Grafton County Nursing Home

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.

26.4% 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 36 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 52.0% 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 50 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 0.08 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 135 beds and averages 119.6 residents a day — about 89% occupied, or roughly 15 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 4.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.16 is at or above 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 4.45 hrs/resident/day on weekends vs 4.76 on weekdays — 7% thinner on weekends. RN hours go from 0.73 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

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

• Potential for harm · Ecited before2026-04-02 · tag F0880 — failed to prevent and control infections — pattern
  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, the facility failed to identify personal humidifiers in their Water Management Plan in which Legionella and other opportunistic waterborne pathogens could grow and spread. There were humidifiers on 3 of 4 units observed. (Granite, Profile and Maple Units). Findings include: Review on 3/31/26 of the facility's policy titled Legionella Water Management Program, revised on 3/7/25 revealed, . 3. The purposes of the water management program are to identify areas in the water system where Legionella bacteria can grow and spread, and to reduce the risk of Legionnaire's disease. 5.c. The identification of areas in the water system that could encourage the growth and spread of Legionella or other waterborne bacteria, including the following. (6) misters, atomizers, air washers and humidifiers. Review on 3/31/26 of the facility's Staff Education for Legionella Disease dated March 3, 2026, revealed Possible pathways for exposure to Legionella Bacteria that humidifiers…

  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 · D2026-04-02 · 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 allegations of abuse to the state survey agency for 2 allegations of abuse reviewed residents. (Resident identifiers are #11, #29, #55, and #82). Findings include:Resident #11 Review on 3/31/26 of Resident #82's medical record revealed a nursing note dated 3/27/26 at 9:04 p.m. revealed Staff L (Licensed Practical Nurse) entered Resident #82's room and observed Resident #11 laying back in the recliner. Brief pulled off, pajama pulled up above pelvis. Resident #82 kneeling down in front of recliner attempting to have sex with Resident #11. Further review of the nursing note revealed that Staff L notified Staff H (Director of Nurses) and Staff G (Administrator) and Staff H informed Staff L to allow social services to contact the families on Monday. Review on 3/31/26 of Resident #82 and Resident #11's medical record, revealed that Resident #82 had a BIMS (Brief Interview for Mental Status) score of 02, indicating severe cognitive impairment on the Quarterly MDS (Minimum Data Set) with an ARD…

  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 · D2026-04-02 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 2 of 2 allegations of abuse were investigated and reported to the State Agency. (Resident identifiers are #11, #29, #55, and #82).Findings include:Resident #11 Review on 3/31/26 of Resident #82's medical record revealed a nursing note dated 3/27/26 at 9:04 p.m. revealed Staff L (Licensed Practical Nurse) entered Resident #82's room and observed Resident #11 laying back in the recliner. Brief pulled off, pajama pulled up above pelvis. Resident #82 kneeling down in front of recliner attempting to have sex with Resident #11. Further review of the nursing note revealed that Staff L notified Staff H (Director of Nurses) and Staff G (Administrator) and Staff H informed Staff L to allow social services to contact the families on Monday. Review on 3/31/26 of Resident #82 and Resident #11's medical record, revealed that Resident #82 had a BIMS (Brief Interview for Mental Status) score of 02, indicating severe cognitive impairment on the Quarterly MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 2/13/26,…

  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 · D2026-04-02 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 with limited mobility receives appropriate services and equipment to maintain or improve mobility for 1 of 2 residents reviewed for position and mobility in a final sample of 27 residents. (Resident identifier is #4).Findings include:Resident #4Review on 3/31/26 of Resident #4's care plan revealed the following intervention for their activities of daily living care plan, initiated on 7/9/25, .Dependent on application of AFO [Ankle Foot Orthosis] prior to OOB [out of bed] to right lower leg [sic].Review on 4/1/26 of Resident #4's medical record revealed a Physician order, dated 3/2/26, OT [Occupation Therapy] Consult- have R [right] AFO sent for repair (broken strap). Further review of the medical record revealed no indication that an OT consult had been completed or that anyone had been contacted about the AFO needing repair.Interview on 3/31/26 at approximately 10:00 a.m. with Resident #4 revealed they had told their provider that their foot rolls out of the AFO and it causes them pain…

  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 · D2026-04-02 · 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 — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure that medications were removed from use from 2 of 4 medication carts observed and failed to ensure that medication carts were secured/locked when unattended on 1 of 4 units observed. (Resident identifiers are #23 and #55). Findings include:Maple Unit Short Cart Observation on 3/31/26 at 1:11 p.m. of the Maple Unit Short Hall Cart with Staff A (Licensed Medication Aide) revealed a bottle of Timolol Maleate solution for Resident #55 with pharmacy instructions to instill 1 drop in each eye twice daily for glaucoma expires in 28 days after opening. Handwritten on the box was opened on 2/27 and expires on 3/27 (28 days). Interview on 3/31/25 at 1:11 p.m. with Staff A confirmed the above finding. Review on 4/1/26 of the manufacturer's instructions for Timolol Maleate Ophthalmic Solution, provided by the facility, revealed, . the unit dose container should be. used within one month after the foil package has been opened. Meadow Unit Long Hall Cart Observation on 3/31/26 at 1:33 p.m. of the Meadow Unit Long…

  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 · D2026-04-02 · tag F0908 — failed to keep essential equipment working — isolated
  Keep all essential equipment working safely.
  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 the facility failed to maintain a safe/clean equipment for 3 of 3 residents reviewed for environment in a final sample of 27 residents. (Resident identifiers are #41, #63 and #100.)Findings include:Review on 4/1/26 of the facility's admission Procedures and Resident Information Guide revealed .Humidifiers To prevent unwanted and unnecessary illness, GCNH ([NAME] County Nursing Home) exclusively permits non-filter humidifiers. These are not provided, so either the resident or family/friend would need to purchase one. If a humidifier is brought in, nursing staff will need to be aware of it to ensure that it is on the cleaning schedule.Interview on 4/1/26 at approximately 8:51 a.m. with Staff C (Registered Nurse) revealed that Unit Aides have a book that lists residents with humidifiers and tracks cleaning. Interview on 4/1/26 at approximately 9:00 a.m. with Staff E (Licensed nursing Assistant) revealed that the Unit Aide Book did not contain any information about…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-31 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  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 offer the residents a nourishing snack at bedtime while having more than 14 hours between the evening meal and the breakfast meal for 4 of 4 units reviewed and without Resident Council consent. Findings include: Interview on 1/29/25 at approximately 2:15 p.m. at Resident Council (5 residents in attendance) revealed that HS (Hour of Sleep) snacks were not offered. The residents stated snacks were available when they asked for them. Review on 1/29/25 of the facility's scheduled meal service times revealed that the Supper meal time starts at 5:00 p.m. and the Breakfast meal time starts at 8:00 a.m. Further review revealed that the schedule of meal times indicated that the facility offered snacks at bed time (approximately 7:00 p.m.). Meadow Unit Interview on 1/29/25 at 3:23 p.m. with Staff R (Licensed Nursing Assistant (LNA)) revealed that he/she worked the evening shift and that snacks were given to residents that requested them and not offered to everyone. Interview on 1/29/25 at 3:29…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-31 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, it was determined that the facility failed to determine if a device was a restraint for 1 of 1 resident reviewed for restraints in a final sample of 24 residents (Resident identifier is #58). Findings include: Observation on 1/30/25 from 8:05 a.m. to 8:20 a.m. revealed that Resident #58 was sitting in their wheelchair with a lap tray prior to being served breakfast. Observation on 1/31/25 at approximately 8:20 a.m. of Resident #58 revealed that Resident #58 was alone in his/her room with the lap tray attached to his/her wheelchair prior to breakfast being served. Review on 1/31/25 of Resident #58's medical record revealed Resident #58's latest Brief Interview for Mental Status (BIMS), dated 11/25/24, revealed that Resident #58 scored a 9 (indicating moderate cognitive impairment). Review on 1/31/25 of Resident #58's medical record revealed that there was no pre-restraining assessment. Review on 1/31/25 of facility policy, Use of Restraints, revised April 2017, revealed .1. Physical Restraints are defined as any manual method 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-31 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  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 appropriate adaptive equipment to maintain their ability to carry out Activities of Daily Living (ADL's) for 2 of 2 residents reviewed for ADL's in a final sample of 24 residents. (Resident identifiers #5 and #58) Findings include: Resident #5 Observation 1/30/25 from approximately 8:45 a.m. to 9:10 a.m. revealed that Resident #5 was eating in his/her room alone from a styrofoam container. Review on 1/31/25 of Resident #5's care plan revealed that Resident #5 has a lip plate per resident request. Observation on 1/31/25 at approximately 9:00 a.m. revealed that Resident #5 was eating in his/her room from a styrofoam container with intermittent assistance. Interview on 1/31/25 at approximately 9: a.m. with Staff Q (Licensed Nursing Assistant) confirmed that Resident #5 was eating from a styrofoam container and did not have a lip plate. Resident #58 Observation on 1/30/25 at approximately 9:00 a.m. revealed that Resident #58 was eating his/her meal from styrofoam container 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 · Deficient, Provider has date of correction
• Potential for harm · D2025-01-31 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  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 identify resident preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident for 1 of 3 residents reviewed for behavioral-emotional in a final sample of 24 residents. (Resident identifier is #38.) Findings include: Review on 1/31/25 of Resident #38's medical record revealed that Resident #38 was admitted to the facility on 10/2024. Further review of Resident #38's medical record revealed the following progress notes: Dated 1/5/25, Resident expressed to LNA [Licensed Nursing Assistant] this am, that [pronoun omitted] grew up in foster care with a Father figure who was inappropriate with [pronoun omitted] growing up and [pronoun omitted] feels uncomfortable with male caregivers. Nurse updated care plan to not have male caregivers at this time. Dated 1/7/25, [name omitted] disclosed that [pronoun omitted] was SA'd [sexually assaulted] many years ago, which has resulted in trauma symptoms including panic when physically touched by males and anxiety. [pronoun…

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

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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 20 rows in the source record cover these 10 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.

1 organizational owner 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.

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 2024. 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, FY2024). 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