Exeter, NH

Riverwoods At Exeter

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

6 White Oak Drive, Exeter, NH

(603) 772-4700

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

8

Certified beds

Average residents

16

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1995-03-17

CMS approved date

Coverage

Medicare

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

1.20

Registered nurse staffing · state 0.74 · national 0.68

LPN hours / resident day

1.29

Licensed practical nurse staffing · state 0.76 · national 0.87

Aide hours / resident day

4.93

Nurse aide staffing · state 2.39 · national 2.35

Total nurse hours

7.41

All reported nurse hours · state 3.88 · national 3.89

Licensed hours

2.48

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

6.38

Weekend nurse staffing · state 3.44 · national 3.43

Weekend RN hours

0.75

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.46

CMS adjusted RN staffing hours

Adjusted total hours

9.00

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

6,300

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

Performance score

33.35

Composite VBP score used to determine payment impact.

Payment multiplier

0.9877

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.39

Performance 20.79% · Measure score 1.39 · Achievement 1.39 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

5.28

Performance 6.26% · Measure score 5.28 · Achievement 5.28 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.07%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 69 · Observed rate 13.04% · Lower 95% interval 8.21%
Discharge to community	71.84%	50.57% 21.3 pts better	Better than the National Rate · Eligible stays 63 · Observed rate 73.02% · Lower 95% interval 61.74%
Medicare spending per beneficiary	0.86	1.02 0.2 pts better
Drug regimen review with follow-up	77.5%	95.27% 17.8 pts worse	Numerator 31 · Denominator 40
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 40
Discharge self-care score	67.86%	53.69% 14.2 pts better	Numerator 19 · Denominator 28
Discharge mobility score	53.57%	50.94% 2.6 pts better	Numerator 15 · Denominator 28
Pressure ulcers or injuries, new or worsened	2.5%	2.29% 0.2 pts worse	Numerator 1 · Denominator 40 · Adjusted rate 3.08%
Healthcare-associated infections requiring hospitalization	6.26%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 32 · Observed rate 0% · Lower 95% interval 3.16%
Staff COVID-19 vaccination coverage	0.55%	8.2% 7.6 pts worse	Numerator 1 · Denominator 183
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	71.43%	56.45% 15 pts better	Numerator 20 · Denominator 28
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 20 · Denominator 20
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.3%	96.4% 2.1 pts worse	93.4% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 94.3%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	4.5% 4.5 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	9.7% 9.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	2.4%	5.5% 3.1 pts better	5.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.3%	18.9% 10.4 pts worse	19.6% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 29.3%
Percentage of long-stay residents who received an antipsychotic medication	25.0%	18.7% 6.3 pts worse	16.7% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 25.0% · 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 · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	9.9%	19.2% 9.3 pts better	16.3% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.8%	21.9% 9.1 pts better	14.9% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 12.8% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.9%	2.4% 0.5 pts better	1.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.6%	26.7% 4.1 pts better	19.8% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 22.6%
Percentage of long-stay residents with pressure ulcers	8.1%	4.4% 3.7 pts worse	5.1% 3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 8.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.8%	85.6% 11.2 pts better	81.7% 15.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.1% · Q3 94.4% · Q4 96.3% · 4Q avg 96.8%
Percentage of short-stay residents who had an outpatient emergency department visit	43.3%	14.1% 29.2 pts worse	12.0% 31.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 43.3% · Observed 41.2% · Expected 10.6% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.4%	83.0% 11.4 pts better	79.7% 14.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.0%	22.1% 4.9 pts worse	23.9% 3.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 23.5% · Expected 20.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

2 health deficiencies

Top issue: Administration (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-03-28 · Fire 2024-03-28

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

6 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2023-02-24 · Fire 2023-02-24

7 health deficiencies

Top issue: Infection Control (3 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-03-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-03-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-01

C · Minimal harm 2025-03-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-01

F · Potential for more than minimal harm 2024-03-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-21

F · Potential for more than minimal harm 2024-03-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-21

E · Potential for more than minimal harm 2024-03-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-03-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-03-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-05-21

C · Minimal harm 2024-03-28

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-05-21

D · Potential for more than minimal harm 2023-02-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-21

C · Minimal harm 2023-02-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-06

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 2025-03-24

C · Minimal harm 2025-03-06

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-03-25

D · Potential for more than minimal harm 2024-03-28

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 2024-05-16

E · Potential for more than minimal harm 2023-02-24

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-03-16

E · Potential for more than minimal harm 2023-02-24

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-03-04

D · Potential for more than minimal harm 2023-02-24

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 2023-03-27

D · Potential for more than minimal harm 2023-02-24

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 2023-04-02

D · Potential for more than minimal harm 2023-02-24

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 2023-03-30

D · Potential for more than minimal harm 2023-02-24

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-04-06

B · Minimal harm 2023-02-24

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2023-04-06

Penalties and ownership