Laconia 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.

Met the expected recovery: 61.8% 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 68 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 0.40 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 240 beds and averages 234.6 residents a day — about 98% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. 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 3.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.54 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 3.15 hrs/resident/day on weekends vs 3.73 on weekdays — 15% thinner on weekends. RN hours go from 0.61 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 16% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · F2024-01-23 · tag F0575 — widespread
  Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review conducted during the recertification survey from 1/16/2024 to 1/23/2024, the facility did not ensure e facility did not ensure a list of names, addresses, and telephone numbers of the State Survey Agency and the Long-term Care Ombudsman was posted. This was evident during observation of the Main Floor and 3rd, 4th, 5th, 6th, and 7th Floor resident units. Specifically, there was no evidence the New York State Department of Health and Ombudsman's Office information was posted in an accessible manner for residents throughout the facility. The findings are: The facility policy titled Posting Contact Information for Department of Health and Ombudsman dated 01/2024 documented the facility will post in a public area the contact information for the local Department of Health and Ombudsman. On 01/18/2024 at 10:57 AM, Resident Council Meeting was held with Resident #82, #179, #217, #96, #184, #112, #34, #1, #227, and #55. All residents in attendance reported they did not know where the New York State Department of Health and Ombudsman…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-01-23 · tag F0577 — widespread
  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review conducted during the recertification survey from 1/16/2024 to 1/23/2024, the facility did not ensure the results of the most recent survey of the facility were posted in a place readily accessible to residents and family members. This was evident during observation of the Main Floor and 2nd, 3rd, 4th, 5th, 6th, and 7th Floor resident units. Specifically, the facility's most recent survey results were not posted anywhere in the facility. The findings are: The facility policy titled Making Available Copy of Previous Recertification Survey dated 01/2024 documented states that a copy of the most recent recertification survey will be made available for residents, staff, and visitors at the front desk. On 01/18/2024 at 10:57 AM, Resident Council Meeting was held with Resident #82, #179, #217, #96, #184, #112, #34, #1, #227, and #55. All residents in attendance stated they did not know where the most recent state survey results were posted in the facility. On 01/18/2024 at 2:10 PM, the 2nd Floor was observed with an index card posted near…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-01-23 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review conducted during the recertification survey from 1/16/2024 to 1/23/2024, the facility did not ensure nurse staffing data was posted. This was evident for the Main Lobby and 2nd, 3rd, 4th, 5th, 6th, and 7th Floors. Specifically, the nursing staffing data was posted above a staff time clock in an area not accessible to residents and visitors. The findings are: On 01/18/2024 at 2:10 PM and 01/19/2024 at 3:11 PM, nurse staffing data was not observed posted in the Main Lobby or 2nd, 3rd, 4th, 5th, 6th, and 7th Floors. The nurse staffing data was observed posted above the staff time clock, down a hallway that was not accessible to residents or visitors. On 1/19/2024 at 3:11 PM, Security Guard #1 was interviewed and stated that they were unaware of where nurse staffing data was usually posted. On 01/23/2024 at 11:30 AM, the Administrator was interviewed and stated they assumed if staffing was accessible to residents, it did not matter where it was posted. The Administrator stated visitors were not directed to the time clock but might…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-23 · tag F0604 — failed to not use physical restraints improperly — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification survey from 01/16/2024 to 01/23/2024, the facility did not ensure residents remained free from physical restraints. This was evident for 4 (Resident #97, #64, #195, and #99) of 5 residents reviewed for physical restraints out of 35 total sampled residents. Specifically, 1) Resident #97 had a lap tray in place without assessment and medical justification, 2) Resident #64 had bilateral upper half siderails raised while in bed without assessment, 3) Resident #195 had bilateral upper half siderails raised while in bed without assessment, and 4) Resident #99 had bilateral upper half siderails raised while in bed without assessment. The findings include but are not limited to: The facility policy titled Physical Restraints dated 11/2023 documented the facility will conduct a comprehensive assessment of residents who are considered to present potential risk within a restraint free environment, discuss with family members the need…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-23 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  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 interviews and record review conducted during the Recertification and Complaint survey (NY00329940) from 1/16/2024 to 1/23/2024, the facility did not ensure a resident's right to privacy and confidentiality. The was evident for 1 (Resident #222) of 35 total sampled residents. Specifically, the Director of Social Services had a conversation with Resident #222 while the door to the Social Work Office was open for public and staff to overhear. The findings are: The facility policy titled Resident [NAME] of Rights dated 08/2023 documented all residents were afforded their right privacy. Resident #222 had diagnoses of arthritis and hypertension. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #222 had intact cognition. On 1/16/2024 at 2:59 PM, Resident #222 was interviewed and stated the Director of Social Services violated their privacy by talking about them being on probation out loud in the Social Work Office with the door open and other staff present. The Social Work Office was in…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-23 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review conducted during the recertification and abbreviated (NY00310176) survey from 1/16/2024 to 1/23/2024, the facility did not ensure an alleged violation of abuse was reported immediately, but not later than 2 hours, to the New York State Department of Health. This was evident for 2 (Resident #106 and #167) of 4 residents reviewed for abuse out of 35 total sampled residents. Specifically, Residents #106 and #167 were involved in a physical altercation that was not reported to the New York State Department of Health within 2 hours of occurrence. The findings are: The facility policy titled Resident Abuse, Neglect, and Exploitation dated 10/2023 documented all employees and contractors must report any allegation of abuse to the Administrator and Director of Nursing immediately, but not later than two hours after being informed of the allegation. Resident #106 had diagnoses of schizoaffective disorder and mood disorder. The Minimum Data Set 3.0 assessment dated…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-23 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  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 interviews conducted during the Recertification Survey from 01/16/2024 to 01/23/2024, the facility did not ensure that a copy of the notice of transfer or discharge was sent to the Office of the State Long-Term Care Ombudsman. This was evident for 1 (Resident #78) of 2 residents out of 35 total sampled residents. Specifically, the facility did not notify the Ombudsman's Office of Resident #78's discharge to the hospital on [DATE]. The findings are: The facility policy titled Facility-Initiated discharge date d 1/2024 documented upon issuing a notice of involuntary discharge to a resident, the facility will send a copy of the notice to the local Ombudsman's Office. Resident #78 had diagnoses of hypertension and diabetes mellitus. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #78 was discharged with an anticipated return to the facility. Nursing Note dated 10/11/2022 documented Resident #78 was transferred to the hospital. The Notice of Transfer/discharge date d…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-23 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interviews conducted during the recertification survey from 1/16/2024 to 1/23/2024, the facility did not ensure an account of all controlled drugs was maintained and periodically reconciled. This was evident for 1 (2nd Floor) of 6 resident units. Specifically, Licensed Practical Nurse #5 did not reconcile the count of Fentanyl narcotics patches for Resident #148. The findings are: The facility policy titled Controlled Drug Record dated 5/2/2023 documented immediately after a dose is administered, the licensed nurse enters the following information: date and time of administration, dose administered, and signature of the nurse administering the dose. The facility policy titled Medication Administration dated 10/2023 documented the nurse signs the Medication Administration Record immediately after administering medication to a resident. Resident #148 had diagnoses of quadriplegia and major depressive disorder. On 1/19/2024 at 3:22 PM, the 2nd Floor medication cart was observed with Licensed Practical Nurse #5 present. The narcotics box…

  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 · D2024-01-23 · 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 conducted during the recertification survey from 1/16/2024 to 1/23/2024, the facility did not ensure drugs and biologicals were labeled in accordance with professional standards of practice. This was evident for the 2 (4th and 6th Floor) out of 6 resident units. Specifically, 1) an opened and undated vial of insulin was in the 4th Floor medication cart, and 2) Certified Nursing Assistant #5 transported medications from the 6th Floor to the Nursing Office on the Main Floor without supervision from a licensed nurse. The findings are: The facility policy titled Storage of Drugs dated 10/2023 documented all medications for residents who expire or are discharged shall be removed from the medication area and brought down to the Nursing Office by the Licensed Practical Nurse or Registered Nurse Supervisor only. 1) On 01/19/2024 at 12:48 PM, the 4th Floor medication cart was observed with Licensed Practical Nurse #3 and contained an opened and undated vial of Admelog insulin 100 units/milliliter in the top drawer. During an interview on…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-23 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure 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 record review conducted during the recertification survey from 1/16/2024 to 1/23/2024, the facility did not ensure food was stored according to professional standards for food safety. This was evident for 1 (3rd Floor) of 6 resident units observed during review of the kitchen. Specifically, the 3rd Floor pantry refrigerator had an internal temperature of more than 41 degrees Fahrenheit and contained unlabeled, undated food. The findings are: The facility policy titled Food Refrigerator dated 7/2023 documented the refrigerator was set at 40 degrees Fahrenheit or below. The facility policy titled Residents Food Storage dated 7/2023 documented food containers were labeled with the resident's name, room number, and dated. Perishables must be stored in the pantry refrigerator for only 72 hours. On 1/18/2024 at 9:40 AM, the 3rd Floor pantry refrigerator was observed with an internal temperature of 48 degrees Fahrenheit. An unlabeled, undated food container was observed in the refrigerator. On 1/18/2024 at 9:42 AM, Registered Nurse #3 was interviewed…

  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

“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 10 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 88% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $7.0M 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NY