Cycle 1
Health 2025-12-04 · Fire 2025-12-04
3 health deficiencies
Top issue: Infection Control (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Hanover, NH
Hanover Terrace Health And Rehabilitation Center
4-star overall rating with 3-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
49 Lyme Road, Hanover, NH
(603) 643-2854
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
51
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Bear Mountain Healthcare
Operator or chain grouping
Approved since
1970-10-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 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
0.64
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.64
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
3.14
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
2.99
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,779
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.33
Composite VBP score used to determine payment impact.
Payment multiplier
0.9815
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.26
Baseline 19.11% · Performance 20.85% · Measure score 1.26 · Achievement 1.26 · Improvement 0
Healthcare-associated infections
0
Baseline 5.68% · Performance 8.93% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.88
Baseline 50.00% · Performance 43.75% · Measure score 4.88 · Achievement 4.88 · Improvement 1.99
Adjusted total nurse staffing
0
Baseline 2.88 hours · Performance 2.91 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.08% |
10.72%
2.6 pts better
|
No Different than the National Rate · Eligible stays 128 · Observed rate 3.13% · Lower 95% interval 5.24% |
| Discharge to community | 52.46% |
50.57%
1.9 pts better
|
No Different than the National Rate · Eligible stays 109 · Observed rate 46.79% · Lower 95% interval 43.69% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 77 · Denominator 77 |
| Falls with major injury | 1.3% |
0.77%
0.5 pts worse
|
Numerator 1 · Denominator 77 |
| Discharge self-care score | 61.82% |
53.69%
8.1 pts better
|
Numerator 34 · Denominator 55 |
| Discharge mobility score | 67.27% |
50.94%
16.3 pts better
|
Numerator 37 · Denominator 55 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 77 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.93% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 74 · Observed rate 12.16% · Lower 95% interval 5.46% |
| Staff COVID-19 vaccination coverage | 46.15% |
8.2%
38 pts better
|
Numerator 36 · Denominator 78 |
| Staff flu vaccination coverage | 58.88% |
42%
16.9 pts better
|
Numerator 63 · Denominator 107 |
| Discharge function score | 69.09% |
56.45%
12.6 pts better
|
Numerator 38 · Denominator 55 |
| Transfer of health information to provider | 98.11% |
95.95%
2.2 pts better
|
Numerator 52 · Denominator 53 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 33.33% |
25.2%
8.1 pts better
|
Numerator 12 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.6
0.4 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.9
1.1 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.5 · 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 | 2.7% |
4.5%
1.8 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.4% · Q3 2.2% · Q4 2.1% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.6% |
9.7%
0.9 pts worse
|
11.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 11.1% · Q3 9.3% · Q4 0.0% · 4Q avg 10.6% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.5%
5.5 pts better
|
5.4%
5.4 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 who received an antianxiety or hypnotic medication | 7.9% |
18.9%
11 pts better
|
19.6%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.7% · Q3 5.6% · Q4 10.0% · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.4% |
18.7%
2.3 pts better
|
16.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 17.2% · Q3 13.8% · Q4 12.9% · 4Q avg 16.4% · 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 | 7.9% |
19.2%
11.3 pts better
|
16.3%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 4.1% · Q3 7.2% · Q4 0.0% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.4% |
21.9%
15.5 pts better
|
14.9%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 6.1% · Q3 2.9% · Q4 2.7% · 4Q avg 6.4% · 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 | 1.1% |
2.4%
1.3 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 2.2% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.4% |
26.7%
0.7 pts worse
|
19.8%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 29.4% · Q3 30.7% · Q4 29.2% · 4Q avg 27.4% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
4.4%
3.7 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 6.7% · Q3 7.6% · Q4 7.2% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.2% |
85.6%
11.6 pts better
|
81.7%
15.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 100.0% · Q3 97.3% · Q4 92.3% · 4Q avg 97.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.3% |
14.1%
1.2 pts worse
|
12.0%
3.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 14.9% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.7%
0.7 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.4% |
83.0%
14.4 pts better
|
79.7%
17.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| 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 21.3% · Expected 24.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-30 · Fire 2024-10-30
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-12-07 · Fire 2023-12-07
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-12-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-16
D · Potential for more than minimal harm
2023-12-07
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 2023-12-14
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-15
E · Potential for more than minimal harm
2025-12-04
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2026-01-15
D · Potential for more than minimal harm
2025-12-04
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-01-15
Penalties and ownership
What sits behind the stars
Ownership
Nearby options
Other facilities in reach
#1
Lebanon Center, Genesis Healthcare
Lebanon, NH
1-star overall rating with 1-star inspections with Special Focus status with $72,924 in total fines with 10 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Cedar Hill Health Care Center
Windsor, VT
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Menig Nursing Home
Randolph Center, VT
2-star overall rating with 2-star inspections with $76,500 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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