Dover, NH

Dover Center For Health & Rehabilitation

2-star overall rating with 2-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

307 Plaza Drive, Dover, NH

(603) 742-2676

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

99

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

National Health Care Associates

Operator or chain grouping

Approved since

1970-06-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

43 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

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

0.72

Registered nurse staffing · state 0.74 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.76 · national 0.87

Aide hours / resident day

1.84

Nurse aide staffing · state 2.39 · national 2.35

Total nurse hours

3.40

All reported nurse hours · state 3.88 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.08

Weekend nurse staffing · state 3.44 · national 3.43

Weekend RN hours

0.52

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.68

CMS adjusted RN staffing hours

Adjusted total hours

3.22

CMS adjusted total nurse staffing hours

Case-mix index

1.45

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,858

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

Performance score

42.39

Composite VBP score used to determine payment impact.

Payment multiplier

0.9953

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.81

Baseline 20.62% · Performance 17.35% · Measure score 8.81 · Achievement 8.81 · Improvement 8.61

Healthcare-associated infections

7.44

Baseline 5.92% · Performance 5.61% · Measure score 7.44 · Achievement 7.44 · Improvement 2.84

Total nurse turnover

0

Baseline 53.95% · Performance 69.67% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0.70

Baseline 2.78 hours · Performance 3.14 hours · Measure score 0.70 · Achievement 0 · Improvement 0.70

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.71%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 340 · Observed rate 8.82% · Lower 95% interval 7.24%
Discharge to community	62.45%	50.57% 11.9 pts better	Better than the National Rate · Eligible stays 323 · Observed rate 57.59% · Lower 95% interval 56.42%
Medicare spending per beneficiary	0.92	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 206 · Denominator 206
Falls with major injury	0.49%	0.77% 0.3 pts better	Numerator 1 · Denominator 206
Discharge self-care score	62.64%	53.69% 9 pts better	Numerator 57 · Denominator 91
Discharge mobility score	61.54%	50.94% 10.6 pts better	Numerator 56 · Denominator 91
Pressure ulcers or injuries, new or worsened	3.88%	2.29% 1.6 pts worse	Numerator 8 · Denominator 206 · Adjusted rate 4.55%
Healthcare-associated infections requiring hospitalization	5.61%	7.12% 1.5 pts better	No Different than the National Rate · Eligible stays 209 · Observed rate 3.83% · Lower 95% interval 3.86%
Staff COVID-19 vaccination coverage	20.35%	8.2% 12.2 pts better	Numerator 23 · Denominator 113
Staff flu vaccination coverage	92.62%	42% 50.6 pts better	Numerator 113 · Denominator 122
Discharge function score	76.92%	56.45% 20.5 pts better	Numerator 70 · Denominator 91
Transfer of health information to provider	99.42%	95.95% 3.5 pts better	Numerator 172 · Denominator 173
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	46.23%	25.2% 21 pts better	Numerator 49 · Denominator 106

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	1.6 0.8 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.7 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.9 0.1 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	96.4% 3.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	98.0% 2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	5.5%	4.5% 1 pts worse	3.3% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 7.7% · Q3 6.4% · Q4 3.8% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	65.7%	9.7% 56 pts worse	11.4% 54.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 59.4% · Q2 62.3% · Q3 71.9% · Q4 69.3% · 4Q avg 65.7%
Percentage of long-stay residents who lose too much weight	5.3%	5.5% 0.2 pts better	5.4% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.2% · Q3 4.3% · Q4 4.5% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.5%	18.9% 3.6 pts worse	19.6% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 23.5% · Q3 18.6% · Q4 23.6% · 4Q avg 22.5%
Percentage of long-stay residents who received an antipsychotic medication	14.0%	18.7% 4.7 pts better	16.7% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 14.5% · Q3 16.3% · Q4 14.8% · 4Q avg 14.0% · 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	12.0%	19.2% 7.2 pts better	16.3% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 14.7% · Q3 19.3% · Q4 6.3% · 4Q avg 12.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.9%	21.9% 13 pts better	14.9% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 12.1% · Q3 7.1% · Q4 6.9% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	1.3% 0.5 pts better	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.0%	2.4% 1.4 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 1.3% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.7%	26.7% 1 pts better	19.8% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 26.6% · Q3 20.4% · Q4 23.2% · 4Q avg 25.7%
Percentage of long-stay residents with pressure ulcers	6.0%	4.4% 1.6 pts worse	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 8.2% · Q3 5.3% · Q4 2.6% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	85.6% 14.1 pts better	81.7% 18 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of short-stay residents who had an outpatient emergency department visit	11.7%	14.1% 2.4 pts better	12.0% 0.3 pts better	Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 11.5% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.9%	1.7% 0.2 pts worse	1.6% 0.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.9% · Q3 0.9% · Q4 3.6% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.8%	83.0% 14.8 pts better	79.7% 18.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.3%	22.1% 1.8 pts better	23.9% 3.6 pts better	Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 17.3% · Expected 20.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-02 · Fire 2025-05-02

8 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-04-10 · Fire 2024-04-10

5 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-03-10 · Fire 2023-03-10

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

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 2025-05-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-10

C · Minimal harm 2025-05-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-06-10

C · Minimal harm 2025-05-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-10

C · Minimal harm 2025-05-02

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-06-10

E · Potential for more than minimal harm 2024-04-10

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-05-17

E · Potential for more than minimal harm 2024-04-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-10

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 2024-05-17

C · Minimal harm 2024-04-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-17

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-02

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-05-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-05-02

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 2025-05-30

D · Potential for more than minimal harm 2025-05-02

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 2025-06-06

D · Potential for more than minimal harm 2025-05-02

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-05-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-05-02

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 2025-05-22

D · Potential for more than minimal harm 2024-04-10

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-04-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-16

D · Potential for more than minimal harm 2024-04-10

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 2024-04-16

D · Potential for more than minimal harm 2024-04-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-15

B · Minimal harm 2024-04-10

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-04-15

E · Potential for more than minimal harm 2023-03-10

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 2023-03-31

D · Potential for more than minimal harm 2023-03-10