Federal inspection record · CMS data as of October 1, 2026
Belknap County Nursing Home
30 County Drive, Laconia, NH · (603) 527-5410
- Certified beds
- 94
- Residents per day
- 57
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 2008
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Hampshire.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Belknap County Nursing Home carries 7 inspection points. That is fewer than 88% of New Hampshire's 72 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Hampshire: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–15 pts
- 3★ 15–23 pts
- 2★ 23–40 pts
- 1★ over 40 pts
Bars show every rated home in New Hampshire by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
4 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Keep all essential equipment working safely.
Resident Rights1B
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspection history
2025-09-04
2 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-09-19
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2023-08-09
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 5 h 7 min of nursing staff time a day, 50 min of it from a registered nurse.
This home
5 h 7 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 42% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts worse | 3.3 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 100.0% | 97.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts better | 98.3% | 97.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 4.5% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.7 pts better | 1.1% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts worse | 7.8% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.3 pts better | 7.8% | 19.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.4 pts worse | 24.3% | 17.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.1 pts worse | 18.9% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts worse | 27.7% | 22.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder12.1 pts worse | 13.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 2.9% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.2 pts better | 18.2% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.1% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better | 89.1% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit11.9 pts worse | 24.9% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.9 pts worse | 3.1% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.7 pts worse | 69.0% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.1 pts worse | 31.9% | 21.8% | 23.4% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Belknap County | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Belknap County | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Belknap County | Adp Of The SNF · Organization | 0% | 1 facilities |
| Darst, Rose | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Darst, Rose | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ephrem, Vercin | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Ephrem, Vercin | Adp Of The SNF · Individual | 0% | 4 facilities |
| Gallagher, Amanda | Adp Of The SNF · Individual | 0% | 1 facilities |
| O'brien, Amy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| O'brien, Amy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pauley, Richard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pauley, Richard | Adp Of The SNF · Individual | 0% | 1 facilities |
| Richardson, Shelley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Richardson, Shelley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shiel, Alison | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Shiel, Alison | Adp Of The SNF · Individual | 0% | 1 facilities |
| Twardosky, Brenda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Twardosky, Brenda | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- C
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Egress2D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Smoke1E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Laconia Rehabilitation Center
Laconia, NH · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 36 min
- Fines
- $7,901
-
Saint Francis Rehabilitation And Nursing Center
Laconia, NH · Catholic Charities New Hampshire
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
Golden View Health Care Center
Meredith, NH
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 3 min
- Fines
- $0