Federal inspection record · CMS data as of October 1, 2026
Hillsboro House Nursing Home
Po Box 400 67 School Street, Hillsboro, NH · (603) 464-5561
- Certified beds
- 33
- Residents per day
- 26
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 2002
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New Hampshire.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Hillsboro House Nursing Home carries 31 inspection points. That is fewer than 26% of New Hampshire's 72 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New Hampshire: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–15 pts
- 3★ 15–23 pts
- 2★ 23–40 pts
- 1★ over 40 pts
Bars show every rated home in New Hampshire by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Administration3D
- D
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Pharmacy Service2D
- D
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.
- D
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.
Resident Rights2E
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- C
Honor the resident's right to organize and participate in resident/family groups in the facility.
Quality of Life and Care2D
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- C
Ensure the activities program is directed by a qualified professional.
Nursing and Physician Services1C
- C
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.
Inspection history
2025-08-06
3 health deficiencies · 13 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-09-05
7 health deficiencies · 11 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-08-17
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h of nursing staff time a day, 45 min of it from a registered nurse.
This home
4 h
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$70,561 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-12 | Fine | $4,938 |
| 2024-01-22 | Fine | $14,814 |
| 2024-01-08 | Fine | $4,938 |
| 2024-01-02 | Fine | $4,587 |
| 2023-12-11 | Fine | $13,762 |
| 2023-11-20 | Fine | $4,587 |
| 2023-11-13 | Fine | $4,587 |
| 2023-11-06 | Fine | $4,587 |
| 2023-10-30 | Fine | $4,587 |
| 2023-10-23 | Fine | $4,587 |
| 2023-10-17 | Fine | $4,587 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 100.0% | 97.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.1 pts worse | 96.7% | 97.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.5 pts better | 0.0% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.8 pts better | 0.0% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.2 pts better | 1.0% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.3 pts better | 7.8% | 19.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts better | 13.8% | 17.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts better | 15.5% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.3 pts better | 17.0% | 22.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse | 2.5% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence22.9 pts better | 2.5% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.3 pts better | 0.0% | 4.3% | 4.5% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Irwin, Andrew | 5% Or Greater Direct Ownership Interest · Individual | 100% | 1 facilities |
| Irwin, Andrew | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Irwin, Andrew | Corporate Officer · Individual | 0% | 1 facilities |
| Irwin, Anne-Marie | Corporate Officer · Individual | 0% | 1 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- D
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Install corridor and hallway doors that block smoke.
- C
Provide properly protected cooking facilities.
- C
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
Egress6F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems4E
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- C
Ensure proper usage of power strips and extension cords.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
·
Other homes nearby
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Pheasant Wood Center
Peterborough, NH · Genesis Healthcare · Special Focus
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 19 min
- Fines
- $16,350
-
Pleasant View Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 40 min
- Fines
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-
Presidential Oaks
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 26 min
- Fines
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