Cycle 1
Health 2025-11-14 · Fire 2025-11-14
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Ossipee, NH
Mountain View Community
2-star overall rating with 2-star inspections with $101,192 in total fines with 3 recent health deficiencies
93 Water Village Road, Ossipee, NH
(603) 539-7511
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
103
Certified beds
Average residents
100
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-07-01
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
0.43
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.71
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
3.27
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
4.41
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.14
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
4.25
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
5.70
CMS adjusted total nurse staffing hours
Case-mix index
1.06
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,290
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
50.44
Composite VBP score used to determine payment impact.
Payment multiplier
1.0046
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.20
Performance 17.63% · Measure score 8.20 · Achievement 8.20 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
7.53
Performance 5.58% · Measure score 7.53 · Achievement 7.53 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0
Baseline 14.92% · Performance 83.33% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.44
Baseline 3.33 hours · Performance 4.34 hours · Measure score 4.44 · Achievement 4.44 · Improvement 3.64
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.19% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 84 · Observed rate 7.14% · Lower 95% interval 6.88% |
| Discharge to community | 47.7% |
50.57%
2.9 pts worse
|
No Different than the National Rate · Eligible stays 64 · Observed rate 43.75% · Lower 95% interval 38.38% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 85.29% |
95.27%
10 pts worse
|
Numerator 58 · Denominator 68 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 68 |
| Discharge self-care score | 65.57% |
53.69%
11.9 pts better
|
Numerator 40 · Denominator 61 |
| Discharge mobility score | 65.57% |
50.94%
14.6 pts better
|
Numerator 40 · Denominator 61 |
| Pressure ulcers or injuries, new or worsened | 1.47% |
2.29%
0.8 pts better
|
Numerator 1 · Denominator 68 · Adjusted rate 1.61% |
| Healthcare-associated infections requiring hospitalization | 5.58% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 66 · Observed rate 0% · Lower 95% interval 2.86% |
| Staff COVID-19 vaccination coverage | 6.25% |
8.2%
1.9 pts worse
|
Numerator 10 · Denominator 160 |
| Staff flu vaccination coverage | 34.27% |
42%
7.7 pts worse
|
Numerator 61 · Denominator 178 |
| Discharge function score | 68.85% |
56.45%
12.4 pts better
|
Numerator 42 · Denominator 61 |
| Transfer of health information to provider | 91.89% |
95.95%
4.1 pts worse
|
Numerator 34 · 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 | 56% |
25.2%
30.8 pts better
|
Numerator 14 · Denominator 25 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.6
0.3 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.9 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
1.9
0.9 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.2 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
96.4%
3.3 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.9% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
98.0%
About the same
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| 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 4.2% · Q2 5.2% · Q3 6.7% · Q4 9.7% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.1% |
9.7%
5.6 pts better
|
11.4%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.5% · Q3 4.1% · Q4 4.1% · 4Q avg 4.1% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
5.5%
1.8 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 3.5% · Q3 3.8% · Q4 6.3% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.8% |
18.9%
9.1 pts better
|
19.6%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 12.5% · Q3 9.9% · Q4 6.2% · 4Q avg 9.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.2% |
18.7%
9.5 pts better
|
16.7%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 10.3% · Q3 9.2% · Q4 7.6% · 4Q avg 9.2% · 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 | 11.3% |
19.2%
7.9 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 16.9% · Q3 12.0% · Q4 7.2% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.3% |
21.9%
0.4 pts worse
|
14.9%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 27.7% · Q3 22.4% · Q4 18.9% · 4Q avg 22.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.3%
1.3 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
2.4%
0.3 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 2.3% · Q4 4.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.3% |
26.7%
1.4 pts better
|
19.8%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 28.8% · Q3 20.1% · Q4 32.6% · 4Q avg 25.3% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
4.4%
0.5 pts worse
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.0% · Q3 6.3% · Q4 3.6% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.5% |
85.6%
3.9 pts better
|
81.7%
7.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 86.8% · Q3 91.2% · Q4 85.7% · 4Q avg 89.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.0% |
14.1%
7.9 pts worse
|
12.0%
10 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 19.6% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.7%
1.7 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.7% |
83.0%
11.7 pts better
|
79.7%
15 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
22.1%
0.3 pts worse
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 16.1% · Expected 17.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-12 · Fire 2024-09-12
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-08-25 · Fire 2023-08-25
4 health deficiencies
Top issue: Infection Control (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
C · Minimal harm
2023-08-25
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-14
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-22
D · Potential for more than minimal harm
2025-11-14
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-11-28
D · Potential for more than minimal harm
2025-11-14
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 2025-11-28
D · Potential for more than minimal harm
2024-09-12
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 2024-10-17
D · Potential for more than minimal harm
2023-08-25
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-13
D · Potential for more than minimal harm
2023-08-25
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 2023-09-13
J · Immediate jeopardy
2023-04-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-18
B · Minimal harm
2023-04-10
F885 · Infection Control Deficiencies
Health
Report COVID19 data to residents and families.
Corrected 2023-04-10
Penalties and ownership
What sits behind the stars
$101,192
2023-04-10
Fine
Fine · fine $101,192
Fine
Ownership
County Of Carroll
5% Or Greater Direct Ownership Interest · Organization
Leboeuf, Richard
Operational/Managerial Control · Individual
Lewis, Marcia
Operational/Managerial Control · Individual
Seamans, Mellisa
Operational/Managerial Control · Individual
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