Lancaster, NH

Country Village Center, Genesis Healthcare

3-star overall rating with 3-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

91 Country Village Road, Lancaster, NH

(603) 788-4735

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 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

86

Certified beds

Average residents

70

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Genesis Healthcare

Operator or chain grouping

Approved since

1996-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing

LPN hours / resident day

0.60

Licensed practical nurse staffing

Aide hours / resident day

1.88

Nurse aide staffing

Weekend hours

2.86

Weekend nurse staffing

RN turnover

29%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.6
0.1 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.4
1.9
1.5 pts worse
1.8
1.6 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.4%
96.4%
About the same
93.4%
3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5%
98.0%
2.5 pts worse
95.5%
About the same
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.3%
4.5%
0.8 pts worse
3.3%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 17.9%
9.7%
8.2 pts worse
11.4%
6.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.6%
5.5%
0.9 pts better
5.4%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.0%
18.9%
7.9 pts better
19.6%
8.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 17.9%
18.7%
0.8 pts better
16.7%
1.2 pts worse
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 31.4%
19.2%
12.2 pts worse
16.3%
15.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 26.0%
21.9%
4.1 pts worse
14.9%
11.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
1.3%
0.8 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.4%
2.4%
1 pts worse
1.7%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 26.4%
26.7%
0.3 pts better
19.8%
6.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.6%
4.4%
1.2 pts worse
5.1%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.0%
85.6%
17.6 pts worse
81.7%
13.7 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.6%
14.1%
3.5 pts better
12.0%
1.4 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.7%
1.2 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 78.3%
83.0%
4.7 pts worse
79.7%
1.4 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 9.9%
22.1%
12.2 pts better
23.9%
14 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

4 health deficiencies

Top issue: Infection Control (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-09-06 · Fire 2024-09-06

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-09-20 · Fire 2023-09-20

5 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-09-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-09-26

C · Minimal harm 2025-09-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-11

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-10-19

D · Potential for more than minimal harm 2025-09-11

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 2025-10-19

D · Potential for more than minimal harm 2025-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-19

D · Potential for more than minimal harm 2025-09-11

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-10-19

E · Potential for more than minimal harm 2024-09-06

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 2024-10-15

E · Potential for more than minimal harm 2024-09-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-09

B · Minimal harm 2024-09-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-17

D · Potential for more than minimal harm 2023-09-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-09-20

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 2023-10-03

D · Potential for more than minimal harm 2023-09-20

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 2023-10-10

D · Potential for more than minimal harm 2023-06-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-07-24

D · Potential for more than minimal harm 2023-06-21

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-07-27

Penalties and ownership

What sits behind the stars

Ownership

91 Country Village Road Operations LLC

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2015-02-02
Berg, Michael

Corporate Officer · Individual

0% 175 facilities 2012-12-01
Bridgeford, Laura

Corporate Officer · Individual

0% 150 facilities 2024-06-01
Carlson, Dennis

Operational/Managerial Control · Individual

0% 2 facilities 2016-07-15
Fc-Gen Operations Investment LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 171 facilities 2015-02-02
Fishman, Steven

5% Or Greater Indirect Ownership Interest · Individual

0% 161 facilities 2011-12-31
Gen Operations I LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2015-02-02
Gen Operations Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2015-02-02
Genesis Healthcare Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 180 facilities 2015-02-02
Genesis Healthcare LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 181 facilities 2015-02-02
Genesis Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 169 facilities 2015-02-02
Genesis Operations LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 58 facilities 2015-02-02
Ghc Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 124 facilities 2015-02-02
Hccf Management Group Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 184 facilities 2011-12-31
Mendelson, Avi

Corporate Officer · Individual

0% 149 facilities 2024-06-01
Schmidt, Amber

Operational/Managerial Control · Individual

0% 1 facilities 2024-05-01
Sun Healthcare Group Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 174 facilities 2015-02-02
Sundance Rehabilitation Holdco Inc

5% Or Greater Direct Ownership Interest · Organization

0% 163 facilities 2015-02-02
Welltower Op LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 197 facilities 2024-03-01
Whitman, Arnold

5% Or Greater Indirect Ownership Interest · Individual

0% 170 facilities 2011-12-31
Zac Properties Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 175 facilities 2011-12-31

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#3

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