Brentwood, NH

Rockingham County Nursing Home

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

117 North Road, Brentwood, NH

(603) 679-5335

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

226

Certified beds

Average residents

135

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1995-11-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing

LPN hours / resident day

1.27

Licensed practical nurse staffing

Aide hours / resident day

3.14

Nurse aide staffing

Weekend hours

4.49

Weekend nurse staffing

RN turnover

58%

Annual RN turnover

Total nurse turnover

61%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.4
1.6
0.8 pts worse
1.9
0.5 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.9
1.1 pts better
1.8
1 pts better
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.2%
98.0%
1.2 pts better
95.5%
3.7 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.4%
4.5%
0.1 pts better
3.3%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.9%
9.7%
7.8 pts better
11.4%
9.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.0%
5.5%
0.5 pts worse
5.4%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.0%
18.9%
7.1 pts worse
19.6%
6.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 21.5%
18.7%
2.8 pts worse
16.7%
4.8 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 20.7%
19.2%
1.5 pts worse
16.3%
4.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 23.9%
21.9%
2 pts worse
14.9%
9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
1.3%
1.1 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.4%
2.4%
1 pts better
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 34.1%
26.7%
7.4 pts worse
19.8%
14.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.2%
4.4%
1.2 pts better
5.1%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.4%
85.6%
4.8 pts better
81.7%
8.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 19.6%
14.1%
5.5 pts worse
12.0%
7.6 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.1%
1.7%
0.4 pts worse
1.6%
0.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 59.6%
83.0%
23.4 pts worse
79.7%
20.1 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.8%
22.1%
3.3 pts better
23.9%
5.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-28 · Fire 2025-08-28

4 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-08-22 · Fire 2024-08-22

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-07-12 · Fire 2023-07-12

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-08-28

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 2025-10-20

D · Potential for more than minimal harm 2025-08-28

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-10-20

C · Minimal harm 2025-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-20

D · Potential for more than minimal harm 2023-07-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-07-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-28

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-10-20

D · Potential for more than minimal harm 2025-08-28

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 2025-10-20

D · Potential for more than minimal harm 2025-08-28

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 2025-10-20

D · Potential for more than minimal harm 2025-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-20

Penalties and ownership

What sits behind the stars

Ownership

County Of Rockingham

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1970-01-01
Bourbeau, Bruce

Operational/Managerial Control · Individual

0% 2 facilities 2025-11-17
Djakonan, Chantal

Operational/Managerial Control · Individual

0% 2 facilities 2024-09-03
Duffy, Tammy

Operational/Managerial Control · Individual

0% 1 facilities 2013-06-26
Duffy, Tammy

Corporate Officer · Individual

0% 1 facilities 2021-11-24
Farwell, Siobhan

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-27
Gates, Judith

Operational/Managerial Control · Individual

0% 1 facilities 2005-03-01
Kivikoski, Alison

Operational/Managerial Control · Individual

0% 1 facilities 2015-04-20
Masso, Katherine-Ann

Operational/Managerial Control · Individual

0% 1 facilities 2022-12-19
Mayall, Kendra

Operational/Managerial Control · Individual

0% 1 facilities 2025-07-27
Nickerson, Charles

Operational/Managerial Control · Individual

0% 1 facilities 2009-01-27
Nickerson, Charles

Corporate Director · Individual

0% 1 facilities 2021-11-21
Prentice, Jennifer

Operational/Managerial Control · Individual

0% 1 facilities 2023-09-11
Schimpf, Richard

Operational/Managerial Control · Individual

0% 1 facilities 2025-08-18
Vaughan, Kristin

Operational/Managerial Control · Individual

0% 1 facilities 2024-05-01

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Overall
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Health
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Staffing
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Fines
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#2

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

Overall
5 / 5
Health
5 / 5
Staffing
4 / 5
Fines
$0
#3

Exeter Center

Exeter, NH

3-star overall rating with 3-star inspections with $28,912 in total fines with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
3 / 5
Fines
$28,912

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