Federal inspection record · CMS data as of October 1, 2026
Coos County Nursing Home
364 Cates Hill Rd Po Box 416, Berlin, NH · (603) 752-2343
- Certified beds
- 100
- Residents per day
- 80
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 30, 2017
1
How this home got 3 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
★★★★★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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Coos County Nursing Home carries 22 inspection points. That is fewer than 43% 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
11 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
Resident Assessment and Care Planning4D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care2D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2026-02-26
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-12-18
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-12-08
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 43 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
4 h 43 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 29% 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 days0.1 pts worse | 1.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.9 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2 pts better | 99.7% | 97.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 100.0% | 97.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 5.0% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.5 pts better | 3.3% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts worse | 8.5% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14 pts worse | 33.1% | 19.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.7 pts worse | 25.6% | 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 worsened0.5 pts worse | 16.3% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better | 21.0% | 22.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.8% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection6.2 pts worse | 8.4% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts better | 21.0% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts worse | 7.3% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.9 pts better | 100.0% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better | 10.8% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.3 pts better | 100.0% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts better | 21.6% | 21.8% | 23.4% |
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Who owns and runs it
20 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 |
|---|---|---|---|
| Belanger, Louise | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Belanger, Louise | Adp Of The SNF · Individual | 0% | 1 facilities |
| Berry Dunn Mcneil & Parker LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Berry Dunn Mcneil & Parker LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Brady, Mark | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Brady, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Brady, Mark | Adp Of The SNF · Individual | 0% | 1 facilities |
| Brady, Thomas | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Brady, Thomas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Camden National Cooperation | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Camden National Cooperation | Adp Of The SNF · Organization | 0% | 1 facilities |
| Cardenas, Javier | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cardenas, Javier | Adp Of The SNF · Individual | 0% | 1 facilities |
| Coos County | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Gorman, Raymond | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mudgett, Alicia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pharmacy Corporation Of America | Adp Of The SNF · Organization | 0% | 8 facilities |
| Theberge, Robert | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Vachon & Clukay & Co, Pc | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Vachon & Clukay & Co, Pc | Adp Of The SNF · Organization | 0% | 2 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous2E
- E
Have simulated fire drills held at unexpected times.
- E
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1D
- D
Develop and maintain an Emergency Preparedness Program (EP).
Smoke1D
- D
Install corridor and hallway doors that block smoke.
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Other homes nearby
-
Saint Vincent Rehabilitation & Nursing Center
Berlin, NH · Catholic Charities New Hampshire
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 17 min
- Fines
- $0
-
Country Village Center, Genesis Healthcare
Lancaster, NH · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 12 min
- Fines
- $13,065
-
Morrison Nursing Home
Whitefield, NH
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 35 min
- Fines
- $45,227