Portsmouth, NH

Cedar Healthcare Center

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

188 Jones Avenue, Portsmouth, NH

(603) 431-2530

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

102

Certified beds

Average residents

91

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-02-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.58

Registered nurse staffing · state 0.74 · national 0.68

LPN hours / resident day

0.58

Licensed practical nurse staffing · state 0.76 · national 0.87

Aide hours / resident day

2.20

Nurse aide staffing · state 2.39 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 3.88 · national 3.89

Licensed hours

1.16

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.26

Weekend nurse staffing · state 3.44 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

3.23

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,834

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.57

Composite VBP score used to determine payment impact.

Payment multiplier

0.9866

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.47

Baseline 19.00% · Performance 19.36% · Measure score 4.47 · Achievement 4.47 · Improvement 0

Healthcare-associated infections

3.92

Baseline 5.75% · Performance 6.66% · Measure score 3.92 · Achievement 3.92 · Improvement 0

Total nurse turnover

4.24

Baseline 57.14% · Performance 46.34% · Measure score 4.24 · Achievement 4.24 · Improvement 2.85

Adjusted total nurse staffing

0

Baseline 3.78 hours · Performance 3.18 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.99%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 135 · Observed rate 8.89% · Lower 95% interval 7.49%
Discharge to community	46.54%	50.57% 4 pts worse	No Different than the National Rate · Eligible stays 126 · Observed rate 38.89% · Lower 95% interval 39.35%
Medicare spending per beneficiary	0.84	1.02 0.2 pts better
Drug regimen review with follow-up	94.57%	95.27% 0.7 pts worse	Numerator 87 · Denominator 92
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 92
Discharge self-care score	44.78%	53.69% 8.9 pts worse	Numerator 30 · Denominator 67
Discharge mobility score	43.28%	50.94% 7.7 pts worse	Numerator 29 · Denominator 67
Pressure ulcers or injuries, new or worsened	1.09%	2.29% 1.2 pts better	Numerator 1 · Denominator 92 · Adjusted rate 1.2%
Healthcare-associated infections requiring hospitalization	6.66%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 85 · Observed rate 5.88% · Lower 95% interval 3.92%
Staff COVID-19 vaccination coverage	7.69%	8.2% 0.5 pts worse	Numerator 9 · Denominator 117
Staff flu vaccination coverage	9.23%	42% 32.8 pts worse	Numerator 12 · Denominator 130
Discharge function score	50.75%	56.45% 5.7 pts worse	Numerator 34 · Denominator 67
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 46 · Denominator 46
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 53

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	1.6 0.2 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.9 0.5 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	88.4%	96.4% 8 pts worse	93.4% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 86.2% · Q3 87.3% · Q4 87.8% · 4Q avg 88.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.8%	98.0% 0.8 pts better	95.5% 3.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	4.5% 3.5 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.3% · Q4 1.4% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.3%	9.7% 7.6 pts worse	11.4% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 13.5% · Q3 10.6% · Q4 25.0% · 4Q avg 17.3%
Percentage of long-stay residents who lose too much weight	2.4%	5.5% 3.1 pts better	5.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.2% · Q3 1.5% · Q4 3.1% · 4Q avg 2.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.5%	18.9% 8.4 pts better	19.6% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 14.1% · Q3 12.1% · Q4 10.6% · 4Q avg 10.5%
Percentage of long-stay residents who received an antipsychotic medication	27.5%	18.7% 8.8 pts worse	16.7% 10.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.8% · Q2 31.4% · Q3 26.9% · Q4 22.0% · 4Q avg 27.5% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.3%	19.2% 6.9 pts better	16.3% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 7.3% · Q3 8.8% · Q4 17.3% · 4Q avg 12.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.7%	21.9% 2.2 pts better	14.9% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 18.3% · Q3 18.3% · Q4 17.7% · 4Q avg 19.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	1.3% 1 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.6%	2.4% 0.8 pts better	1.7% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.6% · Q4 2.7% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.1%	26.7% 0.4 pts worse	19.8% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 33.8% · Q3 19.9% · Q4 25.8% · 4Q avg 27.1%
Percentage of long-stay residents with pressure ulcers	1.0%	4.4% 3.4 pts better	5.1% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	79.2%	85.6% 6.4 pts worse	81.7% 2.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 90.8% · Q2 73.3% · Q3 78.6% · Q4 76.8% · 4Q avg 79.2%
Percentage of short-stay residents who had an outpatient emergency department visit	5.2%	14.1% 8.9 pts better	12.0% 6.8 pts better	Short Stay · 20240701-20250630 · Adjusted 5.2% · Observed 4.9% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.7% 1.3 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	69.6%	83.0% 13.4 pts worse	79.7% 10.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 69.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.8%	22.1% 10.7 pts worse	23.9% 8.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.8% · Observed 28.4% · Expected 20.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-26 · Fire 2025-06-26

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-05-08 · Fire 2024-05-08

3 health deficiencies

Top issue: Administration (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-05-12 · Fire 2023-05-12

3 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-06-26

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-07-16

D · Potential for more than minimal harm 2025-06-26

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-07-16

F · Potential for more than minimal harm 2024-05-08

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-29

C · Minimal harm 2024-05-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-05-29

C · Minimal harm 2024-05-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-05-29

C · Minimal harm 2023-05-12

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-06-02

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-26

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-07-28

D · Potential for more than minimal harm 2024-05-08

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2024-05-10

B · Minimal harm 2024-05-08

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-06-10

B · Minimal harm 2024-05-08

F848 · Administration Deficiencies

Health

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2024-06-10

D · Potential for more than minimal harm 2023-05-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-13

D · Potential for more than minimal harm 2023-05-12

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 2023-06-12

D · Potential for more than minimal harm 2023-05-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-12

Penalties and ownership

What sits behind the stars

Ownership

White Mountain Peak Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2023-05-01

Aggcp LLC