Franklin, NH

Mountain Ridge Center, Genesis HealthCare

1-star overall rating with 1-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

7 Baldwin Street, Franklin, NH

(603) 934-2541

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

86

Certified beds

Average residents

68

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Genesis Healthcare

Operator or chain grouping

Approved since

1996-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

193 facilities

Chain averages 2 overall / 2 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

0.62

Registered nurse staffing · state 0.74 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.76 · national 0.87

Aide hours / resident day

1.90

Nurse aide staffing · state 2.39 · national 2.35

Total nurse hours

3.39

All reported nurse hours · state 3.88 · national 3.89

Licensed hours

1.49

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

2.91

Weekend nurse staffing · state 3.44 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

3.20

CMS adjusted total nurse staffing hours

Case-mix index

1.45

Higher values indicate more complex resident acuity

RN turnover

69%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,234

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

13.28

Composite VBP score used to determine payment impact.

Payment multiplier

0.9812

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.12

Baseline 20.35% · Performance 20.91% · Measure score 1.12 · Achievement 1.12 · Improvement 0

Healthcare-associated infections

0

Baseline 6.47% · Performance 9.80% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.19

Baseline 48.61% · Performance 46.55% · Measure score 4.19 · Achievement 4.19 · Improvement 0.37

Adjusted total nurse staffing

0

Baseline 3.28 hours · Performance 3.13 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.84%	10.72% 2.1 pts worse	No Different than the National Rate · Eligible stays 126 · Observed rate 17.46% · Lower 95% interval 9.5%
Discharge to community	40.57%	50.57% 10 pts worse	Worse than the National Rate · Eligible stays 101 · Observed rate 31.68% · Lower 95% interval 32.09%
Medicare spending per beneficiary	1.2	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 70 · Denominator 70
Falls with major injury	1.43%	0.77% 0.7 pts worse	Numerator 1 · Denominator 70
Discharge self-care score	45.65%	53.69% 8 pts worse	Numerator 21 · Denominator 46
Discharge mobility score	34.78%	50.94% 16.2 pts worse	Numerator 16 · Denominator 46
Pressure ulcers or injuries, new or worsened	7.14%	2.29% 4.8 pts worse	Numerator 5 · Denominator 70 · Adjusted rate 9.78%
Healthcare-associated infections requiring hospitalization	9.8%	7.12% 2.7 pts worse	No Different than the National Rate · Eligible stays 80 · Observed rate 15% · Lower 95% interval 6.36%
Staff COVID-19 vaccination coverage	1.37%	8.2% 6.8 pts worse	Numerator 1 · Denominator 73
Staff flu vaccination coverage	57.58%	42% 15.6 pts better	Numerator 76 · Denominator 132
Discharge function score	47.83%	56.45% 8.6 pts worse	Numerator 22 · Denominator 46
Transfer of health information to provider	97.3%	95.95% 1.3 pts better	Numerator 36 · Denominator 37
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	50%	25.2% 24.8 pts better	Numerator 17 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.6 0.1 pts worse	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.2	1.9 2.3 pts worse	1.8 2.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.2 · Observed 3.3 · Expected 1.3 · 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 98.5% · Q2 100.0% · Q3 100.0% · Q4 98.5% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.6%	98.0% 0.6 pts better	95.5% 3.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of long-stay residents experiencing one or more falls with major injury	1.5%	4.5% 3 pts better	3.3% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 3.1% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	24.3%	9.7% 14.6 pts worse	11.4% 12.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 22.0% · Q3 29.5% · Q4 25.0% · 4Q avg 24.3%
Percentage of long-stay residents who lose too much weight	4.2%	5.5% 1.3 pts better	5.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 0.0% · Q3 6.2% · Q4 3.8% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.5%	18.9% 4.4 pts better	19.6% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 11.1% · Q3 15.8% · Q4 13.0% · 4Q avg 14.5%
Percentage of long-stay residents who received an antipsychotic medication	18.3%	18.7% 0.4 pts better	16.7% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 17.8% · Q3 19.0% · Q4 20.5% · 4Q avg 18.3% · 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	23.3%	19.2% 4.1 pts worse	16.3% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q3 24.3% · Q4 29.0% · 4Q avg 23.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	29.9%	21.9% 8 pts worse	14.9% 15 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 24.1% · Q3 47.3% · Q4 32.1% · 4Q avg 29.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	1.3% 0.1 pts better	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 1.6% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.6%	2.4% 1.2 pts worse	1.7% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 4.7% · Q3 0.0% · Q4 7.8% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.1%	26.7% 2.4 pts worse	19.8% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 24.3% · Q3 30.4% · Q4 31.0% · 4Q avg 29.1%
Percentage of long-stay residents with pressure ulcers	9.1%	4.4% 4.7 pts worse	5.1% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 10.1% · Q3 10.1% · Q4 7.9% · 4Q avg 9.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	72.1%	85.6% 13.5 pts worse	81.7% 9.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 68.9% · Q2 75.4% · Q3 74.2% · Q4 70.4% · 4Q avg 72.1%
Percentage of short-stay residents who had an outpatient emergency department visit	17.4%	14.1% 3.3 pts worse	12.0% 5.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.4% · Observed 17.9% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.1%	1.7% 2.4 pts worse	1.6% 2.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 5.4% · Q3 2.4% · Q4 4.9% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.4%	83.0% 1.6 pts worse	79.7% 1.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.7%	22.1% 9.6 pts worse	23.9% 7.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.7% · Observed 30.4% · Expected 22.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

11 health deficiencies

Top issue: Administration (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-06-27 · Fire 2024-06-27

2 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-06-08 · Fire 2023-06-08

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-27

C · Minimal harm 2025-04-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-27

B · Minimal harm 2025-04-17

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-05-27

D · Potential for more than minimal harm 2024-06-27

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-08-14

C · Minimal harm 2024-06-27

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-08-14

C · Minimal harm 2024-06-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-14

D · Potential for more than minimal harm 2023-06-08

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-07-27

C · Minimal harm 2023-06-08

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-07-27

C · Minimal harm 2023-06-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-20

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-08-05

D · Potential for more than minimal harm 2025-06-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-08-05

D · Potential for more than minimal harm 2025-06-20

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-08-05

D · Potential for more than minimal harm 2025-06-20

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 2025-08-05

D · Potential for more than minimal harm 2025-06-20

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-08-05

C · Minimal harm 2025-06-20

F838 · Administration Deficiencies

Health

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.

Corrected 2025-08-05

D · Potential for more than minimal harm 2025-04-17

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-04-17

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-17

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-04-17

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 2025-05-13

B · Minimal harm 2025-04-17

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-05-20

D · Potential for more than minimal harm 2024-06-27

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-08

D · Potential for more than minimal harm 2024-06-27

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-08-09

D · Potential for more than minimal harm 2023-06-08

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-07-27

D · Potential for more than minimal harm 2023-06-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-06-24

B · Minimal harm 2023-06-08

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-07-27

Penalties and ownership

What sits behind the stars

Ownership

Genesis Nh Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 7 facilities 2011-04-01

Berg, Michael

Corporate Officer · Individual

0% 175 facilities 2012-12-01

Bridgeford, Laura

Corporate Officer · Individual

0% 150 facilities 2024-06-01

Ephrem, Vercin

Operational/Managerial Control · Individual

0% 2 facilities 2011-06-01

Fc-Gen Operations Investment LLC