4 health deficiencies
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Dover, NH
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
276 County Farm Road, Dover, NH
(603) 742-1348
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
215
Certified beds
Average residents
162
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-04-01
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
RN hours / resident day
1.15
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.63
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
2.54
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
4.32
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.93
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.45
CMS adjusted RN staffing hours
Adjusted total hours
5.44
CMS adjusted total nurse staffing hours
Case-mix index
1.08
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 4 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 28.41% |
8.2%
20.2 pts better
|
Numerator 129 · Denominator 454 |
| Staff flu vaccination coverage | 35.89% |
42%
6.1 pts worse
|
Numerator 178 · Denominator 496 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
Quality measures
| 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 1.0 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.9
0.8 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · 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 98.7% · Q2 98.7% · Q3 99.3% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.4% |
98.0%
1.4 pts better
|
95.5%
3.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
4.5%
1.2 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.9% · Q3 2.7% · Q4 2.5% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
9.7%
7.7 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.9% · Q3 1.5% · Q4 1.3% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 1.8% |
5.5%
3.7 pts better
|
5.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 4.1% · Q3 2.4% · Q4 0.0% · 4Q avg 1.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.7% |
18.9%
0.8 pts worse
|
19.6%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 18.3% · Q3 21.1% · Q4 20.3% · 4Q avg 19.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 35.0% |
18.7%
16.3 pts worse
|
16.7%
18.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 34.1% · Q3 37.1% · Q4 36.6% · 4Q avg 35.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 5.1% |
0.2%
4.9 pts worse
|
0.1%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 5.9% · Q3 4.0% · Q4 4.4% · 4Q avg 5.1% |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.4% |
19.2%
7.8 pts better
|
16.3%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 9.1% · Q3 11.1% · Q4 11.8% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.2% |
21.9%
3.7 pts better
|
14.9%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 18.8% · Q3 20.7% · Q4 18.0% · 4Q avg 18.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.3%
0.7 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
2.4%
0.9 pts better
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.0% · Q3 0.0% · Q4 1.3% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.6% |
26.7%
1.1 pts better
|
19.8%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 32.5% · Q3 18.8% · Q4 25.8% · 4Q avg 25.6% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
4.4%
1.6 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.9% · Q3 4.5% · Q4 1.5% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 30.0% |
85.6%
55.6 pts worse
|
81.7%
51.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 33.8% · Q3 37.1% · Q4 22.9% · 4Q avg 30.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.4% |
14.1%
10.7 pts better
|
12.0%
8.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.4% · Observed 3.7% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.8% |
1.7%
3.1 pts worse
|
1.6%
3.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 26.8% |
83.0%
56.2 pts worse
|
79.7%
52.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 26.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.9% |
22.1%
6.8 pts worse
|
23.9%
5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.9% · Observed 22.2% · Expected 18.4% · Used in QM five-star |
Survey summary
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Resident Assessment and Care Planning (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-04-07
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 2025-04-07
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-04-07
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-04-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-07
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-03-07
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 2024-03-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-07
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-03-07
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-03-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-07
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-03-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-07
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 2022-12-16
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-28
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 2025-03-28
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-03-13
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-28
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 2024-02-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-01-20
Penalties and ownership
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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