10 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Goffstown, NH
1-star overall rating with 1-star inspections with Special Focus status with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
29 Center Street, Goffstown, NH
(603) 497-4871
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
41
Certified beds
Average residents
36
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-11-01
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
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
12,392
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
12.52
Composite VBP score used to determine payment impact.
Payment multiplier
0.9811
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.07
Baseline 20.97% · Performance 20.94% · Measure score 1.07 · Achievement 1.07 · Improvement 0
Healthcare-associated infections
0
Baseline 7.90% · Performance 8.00% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
2.68
Baseline 4.83 hours · Performance 3.84 hours · Measure score 2.68 · Achievement 2.68 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.36% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 13.73% · Lower 95% interval 7.35% |
| Discharge to community | 52.32% |
50.57%
1.8 pts better
|
No Different than the National Rate · Eligible stays 48 · Observed rate 45.83% · Lower 95% interval 39.66% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.15% |
95.27%
2.9 pts better
|
Numerator 53 · Denominator 54 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 54 |
| Discharge self-care score | 28.21% |
53.69%
25.5 pts worse
|
Numerator 11 · Denominator 39 |
| Discharge mobility score | 35.9% |
50.94%
15 pts worse
|
Numerator 14 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 5.56% |
2.29%
3.3 pts worse
|
Numerator 3 · Denominator 54 · Adjusted rate 5.56% |
| Healthcare-associated infections requiring hospitalization | 8% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 10.87% · Lower 95% interval 4.42% |
| Staff COVID-19 vaccination coverage | 23.4% |
8.2%
15.2 pts better
|
Numerator 11 · Denominator 47 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 33.33% |
56.45%
23.1 pts worse
|
Numerator 13 · Denominator 39 |
| Transfer of health information to provider | 90.48% |
95.95%
5.5 pts worse
|
Numerator 19 · Denominator 21 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 40% |
25.2%
14.8 pts better
|
Numerator 10 · Denominator 25 |
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 3.2 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
1.9
1.4 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.6 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
96.4%
2.8 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
98.0%
1.1 pts worse
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.6% |
4.5%
3.1 pts worse
|
3.3%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 10.3% · Q3 6.7% · Q4 6.5% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.0% |
9.7%
2.7 pts better
|
11.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 7.4% · Q4 14.3% · 4Q avg 7.0% |
| Percentage of long-stay residents who lose too much weight | 7.6% |
5.5%
2.1 pts worse
|
5.4%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 0.0% · Q3 4.2% · Q4 18.2% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.5% |
18.9%
6.4 pts better
|
19.6%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 13.0% · Q3 8.0% · Q4 8.7% · 4Q avg 12.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.4% |
18.7%
5.7 pts worse
|
16.7%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 18.2% · Q3 30.0% · 4Q avg 24.4% · 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 | 20.3% |
19.2%
1.1 pts worse
|
16.3%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.2% |
21.9%
4.7 pts better
|
14.9%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 26.1% · Q3 21.7% · Q4 13.0% · 4Q avg 17.2% · 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 | 1.7% |
2.4%
0.7 pts better
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.3% |
26.7%
7.6 pts worse
|
19.8%
14.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.5% · Q2 46.2% · Q3 15.7% · Q4 38.2% · 4Q avg 34.3% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
4.4%
0.1 pts worse
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 7.5% · Q4 6.2% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% |
85.6%
8.8 pts better
|
81.7%
12.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 95.0% · Q3 95.3% · Q4 97.6% · 4Q avg 94.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.7% |
14.1%
4.4 pts better
|
12.0%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 9.7% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.7%
1.7 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.2% |
83.0%
12.2 pts better
|
79.7%
15.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.6% |
22.1%
6.5 pts worse
|
23.9%
4.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.6% · Observed 25.8% · Expected 21.5% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (3 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Nursing and Physician Services (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2026-01-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-01-16
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-16
Fire Safety
List the names and contact information of those in the facility.
Corrected 2026-01-16
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2026-01-16
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2026-01-16
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-19
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-19
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-12-19
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-12-13
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-12-13
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2023-12-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-12-13
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-12-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-12-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-12-13
Inspection history
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-01-16
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-16
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-01-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-16
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2026-01-16
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 2026-01-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-01-16
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 2026-01-16
Health
Keep all essential equipment working safely.
Corrected 2026-01-16
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2026-01-16
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-11-27
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-11-27
Health
Implement a program that monitors antibiotic use.
Corrected 2024-11-27
Health
Keep all essential equipment working safely.
Corrected 2024-11-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-27
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-27
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-11-27
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-11-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-27
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-12-06
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 2023-12-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-11
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-12-08
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-12-12
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-12-12
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 2023-12-04
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-12-12
Health
Dispose of garbage and refuse properly.
Corrected 2023-12-12
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-27
Health
Implement a program that monitors antibiotic use.
Corrected 2023-12-12
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-12-12
Health
Post nurse staffing information every day.
Corrected 2023-11-30
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-08-16
Health
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2023-08-16
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-07-27
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-07-27
Health
Respond appropriately to all alleged violations.
Corrected 2023-08-16
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2023-08-16
Health
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected 2023-08-16
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
Goffstown, NH
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Manchester, NH
2-star overall rating with 1-star inspections with $12,735 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Manchester, NH
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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