Pheasant Wood Center
50 Pheasant Road, Peterborough, NH 03458 · For profit - Corporation · 99 certified beds · (603) 924-7267 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- lower-than-typical staff turnover (36% vs 45% nationally) — better care continuity
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
- about 18% of its spending goes to commonly-owned related companies
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 | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
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
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 4 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 2 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 | 38.1% | 22.7% | 15.4% | worse |
| Long-stay residents who lose too much weight | 6.7% | 5.4% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 1.1% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 2.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 14.1% | 13.7% | 6.5% | typical for the 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 | 3.5% | 4.4% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 18.5% | 17.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 17.3% | 19.0% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 98.9% | 98.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.4% | 4.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 27.5% | 25.7% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 14.8% | 17.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.3% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 90.0% | 83.0% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 24.6% | 22.2% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 5.9% | 13.4% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.02 | 1.64 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 3.14 | 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.
51.5% 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 72 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 56.2% 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 48 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 0.29 therapist hours per resident per day in 2026Q1 — more than 44% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 22% 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 | 51.5%CMS range 41.4–61.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.4%CMS range 7.2–16.4 | 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 | 56.2% | 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 | 60.4% | 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 | 47.9% | 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 | 98.3% | 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 | 96.2% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 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 | 5.2% | 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 | 6.5%CMS range 3.4–12.0 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.02 | 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 99 beds and averages 80.5 residents a day — about 81% occupied, or roughly 18 beds typically open. It usually has some room. 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 3.25 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.79 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 2.93 hrs/resident/day on weekends vs 3.38 on weekdays — 13% thinner on weekends. RN hours go from 0.60 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 36% is below the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are 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.
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 · D2025-06-13 · tag F0585 — failed to handle grievances — isolatedHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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 follow its grievance policy for grievances for 2 out of 5 residents reviewed for grievances (Resident Identifiers are #67 and #80). Finding include: Review on 6/12/25 of the facility's policy Grievance/Concern revised 10/15/24, revealed .3. Upon receipt of the grievance/concern, the Grievance/Concern Form will be initiated by the staff member receiving the concern. Patients and/or patient representatives/families may complete a Grievance/Concern form and submit the completed form to a staff member .4. Upon receipt of the Grievance/Concern Form, the Administrator or designee will document the grievance/concern on the Grievance Concern Log . 6. The department manager will: . 6.2 Investigate the grievance; 6.3 Take corrective action, if needed .6.5. Notify the person filing the grievance in a timely manner . Resident #67 Interview on 6/11/25 at 10:25 a.m. with Resident #67 revealed he/she had filed numerous grievances about waiting over an hour for his/her call bell light to be answered during the 3-11…
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 · D2025-06-13 · tag F0605 — failed to not use drugs as a restraint — isolatedPrevent 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 record review and interview, it was determined that the facility failed to ensure as needed (PRN) orders for psychotropic drugs were limited to 14 days for 1 of 1 residents reviewed for medication side effects in a final sample of 18 residents. (Resident identifier is #8.) Findings include: Review on 6/11/25 of Resident #8's June 2025 MAR (Medication Administration Record) revealed the following order: Lorazepam Oral Tablet 0.5 mg (milligrams) (Lorazepam) Give 1 tablet by mouth every 4 hours as needed for increased anxiety, dated 5/9/25. The order had no stop date indicated. Review on 6/11/25 of Resident #8's May 2025 MAR (Medication Administration Record) revealed the following order: Lorazepam Oral Tablet 0.5 mg (milligrams) (Lorazepam) Give 1 tablet by mouth every 4 hours as needed for increased anxiety, dated 5/9/25. The order had no stop date indicated. Further review revealed Resident #8 received 2 doses on 5/31/25. Interview on 6/12/25 at approximately 11:30 a.m. with Staff C (Director of Nursing) confirmed the above findings. Review on 6/12/25 of the facility policy…
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 before2025-06-13 · 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 ensure the physician was notified of a weight change for 2 of 2 residents reviewed for notification of changes in a final sample of 18 residents. (Resident identifiers are #85 and #143.) Findings include: Standard: [NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 10th ed. St. Louis, Missouri: Mosby Elsevier, 20212, Chapter 19, page 267 revealed the following Communication with other health providers needs to be timely, acurate, and relevant to the patient's clinical situation. Resident #85 Review on 6/11/25 of Resident #85's May 2025 Treatment Administration Record (TAR) revealed the following physicians order: CHF (Congestive Heart Failure) Daily Weight: Notify the provider if: gain >(greater than) 2 lbs (pounds) in 1 day, or 5 lb in a week, one time a day for 7 days, start date 5/28/25. Further review revealed that there was no documented weight obtained on 5/29/25. Review on 6/11/25 of Resident #85's June 2025 TAR…
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 before2025-06-13 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, it was determined that the facility failed to provide sufficient nursing staff, as determined by their facility assessment, to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of the residents on the 2nd floor with a census of 47 residents. (Resident identifiers are #8, #33,#67, and #80 Findings include: Resident #33 Interview on 6/11/25 at approximately 8:45 a.m. with Resident #33 revealed he/she was concerned with not having enough staff at times for him/her to go to the bathroom. A lot of times, I end up wetting myself because it takes up to 30 minutes for them (the staff) to answer my call bell. This happens here all the time. Resident #8 Interview on 6/11/25 at approximately 9:00 a.m. with Resident #8 revealed he/she was concerned with not having enough staff at times for him/her to be able to go outside and smoke. Especially on the weekends when there is only 3 aides, sometimes I can't even get outside…
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 · D2025-06-13 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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 1 of 5 residents reviewed for choices in a final sample of 18 residents. (Resident identifier is #8.) Findings include: Interview on 6/11/25 at approximately 9:00 a.m. with Resident #8 revealed he/she was concerned with receiving the wrong dose of his/her pain medication recently. Review on 6/13/25 of Resident #8's April 2025 Medication Administration Record (MAR) revealed the following as needed (PRN) physician orders: Hydromorphone HCL (Hydrochloric Acid) Tablet 2 mg (milligrams), Give 0.5 tablet (1mg) by mouth every 6 hours as needed for breakthrough pain 8-10, Start Date 4/1/25. Further review revealed on 4/16/25 a dose was signed as being administered at 11:18 p.m Hydromorphone HCL Tablet 2 mg, Give 1 tablet by mouth every 4 hours as needed for pain 8-10 for 30 days, discontinued on 4/1/25. Review on 6/13/25 of Resident #8'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 · Dcited before2025-06-13 · 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 interview, observation and record review it was determined that the facility failed to follow currently accepted professional principles for labeling and/or storing drugs and biologicals in 2 of 3 medications carts observed. (Resident identifiers are #16 and #41.) Findings include: Observation on 6/11/25 at approximately 8:05 a.m. of the 2nd Floor Medication Cart revealed: One open bottle of Brimodine eye drops opened with no open date or open expiration date and no resident identifier; One box of Cipro ear drops for Resident #16 labeled with an expiration date of 6/6 stored in the medication cart with eye drops; and one open Breyna inhaler for Resident #41 with no open date or open expiration date. Interview on 6/11/25 at approximately 8:10 a.m. with Staff A (Licensed Practical Nurse) confirmed the above findings. Observation on 6/12/25 at approximately 7:00 a.m. of the Celtics Court Medication Cart revealed Resident #37's open Incruse Ellipta inhaler was not labeled with an open date or an open expiration date. Interview on 6/12/25 at approximately 7:00 a.m. with Staff B…
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 · E2024-06-27 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and policy review, it was determined that the facility failed to ensure that dishes were sanitized according to manufacturer's instruction for food services safety in the main kitchen. Findings include: Interview on 6/25/24 at approximately 8:45 a.m. with Staff L (Dietary Manager) revealed that the facility utilized a high temperature dish machine to sanitize utensils and dishes. Observation and interview on 6/25/24 at approximately 8:45 a.m. during dishwashing in the kitchen revealed that Staff K (Dietary Aide) was washing food debris off dishes with water and lining them on a tray. The tray with dishes was then placed in the dish machine. During the rinse cycle, the rinse temperature was 170 degrees Fahrenheit (F). Staff K and Staff L (Dietary Aide) did not check the wash and rinse temperature gauge on the dish machine while it was running. After the rinse cycle, Staff L removed the tray with dishes from the dish machine and was going to store the dishes to air dry. Interview with Staff K confirmed the observation on the rinse cycle temperature.…
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 F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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 act upon the Medication Regimen Review (MRR) recommendations for 1 of 5 residents reviewed for unnecessary medications in a final sample size of 23 residents (Resident Identifier #59). Findings include: Resident #59 Review on 6/27/24 of Resident #59's pharmacy consultation report dated 4/23/24 revealed that Resident #59 received an anticholinergic medication Benzotropine 0.5 milligram (mg) three times a day for prevention or treatment of extrapyramidal symptoms without evidence of a Gradual Dose Reduction (GDR). Pharmacy recommendation was to attempt a GDR of Benzotropine 0.5 mg to two times a day with the end goal of discontinuation. Further review of Resident #59's pharmacy consultation report revealed that the provider accepted the recommendation and to implement as written on 4/26/24. Review on 6/27/24 of Resident #59's active physician orders revealed that the Benzotropine 0.5mg medication order remained at three times a day instead of a GDR of two times a day as mentioned in 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.
- Potential for harm · Dcited before2024-06-27 · 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 facility policy review, it was determined that the facility failed to have a secondary lock secured for a controlled medication in 1 of 2 medication rooms (Resident Identifier #76). Finding includes: Review on 6/25/24 of Resident #76 medical record revealed an order for Lorazepam 2 milligram (mg) 1/milliliter (ml), give 0.5 ml (1 mg) by mouth twice a day and as needed every 6 hours for anxiety. Observation on 6/25/24 at approximately 8:45 a.m. of the second floor medication room with Staff D (Licensed Practical Nurse) revealed the medication refrigerator was not locked with one 30 ml bottle of Lorazepam 2 mg/1 ml labeled with Resident #76's name inside. Interview on 6/25/24 at approximately 8:45 a.m. with Staff D confirmed the findings. Staff D indicated controlled substances should be double locked in the medication room. Interview on 6/25/24 at approximately 10:30 a.m. with Staff A (Director of Nursing) confirmed the above finding. Review of the facility policy titled, NSG300 Controlled Drugs: Management of, with a last revised date of 4/1/22,…
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 F0908 — failed to keep essential equipment working — isolatedKeep all essential equipment working safely.
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 maintain wheelchairs and tubefeeding pumps according to manufacturer's instructions for 3 of 5 residents reviewed for physical environment in a final sample of 23 residents (Resident Identifiers are #2, #3, and #65). Findings include: Resident #65 Observation on 6/25/24 at approximately 11:00 a.m. and 1:00 p.m. revealed that Resident #65 was in the common area sitting in a wheelchair with yellow dried liquid splatters that differed in sizes on the left wheel, left inner side panel, and left arm rest on the wheelchair. Further observation revealed that there was clumps of dried yellow food-like substance that differed in sizes on the left side of the chair cushion between Resident #65 and the left inner side panel of the wheelchair. Observation and interview on 6/26/24 at approximately 1:23 p.m. with Staff H (Unit Manager) confirmed the above findings of Resident #65's wheelchair conditions. Staff H stated that the wheelchairs were to be cleaned by nursing staff weekly on 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.
Show the remaining 11 citations
- Potential for harm · D2023-11-07 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond 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, it was determined that the facility failed to fully thoroughly investigate neglect after a resident fall in 1 of 4 residents reviewed for falls (Resident Identifier is #1). Findings include: Review on 11/7/23 of the facility's policy titled Accidents/Incidents revised on 10/24/22 revealed, . An accident is defined as any unexpected or unintentional incident which may result in injury .Response . Do not move the individual until a physician/advance practice provider (APP), nurse, or EMS [Emergency Medical Services] has evaluated them for possible injuries. Once evaluated and if the individual has no physical or verbal indication of injury, the patient can be moved to a safe and comfortable place . Evaluation/Assessment, Medical Assistance, Documentation . The nurse will . Document the accident/incident in the patient's chart; Documentation will include all pertinent information, date, time, place, notifications, post-accident/incident evaluation, and ongoing evaluations . The Director of Nursing (DON) and Administrator must review the event 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 before2023-11-07 · 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
Based on interview and record review it was determined that the facility failed to thoroughly assess a resident for injury (diagnosed with a fractured right hip) after a fall prior to mechanically transferring the resident back to bed in 1 of 4 residents reviewed for falls (Resident Identifier is #1). Findings include: Journal of Nursing; AJN, November 2007 Vol. 107, No. 11. Retrieved from https://www.nursingcenter.com/pdfjournal?AID=751198&an=00000446-200711000-00030&Journal_ID=54030&Issue_ID=751137 on 11/9/23: When a Fall Occurs Step one: assessment. When a patient falls, don't assume that no injury has occurred-this can be a devastating mistake. Before moving the patient .Observe the leg rotation, and look for hip pain, shortening of the extremity, and pelvic or spinal pain . Be aware of the following warning signs . back pain . or an externally rotated or shortened leg. These symptoms suggest spinal cord injury, leg or pelvic fracture . Follow your facility's policies and procedures for documenting a fall. Thorough documentation helps ensure that appropriate nursing care and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-04-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 and record review, it was determined that the facility failed to ensure that the resident's environment remains as free of accident hazards as possible for 1 of 3 residents reviewed for accidents in a final sample of 23 residents. (Resident identifier is #68). Findings include: Review on 4/13/23 of Resident #68's medical record revealed a Change in Condition note dated 4/9/23 stating Resident #68 had been found to have acrylic paint on lips and tongue. Further review of Resident #68's medical record revealed a diagnosis of Alzheimer's disease with an on set date of 4/11/22. Interview on 4/13/23 at approximately 2:20 p.m. with Staff C (Activities Director) revealed that they were informed by nursing on 4/11/23 that on 4/9/23 Resident #68 was found with a tube of the acrylic paint and had paint on and in their mouth. Staff C stated that on 4/9/23 the activities staff were painting Easter eggs on the memory care unit as a scheduled activity. Staff C stated there is a locked cabinet that these items are to be placed in when not in use. Interview on 4/14/23 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.
- Potential for harm · Dcited before2023-04-14 · 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 interview, resident council interviews, and record review, it was determined that the facility failed to provide sufficient staff to meet the resident's needs on the Skilled Nursing Unit (Resident identifiers are #2, #24, #40, and #182). Findings include: Resident #182 Interview at 4/12/23 at approximately 10:30 a.m. with Resident #182 revealed that he/she felt that there was not enough staff, Even if it is as simple as going to the bathroom, you can wait up to an hour for help. Resident #40 Interview on 4/12/23 at approximately 10:35 a.m. with Resident #40 revealed that he/she felt that there was not enough staff. Interview on 4/13/23 at approximately 10:30 a.m. with Staff M (Licensed Nursing Assistant (LNA)) revealed that there are suppose to be four LNAs on the second floor during day shift. We are lucky if we have three LNAs on the floor, we are unable to give care that the residents need. This morning from 7-9 a.m. there was only one LNA to provide care on the North Unit for 26 residents. Review on 4/14/23 of 3 residents' shower records from 3/16/23 to 4/14/23 on the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-04-14 · 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, review of manufacturer's instructions, and review of the facility's policy and procedure it was determined that the facility failed to label an opened insulin vial and opened insulin pen with an expiration date on 1 of 2 medication carts observed (3-North Medication Cart) (Resident identifier is #29). Findings include: Observation on 4/12/23 at approximately 8:45 a.m. of the 3-North Medication Cart revealed the following opened insulins without an open date or open expiration date labeled on them: Resident #29 Lispro Insulin Pen Resident #29 Lantus Insulin Vial Interview on 4/12/23 at approximately 8:45 a.m. with Staff B (Medication Nursing Assistant) confirmed the above medications were opened and not labeled with an open date or an open expiration date. Review on 4/13/23 of the manufacturer's instructions for Lantus insulin, Revised 11/2018 revealed: .How should I store Lantus? .The Lantus vials you are using should be thrown away after 28 days, even if it still has insulin in it Review on 4/13/23 of the manufacturer's instructions for Humalog…
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 before2023-04-14 · tag F0908 — failed to keep essential equipment working — isolatedKeep all essential equipment working safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, observation, and record review, it was determined that the facility failed to follow manufacturer's instructions for cleaning the Hydrocollator in physical therapy and maintaining equipment for multi patient use. (Resident identifier is #27.) Findings include: Hydrocollator Review on 4/13/23 of the facility form titled, Hydrocollator's Daily Physical Agent Modality Temperature/Cleaning Log dated February, March, and April 2023 revealed: February 2023 Cleaning was done on 2/2/23 March 2023 Cleaning was done on 3/8/23 April 2023 Cleaning was done on 4/13/23 Interview on 4/13/23 at approximately 2:00 p.m. with Staff F (Director of Therapy) revealed that he/she cleans the Hydrocollator monthly per facility policy and was unaware of the manufacturer's instructions for cleaning every two weeks. Review on 4/14/23 of the facility policy titled, Hydrocollator Machine Maintenance Cleaning Procedures revealed: .3. Once a month the units will be cleaned as follows: .Scrub inside of tank and rack with industrial strength cleaner Review on 4/14/23 of the manufacturer'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.
- No harm found · B2025-06-13 · 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 Notice of Medicare Non-Coverage (NOMNC) and/or the Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) for 3 of 3 residents reviewed for beneficiary notices. (Resident identifiers are #69, #145 and #146.) Findings include: Resident #69 Review on 6/13/25 of Beneficiary Notice - Residents discharged Within the Last Six Months form, completed by the facility, revealed that Resident #69's last covered day of Medicare Part A Services was on 6/4/25 with benefit days remaining. Resident #69 remained in the facility. The facility was unable to provide Resident #69's NOMNC and SNF ABN. Resident #145 Review on 6/13/25 of Beneficiary Notice - Residents discharged Within the Last Six Months form, completed by the facility, revealed that Resident #145's last covered day of Medicare Part A Services was on 1/6/25 with benefit days remaining and Resident #145 was discharged home. The facility was unable to provide Resident #145's NOMNC. Resident #146…
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 · B2024-06-27 · tag F0641 — patternEnsure each resident receives an accurate assessment.
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's Minimum Data Set (MDS) accurately reflected the resident's status for 3 of 23 residents reviewed for MDS in a final sample of 23 residents (Resident Identifiers are #22, #29 and #56). Findings include: Resident #22 Review on 6/26/24 of Resident #22's Quarterly MDS with an Assessment Reference Date (ARD) of 5/6/24 revealed under Section O, Special Treatments, Procedures, and Programs, that the resident was receiving chemotherapy, radiation, dialysis, hospice, isolation/quarantine for active infectious disease, and Intravenous (IV) therapy all while a resident. Review on 6/26/24 of Resident #22's medical record revealed no documentation that the resident was receiving the above coded treatments/services during the 5/6/24 Quarterly MDS timeframe. Interview on 6/26/24 at 1:45 p.m. with Staff A (Director of Nursing) confirmed Resident #22 did not receive the above special treatments during the above MDS timeframe and that the MDS had been coded in error. Resident #29 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.
- No harm found · B2023-04-14 · tag F0583 — failed to protect personal privacy — patternKeep residents' personal and medical records private and confidential.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and policy review, it was determined the facility failed to ensure residents received their mail promptly. Findings include: Interview on 4/12/23 at 10:30 a.m. with the Resident Council revealed that residents do not receive mail on Saturdays. Interview on 4/12/23 at 2:00 p.m. with Staff C (Activities Director) revealed that mail is delivered to the residents, by the Recreation Department, Monday through Friday and every other Saturday when activities staff are working. Staff C hired staff to work every other Saturday starting in mid-March. Interview further revealed that the mail received at the facility on Saturdays that activities staff are not working is delivered to the residents on Monday. Review on 4/12/23 of facility policy titled Patient/Resident Mail Delivery, revised on 4/1/18, revealed .1.2 Ensure that mail is delivered to the person unopened or postmarked (for outgoing mail) within 24 hours, including Saturday .
- No harm found · B2023-04-14 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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 a homelike environment in 2 of 2 resident units (Resident Identifiers are #2, #11, and #19). Findings include: Resident #11 Observation on 4/14/23 at 10:30 a.m. with Staff L (Administrator) and Staff J (Maintenance Director) of Resident #11's room on the second floor revealed approximately 2 one foot long by approximately 2 inch holes in the wall. Review on 4/14/23 at 11:20 a.m. of facility work orders with Staff J revealed Resident #11's wall holes were reported 3 months prior in February 2023 and the wall remained in disrepair. Interview on 4/14/23 at 11:20 a.m. with Staff J confirmed the above finding. Resident #2 Observation on 4/12/23 at approximately 10:00 a.m. of Resident #2's room on the second floor revealed 4 cardboard boxes stacked on top of each other, with items hanging out of the top box at the head of Resident #2's bed. Interview on 4/14/23 at approximately 7:50 a.m. with Staff D (Director of Nursing) revealed that Resident #2 had not had a recent room change and did not know why…
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 · B2023-04-14 · tag F0645 — patternPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined that the facility failed to ensure that residents with a mental disorder received a Level I Pre-admission Screening and Resident Review (PASRR) for 2 of 3 residents reviewed for PASRR in a final survey sample of 23 residents (Resident identifiers are #45 and #74). Findings include: Resident #45 Review on 4/14/23 of Resident #45's diagnosis list in the electronic medical record revealed that Resident #45 had a diagnosis of Bipolar Disorder and Epilepsy on admission. Interview on 4/14/23 at 11:20 a.m. with Staff N (Director of Social Services) revealed he/she stated they completed a Level I PASRR for Resident #45 on 3/29/23 that included the diagnosis of Bipolar and Epilepsy. Interview further revealed Staff N never received correspondence from [Company name omitted] if Resident's #45 did or did not require a Level II PASRR screen. Resident #74 Review on 4/14/23 of Resident #74's medical record revealed that Resident #74 was admitted to the facility on [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.
“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
No federal fines in the current CMS record.
Part of a chain
This home belongs to GENESIS HEALTHCARE — 184 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.4 | -0.4 vs chain |
| Health inspection | 2 of 5 | 2.3 | -0.3 vs chain |
| Staffing | 2 of 5 | 2.5 | -0.5 vs chain |
| Quality measures | 4 of 5 | 3.5 | +0.5 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 |
|---|---|---|---|---|
| HARBORSIDE NEW HAMPSHIRE LIMITED PARTNERSHIP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 05/01/2019 |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| GENESIS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| HARBORSIDE HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| HARBORSIDE TOLEDO BUSINESS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| SUNBRIDGE HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| WHITMAN, ARNOLD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2019 |
| BERG, MICHAEL | Individual | CORPORATE OFFICER | — | since 05/01/2019 |
| BRIDGEFORD, LAURA | Individual | CORPORATE OFFICER | — | since 06/01/2024 |
| MENDELSON, AVI | Individual | CORPORATE OFFICER | — | since 06/01/2024 |
| BILAL, HARIS | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/2024 |
| LABRIE, NICHOLAS | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/12/2025 |
| MORRIS, DIANE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/23/2023 |
CMS files one row per role, so the 21 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.
11 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 $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 18% 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
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 305059. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-13, 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.