St Francis Rehab and Nursing Center
Nursing Home, Independent Living, Palliative Care & Respite Care · Laconia, NH
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

St Francis Rehab and Nursing Center

Nursing Home, Independent Living, Palliative Care & Respite Care · Laconia, NH
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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St Francis Rehab and Nursing Center accepts Medicare, Medicaid, and private pay.

Overview of St Francis Rehab and Nursing Center

Situated on Court Street in Laconia, New Hampshire, St Francis Rehab and Nursing Center operates as a 51-bed nursing home. The property accepts Medicare, Medicaid, and private pay options to cover resident costs. For visitors, the surrounding neighborhood is car-dependent, with a walkability score of 4 out of 100, meaning family members will need a personal vehicle to reach the property or manage local errands.

Resident stays average roughly 238 days, reflecting an operational footprint centered heavily on permanent or extended nursing placement alongside transitional care. To handle these daily clinical routines, around-the-clock staffing delivers an average of 4 hours and 41 minutes of total nursing care per resident each day, which includes 3 hours and 24 minutes of direct assistance from nurse aides. This team coordinates short-term post-hospital therapy, temporary respite care, and palliative support.

State health department inspection logs show that the facility operates within standard regulatory guidelines for care delivery and environmental safety. Oversight records confirm that the property maintains a consistent compliance track record, resulting in a cumulative citations-per-inspection rate of zero.

Interested individuals will find a quiet, residential setting situated away from major urban centers. Meals are coordinated to meet individual dietary requirements and are served in a structured community dining space.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 41m per day
Rank #18 / 65Nurse hours — State benchmarkedThis home is ranked 18th out of 65 homes in New Hampshire. Shows adjusted nurse hours per resident per day benchmarked to the New Hampshire average, with a ranking across 65 New Hampshire facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 46m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 42m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 10m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 7m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 2m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 34m per day

Capacity and availability

Avg. Length of Stay
238 days
Bed community size
51-bed community Rank #99 / 169Bed count — State benchmarkedThis home is ranked 99th out of 169 homes in New Hampshire. Shows this facility's certified or reported bed count compared to other New Hampshire facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 4 / 100 Rank #178 / 229Walk Score — State benchmarkedThis home is ranked 178th out of 229 homes in New Hampshire. Shows how walkable this facility's neighborhood is compared to the average Walk Score across New Hampshire facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
92%
Rank #11 / 65Occupancy rate — State benchmarkedThis home is ranked 11th out of 65 homes in New Hampshire. Shows this facility's occupancy rate versus the New Hampshire average, with its Statewide rank out of 65. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the New Hampshire average: 81.1%
Occupied beds
47 / 51
Average occupied beds in New Hampshire homes 80 beds

Awards

2018 AHCA Silver National Quality Award
2016 AHCA Bronze National Quality Award

License Details

Facility TypeNursing Home
StatusActive
IssuanceMarch 1, 2026
CountyBelknap
License Number00223
CMS Certification Number305070

Ownership & Operating Entity

St Francis Rehab and Nursing Center is administered by Nha Brenda L. Buttrick.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Additional Services

2 services
Short-Term Rehabilitation
Palliative Care

Contact St Francis Rehab and Nursing Center

Health Inspection History

Inspections since 2023
Total health inspections 1

State average N/A


Last Health inspection on Oct 2023

Total health citations
4 Rank #2 / 66Health citations — State benchmarkedThis home is ranked 2nd out of 66 homes in New Hampshire. Shows this facility's total health deficiency citations benchmarked to the New Hampshire State average, with a ranking across all 66 NH facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4 Rank #36 / 66Citations per inspection — State benchmarkedThis home is ranked 36th out of 66 homes in New Hampshire. Shows average deficiency citations per CMS inspection for this facility versus the New Hampshire mean across 66 facilities with citation data. Lower is better.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 4 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

4 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Pharmacy moderate citation Oct 12, 2023
Corrected

Quality of Care moderate citation Oct 12, 2023
Corrected

Care Planning moderate citation Oct 12, 2023
Corrected

Care Planning moderate citation Oct 12, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 95
Employees 77
Contractors 18
Staff to resident ratio 1.94 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 30
Average shift 7.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 19,603

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 13 RN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 11 LPN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 30 total: 27 full-time employees and 3 contractors. 30
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

14%

2,736 contractor hours this quarter

Respiratory Therapy Technician: 5 Physical Therapy Assistant: 4 Certified Nursing Assistant: 3 Speech Language Pathologist: 3 Qualified Social Worker: 2 Physical Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant273308,11592100%7
Licensed Practical Nurse110112,67692100%7.8
Registered Nurse130132,07592100%7
Medication Aide/Technician6061,3349098%8.1
Clinical Nurse Specialist4048306672%7.7
Other Dietary Services Staff7077798289%7
Physical Therapy Assistant0446426368%6.5
Dietitian1014725964%8
Mental Health Service Worker1014725964%8
Administrator1014645863%8
Nurse Practitioner1014535762%7.9
RN Director of Nursing2024114145%7.9
Speech Language Pathologist0334095964%5.4
Physical Therapy Aide0111472830%5.3
Respiratory Therapy Technician0551413740%3.8
Occupational Therapy Aide101851415%6.1
Qualified Social Worker022642932%2.1
Occupational Therapy Assistant1012133%7
Medical Director1011533%5
30 Certified Nursing Assistant
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
13 Registered Nurse
% of Days 100%
6 Medication Aide/Technician
% of Days 98%
4 Clinical Nurse Specialist
% of Days 72%
7 Other Dietary Services Staff
% of Days 89%
4 Physical Therapy Assistant
% of Days 68%
1 Dietitian
% of Days 64%
1 Mental Health Service Worker
% of Days 64%
1 Administrator
% of Days 63%
1 Nurse Practitioner
% of Days 62%
2 RN Director of Nursing
% of Days 45%
3 Speech Language Pathologist
% of Days 64%
1 Physical Therapy Aide
% of Days 30%
5 Respiratory Therapy Technician
% of Days 40%
1 Occupational Therapy Aide
% of Days 15%
2 Qualified Social Worker
% of Days 32%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 3%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.8
21% worse than State average

State average: 11.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 30.3
31% worse than State average

State average: 23.2

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 30.5%
39% worse than State average

State average: 21.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.9%
28% worse than State average

State average: 20.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 34.4%
27% worse than State average

State average: 27.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.0%
13% better than State average

State average: 4.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.3%
6% better than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.8%
30% better than State average

State average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.3%
23% better than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 8.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 2.3%
87% better than State average

State average: 17.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
In line with State average

State average: 96.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9%
In line with State average

State average: 98.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.8%
In line with State average

State average: 83.8%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.6%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 84.6%
In line with State average

State average: 83.0%

Breakdown by payment type

Medicare

70% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

25% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

5% of new residents, often for long-term daily care.

Typical stay 5 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 49
Medicare
5
10.2% of residents
Medicaid
16
32.7% of residents
Private pay or other
28
57.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 03/2024.

Nonprofit
Church Related
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$214.5K
Nonprofit Church Related
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.8M Rank #59 / 65Revenue — State benchmarkedThis home is ranked 59th out of 65 homes in New Hampshire. Shows this facility's annual revenue compared to the New Hampshire average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$214.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$449.4K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #51 / 65Payroll — State benchmarkedThis home is ranked 51st out of 65 homes in New Hampshire. Shows total annual staff payroll benchmarked to the New Hampshire average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.5M 65.9% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #13 / 65Payroll % — State benchmarkedThis home is ranked 13th out of 65 homes in New Hampshire. Shows payroll as a percentage of revenue versus the New Hampshire average. Well-run New Hampshire facilities typically land around 59–80% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.0M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (70% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
73 total

Coverage residents most often arrive under.

Medicare 70%
Private pay 25%
Medicaid 5%
Discharges
72 total

Coverage residents most often leave under.

Medicare 64%
Private pay 25%
Medicaid 11%

Places of interest near St Francis Rehab and Nursing Center

Address 3.4 miles from city center Info Estimated distance in miles from Laconia's city center to St Francis Rehab and Nursing Center's address, calculated via Google Maps.

Calculate Travel Distance to St Francis Rehab and Nursing Center

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Address

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Frequently Asked Questions about St Francis Rehab and Nursing Center

Is St Francis Rehab and Nursing Center in a walkable area?

St Francis Rehab and Nursing Center has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of St Francis Rehab and Nursing Center?

According to NH state health department records, St Francis Rehab and Nursing Center's license number is 00223.

What is the occupancy rate at St Francis Rehab and Nursing Center?

St Francis Rehab and Nursing Center's occupancy is 92%.

Does St Francis Rehab and Nursing Center operate as a for-profit or non-profit?

St Francis Rehab and Nursing Center is registered as a non-profit in NH.

Who is the administrator of St Francis Rehab and Nursing Center?

Nha Brenda L. Buttrick is the administrator of St Francis Rehab and Nursing Center.

How many beds does St Francis Rehab and Nursing Center have?

St Francis Rehab and Nursing Center has 51 beds.

Are there photos of St Francis Rehab and Nursing Center?

Yes — there are 16 photos of St Francis Rehab and Nursing Center in the photo gallery on this page.

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