p.m. with Resident #95 revealed that Resident #95 stated that he/she sees the nurse practitioner, but does not see the physician. Review on 5/11/23 of Resident #95's medical record revealed an admission date of 2/24/22. Further review of the medical record revealed the following provider visits: -On 2/25/22 was the initial visit by the Medical Doctor (MD). -Nurse Practitioner (NP) saw the resident on 5/4/22, 6/15/22, 6/16/22, 6/21/22, 7/14/22, 7/19/22, 7/25/22, 8/8/22, 8/17/22, 8/31/22, 9/26/22, 10/20/22, 11/14/22, 12/21/22, 1/24/23. -MD saw the resident on 2/14/23 (this is 354 days from the initial visit…

  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 · 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

$7,901 in federal fines across 1 penalty.

• $7,901 — penalty dated 2024-01-04

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 →

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 20 rows in the source record cover these 17 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 $2.1M 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