1 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Hudson, NH
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
203 Lowell Road, Hudson, NH
(603) 882-5261
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
101
Certified beds
Average residents
95
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2007-11-01
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
RN hours / resident day
0.64
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
1.90
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
3.46
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.32
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
4,486
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.80
Composite VBP score used to determine payment impact.
Payment multiplier
0.9928
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.62
Baseline 21.73% · Performance 19.79% · Measure score 3.62 · Achievement 3.53 · Improvement 3.62
Healthcare-associated infections
6.51
Baseline 5.10% · Performance 5.89% · Measure score 6.51 · Achievement 6.51 · Improvement 0
Total nurse turnover
3.84
Baseline 48.10% · Performance 48.00% · Measure score 3.84 · Achievement 3.84 · Improvement 0
Adjusted total nurse staffing
1.95
Baseline 3.20 hours · Performance 3.63 hours · Measure score 1.95 · Achievement 1.95 · Improvement 1.16
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.51% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 363 · Observed rate 7.71% · Lower 95% interval 6.9% |
| Discharge to community | 60.06% |
50.57%
9.5 pts better
|
Better than the National Rate · Eligible stays 374 · Observed rate 58.29% · Lower 95% interval 55.13% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 218 · Denominator 218 |
| Falls with major injury | 0.92% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 218 |
| Discharge self-care score | 60.67% |
53.69%
7 pts better
|
Numerator 108 · Denominator 178 |
| Discharge mobility score | 67.42% |
50.94%
16.5 pts better
|
Numerator 120 · Denominator 178 |
| Pressure ulcers or injuries, new or worsened | 5.5% |
2.29%
3.2 pts worse
|
Numerator 12 · Denominator 218 · Adjusted rate 6.63% |
| Healthcare-associated infections requiring hospitalization | 5.89% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 216 · Observed rate 3.7% · Lower 95% interval 3.43% |
| Staff COVID-19 vaccination coverage | 16.89% |
8.2%
8.7 pts better
|
Numerator 25 · Denominator 148 |
| Staff flu vaccination coverage | 60.22% |
42%
18.2 pts better
|
Numerator 109 · Denominator 181 |
| Discharge function score | 70.79% |
56.45%
14.3 pts better
|
Numerator 126 · Denominator 178 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 170 · Denominator 170 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 24.35% |
25.2%
0.8 pts worse
|
Numerator 28 · Denominator 115 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.6
1.1 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 1.9 · Expected 1.3 · 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 1.1 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.2% |
96.4%
3.2 pts worse
|
93.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.4% · Q2 91.7% · Q3 90.4% · Q4 97.2% · 4Q avg 93.2% |
| 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 | 6.1% |
4.5%
1.6 pts worse
|
3.3%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 6.9% · Q3 8.2% · Q4 8.3% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.1% |
9.7%
3.6 pts better
|
11.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 7.7% · Q3 6.2% · Q4 4.5% · 4Q avg 6.1% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
5.5%
0.3 pts worse
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.8% · Q3 6.9% · Q4 8.2% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.3% |
18.9%
3.4 pts worse
|
19.6%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 22.8% · Q3 21.0% · Q4 24.6% · 4Q avg 22.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.0% |
18.7%
3.3 pts worse
|
16.7%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 15.2% · Q3 26.9% · Q4 24.1% · 4Q avg 22.0% · 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 | 23.9% |
19.2%
4.7 pts worse
|
16.3%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 13.5% · Q3 33.9% · 4Q avg 23.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.7% |
21.9%
4.8 pts worse
|
14.9%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 18.0% · Q3 41.1% · Q4 22.0% · 4Q avg 26.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.3%
1.3 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.5% |
2.4%
1.1 pts worse
|
1.7%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 4.3% · Q4 8.3% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.0% |
26.7%
1.3 pts worse
|
19.8%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 28.0% · Q3 29.3% · Q4 27.2% · 4Q avg 28.0% |
| 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 · Q1 4.4% · Q2 4.9% · Q3 6.6% · Q4 6.3% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
85.6%
9 pts better
|
81.7%
12.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 93.9% · Q3 95.8% · Q4 95.9% · 4Q avg 94.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
14.1%
4.8 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 8.7% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.7%
0.7 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.0% · Q3 0.9% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.0% |
83.0%
8 pts better
|
79.7%
11.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
22.1%
0.3 pts worse
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 20.1% · Expected 21.4% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Infection Control (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-02-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-12-06
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-12-06
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 2022-12-06
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-12-06
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-10
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-26
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-01-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-26
Health
Provide activities to meet all resident's needs.
Corrected 2024-01-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-26
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 2024-01-03
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-06-01
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 2023-06-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-12-14
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-12-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-11
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-12-09
Health
Post nurse staffing information every day.
Corrected 2022-12-11
Health
Report COVID19 data to residents and families.
Corrected 2022-12-06
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Nearby options
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Lowell, MA
5-star overall rating with 5-star inspections with 7 fire-safety deficiencies in the latest cycle
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