Cycle 1
Health 2025-04-03 · Fire 2025-04-03
2 health deficiencies
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Goffstown, NH
Hillsborough County Nursing Home
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
400 Mast Road, Goffstown, NH
(603) 627-5540
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
300
Certified beds
Average residents
238
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-07-01
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
Hours and turnover
RN hours / resident day
0.69
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
3.76
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.25
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.83
CMS adjusted RN staffing hours
Adjusted total hours
4.51
CMS adjusted total nurse staffing hours
Case-mix index
1.14
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,829
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.72
Composite VBP score used to determine payment impact.
Payment multiplier
1.0085
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.91
Baseline 19.42% · Performance 18.69% · Measure score 5.91 · Achievement 5.91 · Improvement 2.55
Healthcare-associated infections
4.87
Baseline 5.98% · Performance 6.38% · Measure score 4.87 · Achievement 4.87 · Improvement 0
Total nurse turnover
5.47
Baseline 31.05% · Performance 41.33% · Measure score 5.47 · Achievement 5.47 · Improvement 0
Adjusted total nurse staffing
5.24
Baseline 4 hours · Performance 4.57 hours · Measure score 5.24 · Achievement 5.24 · Improvement 2.70
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.25% |
10.72%
2.5 pts better
|
No Different than the National Rate · Eligible stays 163 · Observed rate 4.29% · Lower 95% interval 5.66% |
| Discharge to community | 61.84% |
50.57%
11.3 pts better
|
Better than the National Rate · Eligible stays 138 · Observed rate 55.8% · Lower 95% interval 53.36% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 158 · Denominator 158 |
| Falls with major injury | 1.27% |
0.77%
0.5 pts worse
|
Numerator 2 · Denominator 158 |
| Discharge self-care score | 33.88% |
53.69%
19.8 pts worse
|
Numerator 41 · Denominator 121 |
| Discharge mobility score | 30.58% |
50.94%
20.4 pts worse
|
Numerator 37 · Denominator 121 |
| Pressure ulcers or injuries, new or worsened | 1.27% |
2.29%
1 pts better
|
Numerator 2 · Denominator 158 · Adjusted rate 1.25% |
| Healthcare-associated infections requiring hospitalization | 6.38% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 128 · Observed rate 4.69% · Lower 95% interval 3.87% |
| Staff COVID-19 vaccination coverage | 8.33% |
8.2%
0.1 pts better
|
Numerator 37 · Denominator 444 |
| Staff flu vaccination coverage | 70.92% |
42%
28.9 pts better
|
Numerator 422 · Denominator 595 |
| Discharge function score | 48.76% |
56.45%
7.7 pts worse
|
Numerator 59 · Denominator 121 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 66 · Denominator 66 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 26 · Denominator 26 |
| Resident COVID-19 vaccinations up to date | 47.42% |
25.2%
22.2 pts better
|
Numerator 46 · Denominator 97 |
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 1.3 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.9
1.3 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · 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 97.8% · Q2 99.6% · Q3 99.5% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.6% |
98.0%
1.6 pts better
|
95.5%
4.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.4% |
4.5%
1.9 pts worse
|
3.3%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 5.8% · Q3 6.8% · Q4 7.3% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.7% |
9.7%
6 pts better
|
11.4%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.9% · Q3 3.3% · Q4 3.9% · 4Q avg 3.7% |
| 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 2.6% · Q2 5.4% · Q3 4.8% · Q4 3.7% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.0% |
18.9%
9.1 pts worse
|
19.6%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 26.9% · Q3 28.3% · Q4 28.1% · 4Q avg 28.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 31.6% |
18.7%
12.9 pts worse
|
16.7%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 30.4% · Q3 34.2% · Q4 32.2% · 4Q avg 31.6% · 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 | 15.1% |
19.2%
4.1 pts better
|
16.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 16.2% · Q3 16.5% · Q4 13.4% · 4Q avg 15.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.0% |
21.9%
1.9 pts better
|
14.9%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 19.6% · Q3 19.3% · Q4 20.0% · 4Q avg 20.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.3%
1.1 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.4% · Q4 0.4% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
2.4%
About the same
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.8% · Q3 1.8% · Q4 2.3% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.9% |
26.7%
0.8 pts better
|
19.8%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 27.1% · Q3 25.3% · Q4 24.8% · 4Q avg 25.9% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
4.4%
1.9 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.9% · Q3 2.5% · Q4 2.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.2% |
85.6%
4.6 pts better
|
81.7%
8.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.1% · Q2 85.4% · Q3 92.2% · Q4 92.6% · 4Q avg 90.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.6% |
14.1%
9.5 pts better
|
12.0%
7.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.6% · Observed 4.6% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.7%
0.6 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 1.3% · Q4 1.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.2% |
83.0%
8.2 pts better
|
79.7%
11.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.6% |
22.1%
0.5 pts worse
|
23.9%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 20.0% · Expected 21.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-01 · Fire 2024-05-01
4 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2023-04-06 · Fire 2023-04-06
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-04-03
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-03
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 2025-05-16
D · Potential for more than minimal harm
2025-04-03
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-03
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-03
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-16
C · Minimal harm
2025-04-03
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-05-16
C · Minimal harm
2024-05-01
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-06-11
C · Minimal harm
2024-05-01
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-06-11
E · Potential for more than minimal harm
2023-04-06
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-19
E · Potential for more than minimal harm
2023-04-06
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-19
C · Minimal harm
2023-04-06
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-04-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-03
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-09
D · Potential for more than minimal harm
2024-05-01
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-06-21
D · Potential for more than minimal harm
2024-05-01
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-24
D · Potential for more than minimal harm
2024-05-01
F726 · Nursing and Physician Services Deficiencies
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 2024-06-21
D · Potential for more than minimal harm
2024-05-01
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-19
D · Potential for more than minimal harm
2023-04-06
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-29
D · Potential for more than minimal harm
2023-04-06
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 2023-05-29
Penalties and ownership
What sits behind the stars
Ownership
County Of Hillsborough
5% Or Greater Direct Ownership Interest · Organization
Batlivala, Zubin
Operational/Managerial Control · Individual
County Of Hillsborough
Operational/Managerial Control · Organization
Ross, David
Operational/Managerial Control · Individual
Vachon & Clukay & Co, Pc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Goffstown Nursing And Rehab Center
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
#2
Bedford Nursing & Rehabilitation Center
Bedford, NH
2-star overall rating with 1-star inspections with Special Focus status with $24,850 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Hackett Hill Healthcare Center
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
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