Cycle 1
Health 2025-01-29 · Fire 2025-01-29
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Dover, NH
Saint Ann Rehabilitation And Nursing Center
5-star overall rating with 5-star inspections
195 Dover Point Road, Dover, NH
(603) 742-2612
Overall
5 / 5
CMS overall stars
Health inspections
5 / 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
54
Certified beds
Average residents
46
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Catholic Charities New Hampshire
Operator or chain grouping
Approved since
1996-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 overall / 4 health / 4 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
0.83
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
2.55
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
4.24
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.68
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.76
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.00
CMS adjusted RN staffing hours
Adjusted total hours
5.15
CMS adjusted total nurse staffing hours
Case-mix index
1.12
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,770
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.08
Composite VBP score used to determine payment impact.
Payment multiplier
1.0089
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.95
Baseline 18.82% · Performance 18.68% · Measure score 5.95 · Achievement 5.95 · Improvement 0.32
Healthcare-associated infections
7.63
Baseline 5.96% · Performance 5.56% · Measure score 7.63 · Achievement 7.63 · Improvement 3.70
Total nurse turnover
1.99
Baseline 50.00% · Performance 55.56% · Measure score 1.99 · Achievement 1.99 · Improvement 0
Adjusted total nurse staffing
6.07
Baseline 4.25 hours · Performance 4.80 hours · Measure score 6.07 · Achievement 6.07 · Improvement 3.10
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.76% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 178 · Observed rate 8.99% · Lower 95% interval 7.2% |
| Discharge to community | 68.56% |
50.57%
18 pts better
|
Better than the National Rate · Eligible stays 171 · Observed rate 69.01% · Lower 95% interval 62.65% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.12% |
95.27%
3.9 pts better
|
Numerator 113 · Denominator 114 |
| Falls with major injury | 2.63% |
0.77%
1.9 pts worse
|
Numerator 3 · Denominator 114 |
| Discharge self-care score | 44.68% |
53.69%
9 pts worse
|
Numerator 42 · Denominator 94 |
| Discharge mobility score | 58.51% |
50.94%
7.6 pts better
|
Numerator 55 · Denominator 94 |
| Pressure ulcers or injuries, new or worsened | 0.88% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 114 · Adjusted rate 1.12% |
| Healthcare-associated infections requiring hospitalization | 5.56% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 105 · Observed rate 1.9% · Lower 95% interval 3.16% |
| Staff COVID-19 vaccination coverage | 3.8% |
8.2%
4.4 pts worse
|
Numerator 3 · Denominator 79 |
| Staff flu vaccination coverage | 11.39% |
42%
30.6 pts worse
|
Numerator 9 · Denominator 79 |
| Discharge function score | 59.57% |
56.45%
3.1 pts better
|
Numerator 56 · Denominator 94 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 86 · Denominator 86 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 45.31% |
25.2%
20.1 pts better
|
Numerator 29 · Denominator 64 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.9 |
1.6
1.3 pts worse
|
1.9
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.0 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.9
0.7 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 1.9 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
96.4%
3.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.0%
2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
4.5%
1 pts better
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 2.9% · Q4 5.4% · 4Q avg 3.5% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.5%
1 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 14.7% · Q4 2.8% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.3% |
18.9%
7.6 pts better
|
19.6%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 8.6% · Q3 11.4% · Q4 18.9% · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.8% |
18.7%
10.9 pts better
|
16.7%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 3.6% · Q3 7.7% · Q4 10.0% · 4Q avg 7.8% · 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 | 20.6% |
19.2%
1.4 pts worse
|
16.3%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q4 20.7% · 4Q avg 20.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.0% |
21.9%
4.9 pts better
|
14.9%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 18.2% · Q3 12.1% · Q4 11.1% · 4Q avg 17.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.3%
0.6 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.5% |
2.4%
2.1 pts worse
|
1.7%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.5% · Q3 2.9% · Q4 2.8% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.9% |
26.7%
10.2 pts worse
|
19.8%
17.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.7% · Q2 47.2% · Q3 36.6% · Q4 27.3% · 4Q avg 36.9% |
| Percentage of long-stay residents with pressure ulcers | 7.0% |
4.4%
2.6 pts worse
|
5.1%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 7.1% · Q3 7.0% · Q4 10.2% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.0% |
85.6%
5.4 pts better
|
81.7%
9.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.6% · Q2 91.3% · Q3 93.1% · Q4 87.8% · 4Q avg 91.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.4% |
14.1%
2.3 pts worse
|
12.0%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 14.9% · Expected 10.1% · 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 1.5% · Q2 1.5% · Q3 0.0% · Q4 1.5% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.4% |
83.0%
5.4 pts better
|
79.7%
8.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.4% |
22.1%
2.7 pts better
|
23.9%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.4% · Observed 14.9% · Expected 18.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-07 · Fire 2024-03-07
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-02-01 · Fire 2023-02-01
0 health deficiencies
No concentrated health issue counts in this cycle.
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
2024-03-07
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 2024-04-12
D · Potential for more than minimal harm
2024-03-07
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-08
D · Potential for more than minimal harm
2024-03-07
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 2024-04-08
Penalties and ownership
What sits behind the stars
Ownership
Barrett, Kevin
Corporate Officer · Individual
Bernard, Alain
Corporate Director · Individual
Blonski, Thomas
Corporate Director · Individual
Coughlin, Jamie
Corporate Officer · Individual
Gilbert, Michael
Corporate Officer · Individual
Gossett, Robert
Corporate Officer · Individual
Grip, Brian
Corporate Director · Individual
Hildenbrand, David
Corporate Officer · Individual
Hilton, Richard
Corporate Director · Individual
Legere, Tina
Corporate Director · Individual
Libasci, Peter
Corporate Director · Individual
Mullikin, Anu
Corporate Director · Individual
Nh Catholic Charities Inc
5% Or Greater Direct Ownership Interest · Organization
Nh Catholic Charities Inc
Operational/Managerial Control · Organization
Ouellette, Russ
Corporate Director · Individual
Patenaude, John
Corporate Director · Individual
Powers, Edward
Corporate Director · Individual
Raczka, Joseph
Corporate Director · Individual
Richardson, Sarah
W-2 Managing Employee · Individual
Ryan, Maria
Corporate Director · Individual
Shuster, Patricia
Corporate Director · Individual
Steinmetz, Thomas
Corporate Director · Individual
Zirkle, Karen
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Langdon Place Of Dover
Dover, NH
2-star overall rating with 3-star inspections with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Dover Center For Health & Rehabilitation
Dover, NH
2-star overall rating with 2-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Durgin Pines
Kittery, ME
5-star overall rating with 5-star inspections with $14,434 in total fines with 4 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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