Cycle 1
Health 2025-01-08 · Fire 2025-01-08
5 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Bedford, NH
Ridgewood Center, Genesis HealthCare
2-star overall rating with 2-star inspections with $15,646 in total fines with 5 recent health deficiencies
25 Ridgewood Road, Bedford, NH
(603) 623-8805
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
150
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Genesis Healthcare
Operator or chain grouping
Approved since
1995-05-01
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
1.07
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.43
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
1.70
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
3.20
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.91
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
1.05
CMS adjusted RN staffing hours
Adjusted total hours
3.14
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,261
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9984
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.30
Baseline 17.96% · Performance 18.51% · Measure score 6.30 · Achievement 6.30 · Improvement 0
Healthcare-associated infections
3.01
Baseline 6.02% · Performance 6.93% · Measure score 3.01 · Achievement 3.01 · Improvement 0
Total nurse turnover
7.75
Baseline 54.08% · Performance 32.00% · Measure score 7.75 · Achievement 7.75 · Improvement 7.05
Adjusted total nurse staffing
1.01
Baseline 3.34 hours · Performance 3.37 hours · Measure score 1.01 · Achievement 1.01 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.64% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 6.58% · Lower 95% interval 6.59% |
| Discharge to community | 47.96% |
50.57%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 61 · Observed rate 37.7% · Lower 95% interval 35.04% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 98 · Denominator 98 |
| Falls with major injury | 2.04% |
0.77%
1.3 pts worse
|
Numerator 2 · Denominator 98 |
| Discharge self-care score | 40.79% |
53.69%
12.9 pts worse
|
Numerator 31 · Denominator 76 |
| Discharge mobility score | 44.74% |
50.94%
6.2 pts worse
|
Numerator 34 · Denominator 76 |
| Pressure ulcers or injuries, new or worsened | 2.04% |
2.29%
0.2 pts better
|
Numerator 2 · Denominator 98 · Adjusted rate 2.5% |
| Healthcare-associated infections requiring hospitalization | 6.93% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 5.36% · Lower 95% interval 3.59% |
| Staff COVID-19 vaccination coverage | 4% |
8.2%
4.2 pts worse
|
Numerator 5 · Denominator 125 |
| Staff flu vaccination coverage | 53.46% |
42%
11.5 pts better
|
Numerator 116 · Denominator 217 |
| Discharge function score | 51.32% |
56.45%
5.1 pts worse
|
Numerator 39 · Denominator 76 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 96.23% |
96.28%
About the same
|
Numerator 51 · Denominator 53 |
| Resident COVID-19 vaccinations up to date | 25.37% |
25.2%
0.2 pts better
|
Numerator 17 · Denominator 67 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.6
0.8 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.9
0.1 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
96.4%
0.6 pts worse
|
93.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 97.9% · Q3 96.8% · Q4 96.9% · 4Q avg 95.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
98.0%
1 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
4.5%
1.1 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.1% · Q3 3.2% · Q4 4.2% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.3% |
9.7%
4.4 pts better
|
11.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 4.7% · Q4 12.4% · 4Q avg 5.3% |
| Percentage of long-stay residents who lose too much weight | 6.3% |
5.5%
0.8 pts worse
|
5.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 7.9% · Q3 5.1% · Q4 7.8% · 4Q avg 6.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.1% |
18.9%
2.2 pts worse
|
19.6%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 20.9% · Q3 18.8% · Q4 20.5% · 4Q avg 21.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.9% |
18.7%
8.2 pts worse
|
16.7%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 28.6% · Q3 23.8% · Q4 26.2% · 4Q avg 26.9% · 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 | 21.7% |
19.2%
2.5 pts worse
|
16.3%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 22.8% · Q3 16.2% · Q4 24.0% · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.0% |
21.9%
5.1 pts worse
|
14.9%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 28.6% · Q3 21.3% · Q4 37.3% · 4Q avg 27.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
1.3%
1 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
2.4%
1.9 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.1% |
26.7%
4.4 pts worse
|
19.8%
11.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 35.9% · Q3 29.9% · Q4 31.1% · 4Q avg 31.1% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
4.4%
0.4 pts worse
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.9% · Q3 5.0% · Q4 4.8% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.6% |
85.6%
2 pts better
|
81.7%
5.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 78.4% · Q2 90.5% · Q3 88.7% · Q4 90.2% · 4Q avg 87.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
14.1%
4.9 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 9.0% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.7%
0.5 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 1.1% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.0% |
83.0%
1 pts worse
|
79.7%
2.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.8% |
22.1%
4.3 pts better
|
23.9%
6.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 14.9% · Expected 20.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-31 · Fire 2023-10-31
4 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-10-19 · Fire 2022-10-19
2 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-01-08
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-25
D · Potential for more than minimal harm
2025-01-08
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-23
D · Potential for more than minimal harm
2025-01-08
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-02-25
D · Potential for more than minimal harm
2025-01-08
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 2025-01-27
D · Potential for more than minimal harm
2025-01-08
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-25
J · Immediate jeopardy
2024-06-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-17
E · Potential for more than minimal harm
2023-10-31
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 2023-12-11
E · Potential for more than minimal harm
2023-10-31
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-12-12
D · Potential for more than minimal harm
2023-10-31
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-12-19
D · Potential for more than minimal harm
2022-10-19
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2022-11-18
B · Minimal harm
2022-10-19
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-11-16
Penalties and ownership
What sits behind the stars
$15,646
2024-06-21
Fine
Fine · fine $15,646
Fine
Ownership
Genesis Nh Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Berg, Michael
Corporate Officer · Individual
Bridgeford, Laura
Corporate Officer · Individual
Djakonan, Chantal
Operational/Managerial Control · Individual
Fc-Gen Operations Investment LLC
5% Or Greater Indirect Ownership Interest · Organization
Fishman, Steven
5% Or Greater Indirect Ownership Interest · Individual
Gen Operations I LLC
5% Or Greater Indirect Ownership Interest · Organization
Gen Operations Ii LLC
5% Or Greater Indirect Ownership Interest · Organization
Genesis Healthcare Inc
5% Or Greater Indirect Ownership Interest · Organization
Genesis Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Genesis Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Genesis Operations LLC
5% Or Greater Indirect Ownership Interest · Organization
Ghc Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Hccf Management Group Xi LLC
5% Or Greater Indirect Ownership Interest · Organization
Mendelson, Avi
Corporate Officer · Individual
Ojutalayo, Ayobami
Operational/Managerial Control · Individual
Sun Healthcare Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Sundance Rehabilitation Holdco Inc
5% Or Greater Indirect Ownership Interest · Organization
Welltower Op LLC
5% Or Greater Indirect Ownership Interest · Organization
Whitman, Arnold
5% Or Greater Indirect Ownership Interest · Individual
Zac Properties Xi LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Bedford Hills Center
Bedford, NH
3-star overall rating with 4-star inspections with $16,452 in total fines with 1 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
Maple Leaf Health Care Center
Manchester, NH
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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