Bedford, NH

Bedford Nursing & Rehabilitation Center

2-star overall rating with 1-star inspections with Special Focus status with $24,850 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

480 Donald Street, Bedford, NH

(603) 627-4147

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

102

Certified beds

Average residents

88

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing

LPN hours / resident day

0.90

Licensed practical nurse staffing

Aide hours / resident day

1.75

Nurse aide staffing

Weekend hours

2.88

Weekend nurse staffing

RN turnover

39%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
1.6
0.6 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
1.9
1 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
96.4%
3.6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.0%
2 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.2%
4.5%
2.3 pts better
3.3%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.7%
9.7%
7 pts better
11.4%
8.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.2%
5.5%
3.3 pts better
5.4%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.8%
18.9%
2.1 pts better
19.6%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 6.0%
18.7%
12.7 pts better
16.7%
10.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 14.5%
19.2%
4.7 pts better
16.3%
1.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 8.0%
21.9%
13.9 pts better
14.9%
6.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.3%
1.3 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.4%
2.4%
2 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.2%
26.7%
2.5 pts better
19.8%
4.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.4%
4.4%
About the same
5.1%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
85.6%
13.4 pts better
81.7%
17.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 9.7%
14.1%
4.4 pts better
12.0%
2.3 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.3%
1.7%
1.4 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
83.0%
17 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.2%
22.1%
2.9 pts better
23.9%
4.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-17 · Fire 2025-12-17

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-10-03 · Fire 2024-10-03

3 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-12-15 · Fire 2023-12-15

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-09

D · Potential for more than minimal harm 2024-10-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-22

C · Minimal harm 2024-10-03

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-10-22

D · Potential for more than minimal harm 2023-12-15

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-01-15

C · Minimal harm 2023-12-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-01-15

C · Minimal harm 2023-12-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-15

Inspection history

Recent health citations

J · Immediate jeopardy 2025-12-17

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2026-01-09

D · Potential for more than minimal harm 2025-12-17

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2026-01-01

D · Potential for more than minimal harm 2025-12-17

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-01-09

D · Potential for more than minimal harm 2025-12-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-17

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-07

D · Potential for more than minimal harm 2024-10-03

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-10-28

D · Potential for more than minimal harm 2024-10-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-28

B · Minimal harm 2024-10-03

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-10-28

D · Potential for more than minimal harm 2023-12-15

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-01-09

D · Potential for more than minimal harm 2023-12-15

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-01-04

D · Potential for more than minimal harm 2023-12-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-12-15

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-15

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-15

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-01-05

Penalties and ownership

What sits behind the stars

$24,850 2025-12-17

Fine

Fine · fine $24,850

Fine

Ownership

Woh LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2023-02-01
603 Healthcare LLC

Operational/Managerial Control · Organization

0% 7 facilities 2025-08-15
Aggcp LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2025-08-15
Auletto, Amy

Operational/Managerial Control · Individual

0% 2 facilities 2025-10-27
Black Mountain Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2025-08-15
Goldstein, Avrohom

5% Or Greater Indirect Ownership Interest · Individual

0% 15 facilities 2025-08-15
Mad Family Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2025-08-15
Natr Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2023-02-01
Pasha, Muhammad

Operational/Managerial Control · Individual

0% 1 facilities 2023-02-01
Pr Nh Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 7 facilities 2025-08-15
Rausman, Philip

5% Or Greater Indirect Ownership Interest · Individual

0% 7 facilities 2025-08-15
Rausman, Robert

5% Or Greater Indirect Ownership Interest · Individual

0% 8 facilities 2025-08-15
Rr Nh Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 7 facilities 2025-08-15
Zmry LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2025-08-15

Nearby options

Other facilities in reach

#1

Bedford Hills Center

Bedford, NH

3-star overall rating with 4-star inspections with $16,452 in total fines with 1 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
4 / 5
Staffing
3 / 5
Fines
$16,452
#2

Ridgewood Center, Genesis HealthCare

Bedford, NH

2-star overall rating with 2-star inspections with $15,646 in total fines with 5 recent health deficiencies

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$15,646
#3

Maple Leaf Health Care Center

Manchester, NH

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$0

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