Cycle 1
Health 2025-03-13 · Fire 2025-03-13
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Concord, NH
Havenwood-Heritage Heights
5-star overall rating with 4-star inspections with 2 recent health deficiencies
33 Christian Avenue, Concord, NH
(603) 224-5363
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
70
Certified beds
Average residents
68
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1969-07-08
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
Hours and turnover
RN hours / resident day
0.98
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.67
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
3.03
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
4.68
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.65
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
4.44
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.18
CMS adjusted RN staffing hours
Adjusted total hours
5.64
CMS adjusted total nurse staffing hours
Case-mix index
1.13
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
898
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
62.36
Composite VBP score used to determine payment impact.
Payment multiplier
1.0173
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.10
Baseline 18.18% · Performance 19.07% · Measure score 5.10 · Achievement 5.10 · Improvement 0
Healthcare-associated infections
4.88
Baseline 5.61% · Performance 6.38% · Measure score 4.88 · Achievement 4.88 · Improvement 0
Total nurse turnover
4.95
Baseline 38.04% · Performance 43.43% · Measure score 4.95 · Achievement 4.95 · Improvement 0
Adjusted total nurse staffing
10
Baseline 5.63 hours · Performance 6.03 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.93% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 102 · Observed rate 2.94% · Lower 95% interval 5.19% |
| Discharge to community | 50.51% |
50.57%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 84 · Observed rate 48.81% · Lower 95% interval 42.06% |
| Medicare spending per beneficiary | 0.63 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 82.76% |
95.27%
12.5 pts worse
|
Numerator 48 · Denominator 58 |
| Falls with major injury | 3.45% |
0.77%
2.7 pts worse
|
Numerator 2 · Denominator 58 |
| Discharge self-care score | 42.86% |
53.69%
10.8 pts worse
|
Numerator 24 · Denominator 56 |
| Discharge mobility score | 39.29% |
50.94%
11.6 pts worse
|
Numerator 22 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 5.17% |
2.29%
2.9 pts worse
|
Numerator 3 · Denominator 58 · Adjusted rate 9.55% |
| Healthcare-associated infections requiring hospitalization | 6.37% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 54 · Observed rate 1.85% · Lower 95% interval 3.56% |
| Staff COVID-19 vaccination coverage | 33.24% |
8.2%
25 pts better
|
Numerator 119 · Denominator 358 |
| Staff flu vaccination coverage | 63.58% |
42%
21.6 pts better
|
Numerator 220 · Denominator 346 |
| Discharge function score | 55.36% |
56.45%
1.1 pts worse
|
Numerator 31 · Denominator 56 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 34 · Denominator 34 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | 71.43% |
25.2%
46.2 pts better
|
Numerator 20 · Denominator 28 |
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 · Adjusted 1.5 · Observed 0.9 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.9
1.2 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
96.4%
2.6 pts worse
|
93.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 86.7% · Q2 88.1% · Q3 100.0% · Q4 100.0% · 4Q avg 93.8% |
| 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 | 8.7% |
4.5%
4.2 pts worse
|
3.3%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 8.5% · Q3 6.6% · Q4 11.3% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
9.7%
9.7 pts better
|
11.4%
11.4 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 lose too much weight | 4.1% |
5.5%
1.4 pts better
|
5.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.1% · Q3 8.0% · Q4 4.0% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 3.5% |
18.9%
15.4 pts better
|
19.6%
16.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 6.2% · Q3 3.8% · Q4 2.0% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.9% |
18.7%
7.2 pts worse
|
16.7%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 25.6% · Q3 27.3% · Q4 25.0% · 4Q avg 25.9% · 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 | 16.8% |
19.2%
2.4 pts better
|
16.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 25.8% · Q3 10.1% · Q4 15.8% · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.9% |
21.9%
1 pts better
|
14.9%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 37.0% · Q3 12.0% · Q4 20.0% · 4Q avg 20.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.6% |
1.3%
3.3 pts worse
|
1.0%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 6.2% · Q3 5.4% · Q4 3.0% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.3% |
2.4%
0.9 pts worse
|
1.7%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 3.4% · Q3 1.7% · Q4 3.3% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.2% |
26.7%
2.5 pts worse
|
19.8%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 36.2% · Q3 19.4% · Q4 35.5% · 4Q avg 29.2% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
4.4%
0.8 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.3% · Q3 2.6% · Q4 3.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.6% |
85.6%
2 pts worse
|
81.7%
1.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.2% · Q2 79.7% · Q3 81.6% · Q4 95.7% · 4Q avg 83.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% |
14.1%
7.6 pts better
|
12.0%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 5.4% · Expected 9.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.7% |
1.7%
3 pts worse
|
1.6%
3.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 3.3% · Q3 3.8% · Q4 4.2% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.8% |
83.0%
6.8 pts better
|
79.7%
10.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.5% |
22.1%
1.6 pts better
|
23.9%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 14.3% · Expected 16.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-22 · Fire 2024-02-22
3 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-02-02 · Fire 2023-02-02
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-02-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-18
D · Potential for more than minimal harm
2024-02-22
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-04-18
D · Potential for more than minimal harm
2024-02-22
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2024-04-18
C · Minimal harm
2024-02-22
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-18
C · Minimal harm
2024-02-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-18
D · Potential for more than minimal harm
2023-02-02
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-03-28
D · Potential for more than minimal harm
2023-02-02
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-03-28
D · Potential for more than minimal harm
2023-02-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-28
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-03-13
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-04-18
D · Potential for more than minimal harm
2025-03-13
F758 · Pharmacy Service Deficiencies
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 2025-03-27
E · Potential for more than minimal harm
2024-02-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-03
D · Potential for more than minimal harm
2024-02-22
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 2024-04-08
B · Minimal harm
2024-02-22
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-03-27
D · Potential for more than minimal harm
2023-02-02
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-08
Penalties and ownership
What sits behind the stars
Ownership
Citizens Bank Na
5% Or Greater Mortgage Interest · Organization
Citizens Funding Corporation
5% Or Greater Mortgage Interest · Organization
Gill, David
Corporate Director · Individual
Gill, David
Corporate Officer · Individual
Hatfield, Douglas
Corporate Director · Individual
Judd, Tracy
Operational/Managerial Control · Individual
Judd, Tracy
Corporate Officer · Individual
New Hampshire Health And Education Facilities Authority
5% Or Greater Mortgage Interest · Organization
Palmieri, Michael
Operational/Managerial Control · Individual
Palmieri, Michael
Corporate Officer · Individual
Rankin, Gordon
Corporate Director · Individual
Skabo, Sean
Corporate Director · Individual
Slepian, Beth
Corporate Director · Individual
Slepian, Beth
Corporate Officer · Individual
Snow Wade, Lisa
Corporate Director · Individual
Snow Wade, Lisa
Corporate Officer · Individual
Sparks, Anna Marie
Corporate Director · Individual
Udaloy, John
Corporate Director · Individual
Udaloy, John
Corporate Officer · Individual
Van Beaver, Leo
Corporate Director · Individual
Weaver, Suzanne
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Harris Hill Center, Genesis HealthCare
Concord, NH
2-star overall rating with 2-star inspections with $15,646 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Presidential Oaks
Concord, NH
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Pleasant View Center
Concord, NH
0-star overall rating with 0-star inspections with Special Focus status with $12,982 in total fines with 9 recent health deficiencies
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