Cycle 1
Health 2025-03-27 · Fire 2025-03-27
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Windham, NH
Warde Health Center
5-star overall rating with 5-star inspections
21 Searles Road, Windham, NH
(603) 890-1290
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
32
Certified beds
Average residents
31
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Catholic Charities New Hampshire
Operator or chain grouping
Approved since
1993-06-09
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
0.51
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
1.28
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
2.41
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
4.21
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.79
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.78
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
4.82
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,790
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9851
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.10
Performance 20.92% · Measure score 1.10 · Achievement 1.10 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
3.54
Performance 6.78% · Measure score 3.54 · Achievement 3.54 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0.08
Baseline 69.23% · Performance 66.67% · Measure score 0.08 · Achievement 0 · Improvement 0.08
Adjusted total nurse staffing
6.78
Baseline 5.05 hours · Performance 5.01 hours · Measure score 6.78 · Achievement 6.78 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.11% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 89 · Observed rate 6.74% · Lower 95% interval 6.64% |
| Discharge to community | 56.28% |
50.57%
5.7 pts better
|
No Different than the National Rate · Eligible stays 80 · Observed rate 55% · Lower 95% interval 44.84% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.28% |
95.27%
3 pts better
|
Numerator 57 · Denominator 58 |
| Falls with major injury | 3.45% |
0.77%
2.7 pts worse
|
Numerator 2 · Denominator 58 |
| Discharge self-care score | 44.44% |
53.69%
9.2 pts worse
|
Numerator 20 · Denominator 45 |
| Discharge mobility score | 46.67% |
50.94%
4.3 pts worse
|
Numerator 21 · Denominator 45 |
| Pressure ulcers or injuries, new or worsened | 1.72% |
2.29%
0.6 pts better
|
Numerator 1 · Denominator 58 · Adjusted rate 2.02% |
| Healthcare-associated infections requiring hospitalization | 6.78% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 50 · Observed rate 4% · Lower 95% interval 3.35% |
| Staff COVID-19 vaccination coverage | 20.25% |
8.2%
12.1 pts better
|
Numerator 16 · Denominator 79 |
| Staff flu vaccination coverage | 35.87% |
42%
6.1 pts worse
|
Numerator 33 · Denominator 92 |
| Discharge function score | 53.33% |
56.45%
3.1 pts worse
|
Numerator 24 · Denominator 45 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 21 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 53.57% |
25.2%
28.4 pts better
|
Numerator 15 · Denominator 28 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.6
0.4 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.5 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.6 |
1.9
1.7 pts worse
|
1.8
1.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 2.8 · Expected 1.3 · 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 | 92.9% |
98.0%
5.1 pts worse
|
95.5%
2.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.4% |
4.5%
0.9 pts worse
|
3.3%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.6% · Q3 7.4% · Q4 6.7% · 4Q avg 5.4% · 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 | 7.0% |
5.5%
1.5 pts worse
|
5.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 12.0% · Q3 4.2% · Q4 7.4% · 4Q avg 7.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.8% |
18.9%
9.9 pts worse
|
19.6%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 28.0% · Q3 30.8% · Q4 28.6% · 4Q avg 28.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.1% |
18.7%
12.6 pts better
|
16.7%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q3 4.8% · Q4 4.5% · 4Q avg 6.1% · 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 | 15.6% |
19.2%
3.6 pts better
|
16.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.0% |
21.9%
0.1 pts worse
|
14.9%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 16.7% · Q3 20.0% · Q4 26.9% · 4Q avg 22.0% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.6% |
2.4%
3.2 pts worse
|
1.7%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 8.0% · Q4 10.3% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.9% |
26.7%
8.2 pts worse
|
19.8%
15.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.2% · Q2 26.7% · Q3 27.5% · Q4 45.3% · 4Q avg 34.9% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
4.4%
1.8 pts worse
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.7% · Q3 8.0% · Q4 6.0% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
85.6%
12.5 pts better
|
81.7%
16.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.7% · Q3 100.0% · Q4 95.5% · 4Q avg 98.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.0% |
14.1%
5.9 pts worse
|
12.0%
8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 19.4% · Expected 10.8% · 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 · Q1 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.3% |
83.0%
6.3 pts better
|
79.7%
9.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.3% |
22.1%
0.2 pts worse
|
23.9%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 22.6% · Expected 24.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-27 · Fire 2024-03-27
2 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 2023-02-10 · Fire 2023-02-10
2 health deficiencies
Top issue: Administration (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
2024-03-27
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-21
D · Potential for more than minimal harm
2024-03-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-15
D · Potential for more than minimal harm
2023-02-10
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 2023-03-22
D · Potential for more than minimal harm
2023-02-10
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-03-14
Penalties and ownership
What sits behind the stars
Ownership
Nh Catholic Charities Inc
5% Or Greater Direct Ownership Interest · Organization
Barrett, Kevin
Corporate Director · Individual
Bernard, Alain
W-2 Managing Employee · Individual
Blonski, Thomas
Corporate Officer · Individual
Blonski, Thomas
W-2 Managing Employee · Individual
Christon, Dean
Corporate Director · Individual
Coughlin, Adam
Corporate Director · Individual
Demers, Kate
Corporate Director · Individual
Desrosiers, Kevin
Corporate Director · Individual
Ford, Patrick
Corporate Director · Individual
Hildenbrand, David
Corporate Officer · Individual
Huard, Susan
Corporate Director · Individual
Jalbert, Jason
Corporate Director · Individual
Laroche, Shari
W-2 Managing Employee · Individual
Legere, Tina
Corporate Director · Individual
Libasci, Peter
Corporate Director · Individual
Mclean, Jeffrey
Corporate Director · Individual
Mirable, Catherine
Corporate Director · Individual
Ouellette, Russ
Corporate Director · Individual
Powers, Edward
Corporate Director · Individual
Richardson, Sarah
W-2 Managing Employee · Individual
Senus, Ken
Corporate Director · Individual
Zirkle, Karen
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Salemhaven
Salem, NH
2-star overall rating with 2-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Pleasant Valley Nursing and Rehab Center
Derry, NH
3-star overall rating with 3-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Derry Center For Rehabilitation And Healthcare
Derry, NH
1-star overall rating with 1-star inspections with Special Focus status with $69,219 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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