Federal inspection record · CMS data as of October 1, 2026
Cedar Healthcare Center
188 Jones Avenue, Portsmouth, NH · (603) 431-2530
- Certified beds
- 102
- Residents per day
- 90
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 12, 1997
1
How this home got 5 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
★★★★★no change
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
★★★★★no change
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Cedar Healthcare Center carries 4 inspection points. That is fewer than 90% 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
7 health citations on record since 2023. 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
Pharmacy Service2D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Administration2B
- B
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- B
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Environmental1D
- D
Have policies on smoking.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-06-26
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-05-08
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
2023-05-12
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 34 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 30% 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 days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.9 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16.2 pts worse | 81.5% | 97.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.5 pts worse | 95.3% | 97.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.9 pts better | 0.6% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms23.8 pts worse | 39.6% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts better | 3.4% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.7 pts better | 13.4% | 19.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.5 pts worse | 29.4% | 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 worsened1.5 pts worse | 17.3% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts better | 21.6% | 22.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.6% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 2.3% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts better | 20.1% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 1.6% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.6 pts worse | 70.5% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better | 12.1% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.2% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.1 pts worse | 64.6% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts worse | 22.4% | 21.8% | 23.4% |
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Who owns and runs it
29 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 |
|---|---|---|---|
| White Mountain Peak Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| 603 Healthcare LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| 603 Healthcare LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Aggcp LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Black Mountain Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Goldstein, Avrohom | Indirect Ownership Interest · Individual | 0% | 18 facilities |
| Halberstam, Miriam | Indirect Ownership Interest · Individual | 0% | 15 facilities |
| Halberstam, Moshe | Indirect Ownership Interest · Individual | 0% | 17 facilities |
| Kamna Holdings LLC | Indirect Ownership Interest · Organization | 0% | 15 facilities |
| Kansas SNF Holdings LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Mad Family Holdings LLC | Adp Of The SNF · Organization | 0% | 31 facilities |
| Natr Trust | Adp Of The SNF · Organization | 0% | 31 facilities |
| Nhoc LLC | Direct Ownership Interest · Organization | 0% | 3 facilities |
| Pr Nh Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Pr Nh Holdings LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Rarmna Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Ratr Trust | Adp Of The SNF · Organization | 0% | 30 facilities |
| Rausman, Philip | Adp Of The SNF · Individual | 0% | 7 facilities |
| Rausman, Robert | Adp Of The SNF · Individual | 0% | 8 facilities |
| Rizkalla Hanna, Magued | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Rizkalla Hanna, Magued | Adp Of The SNF · Individual | 0% | 3 facilities |
| Rnr Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Rr Nh Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Rr Nh Holdings LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| St. Pierre, Nathan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| St. Pierre, Nathan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wetr Trust | Adp Of The SNF · Organization | 0% | 30 facilities |
| Wmp Hc LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Wmp Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- C
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems1C
- C
Have generator or other power source capable of supplying service within 10 seconds.
Egress1C
- C
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
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Edgewood Centre (The)
Portsmouth, NH · Green Tree Health Management
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 31 min
- Fines
- $0
-
Webster at Rye
Rye, NH
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 29 min
- Fines
- $0
-
Durgin Pines
Kittery, ME
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 1 min
- Fines
- $14,434