Federal inspection record · CMS data as of October 1, 2026
Jaffrey Rehabilitation And Nursing Center
20 Plantation Drive, Jaffrey, NH · (603) 532-8762
- Certified beds
- 83
- Residents per day
- 72
- Ownership
- For-Profit
- Chain
- Ephram Lahasky
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1996
1
How this home got 1 star
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.
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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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New Hampshire homes
Jaffrey Rehabilitation And Nursing Center carries 40 inspection points. That is fewer than 17% 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
21 health citations on record since 2024. 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
Resident Assessment and Care Planning4D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- B
Ensure each resident receives an accurate assessment.
Administration4E
- B
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.
- E
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service3E
- 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.
- E
Ensure medication error rates are not 5 percent or greater.
- 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.
Nutrition and Dietary2E
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nursing and Physician Services1F
- F
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.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Quality of Life and Care1D
- D
Provide enough food/fluids to maintain a resident's health.
Inspection history
2026-05-21
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2025-04-16
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-04-26
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Administration (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
3 h 34 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 35% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.9 pts worse | 3.8 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts worse | 93.4% | 97.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.8 pts better | 98.6% | 97.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts worse | 8.5% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms74.2 pts worse | 90.0% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts better | 3.6% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21.3 pts worse | 40.4% | 19.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.6 pts worse | 18.5% | 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 worsened9.8 pts better | 6.0% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.9 pts better | 12.4% | 22.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 2.7% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse | 26.4% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.8% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.6 pts worse | 77.5% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.1 pts worse | 21.1% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.6 pts worse | 3.8% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.9 pts better | 89.6% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.3 pts worse | 22.1% | 21.8% | 23.4% |
·
Who owns and runs it
5 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 |
|---|---|---|---|
| Dragon, Jessica | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Dragon, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dragon, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Majekodunmi, Akindele | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Majekodunmi, Akindele | Adp Of The SNF · Individual | 0% | 10 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2D
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems2E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- C
Ensure proper usage of power strips and extension cords.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
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Alliance Health At Baldwinville
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