Show Inspection Reports
Total health inspections
5
New Hampshire average 3.5
Last Health inspection on Oct 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Derry Rehabilitation and Nursing Center LLC
Nursing Home in New Hampshire
CMS overall rating
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.
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.
Derry Rehabilitation and Nursing Center LLC
Nursing Home in New Hampshire
CMS overall rating
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.
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.
Derry Rehabilitation and Nursing Center is a skilled nursing facility located in Derry, New Hampshire. It offers services such as short-term rehabilitation, long-term care, respite, and end-of-life care. The center has been serving the greater Derry area for over 40 years.
Quality ratings
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.
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.
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.
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
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.
Total nursing care / resident
This home is ranked 67th out of 67 homes in New Hampshire.
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.
This home is ranked 67th out of 67 homes in New Hampshire.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.
2h 46m per day
vs New Hampshire avg
-34%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
62
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
75.4%
Avg. Length of Stay
184 days
Occupancy rate
75.4%
Avg. Length of Stay
184 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
87% of new residents, usually for short-term rehab.
Typical stay
18 days
Private pay
10% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
11 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$7.7M
Operating loss
-$351.1K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$7.7M
Operating loss
-$351.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.0M
62-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJanuary 1, 2026
CountyRockingham
License Number04566
CMS Certification Number305095
Derry Rehabilitation and Nursing Center LLC is administrated by Mikyla P Pixos.
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Specific Programs24hr RN Coverage, Post-Surgical Recovery, Stroke Reconditioning, Palliative Care, Pain Management
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In New Hampshire, the Department of Health and Human Services, Health Facilities Administration is responsible for the unannounced inspection and licensing of all residential care and nursing facilities.
Health Inspection History
Inspections
Total health citations
17
New Hampshire average 14.4
Citations per inspection
3.4
New Hampshire average 3.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 17 citations resulted from standard inspections; and 10 of 17 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
400% worse than New Hampshire averageNew Hampshire average: 0.2
Serious Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.1
1 critical citation
0 serious citations
15 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 16, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 16, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 16, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 16, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 16, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 16, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 16, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 16, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around New Hampshire The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
Filter by care type
| Bedford Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bedford | 102 | 76.1% | -6% | 3.05 | -24% | -29% | 0 | 15 | 5.0 | 0 | 86 | - | - | Woh Llc | $9.4M | $5.6M | 59.8% | 305086 | ||||
| Bedford Hills |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bedford | 147 | 94.2% | +16% | 3.33 | +19% | -22% | 1 | 8 | 2.0 | 1 | 135 | - | - | Forrence, Heidi | $25.6M | $8.5M | 33.2% | 305060 | ||||
| Alpine Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Keene | 85 | 84.4% | +4% | 3.21 | -52% | -25% | 0 | 17 | 5.7 | 0 | 73 | - | - | White Mountain Peak Healthcare Llc | $8.5M | $3.8M | 44.8% | 305062 | ||||
| Derry Rehabilitation and Nursing Center LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Derry | 62 | 75.4% | -7% | 2.77 | -16% | -35% | 1 | 17 | 3.4 | 1 | 52 | - | - | Estee, Daniel | $7.6M | $2.4M | 31.1% | 305095 | ||||
| Brookdale Spruce Wood | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Durham | 80 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
161
Employees
65
Contractors
96
Staff to resident ratio
3.35:1
80% better than New Hampshire averageNew Hampshire average ratio: 1.87:1
Avg staff/day
32
Average shift
7.4 hours
5% worse than New Hampshire averageNew Hampshire average: 7.8 hours
Total staff hours (quarter)
21,649
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
94
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
15.6%
3,376 contractor hours this quarter
Certified Nursing Assistant: 68
Registered Nurse: 10
Licensed Practical Nurse: 7
Respiratory Therapy Technician: 2
Physical Therapy Assistant: 2
Speech Language Pathologist: 2
Feeding Assistant: 2
Medical Director: 1
Occupational Therapy Assistant: 1
Other Physician: 1
Staff by category
| Certified Nursing Assistant | 26 | 68 | 94 | 8,561 | 91 | 100% | 7.6 |
| Occupational Therapy Aide | 14 | 0 | 14 | 3,647 | 91 | 100% | 7.4 |
| Registered Nurse | 7 | 10 | 17 | 2,474 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 6 | 7 | 13 | 2,249 | 91 | 100% | 9.2 |
| Dietitian | 3 | 0 | 3 | 971 | 91 | 100% | 6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 636 | 57 | 63% | 7.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 486 | 65 | 71% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 465 | 62 | 68% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 444 | 60 | 66% | 7.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 316 | 49 | 54% | 6.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 315 | 63 | 69% | 5 |
| Feeding Assistant | 0 | 2 | 2 | 264 | 33 | 36% | 8 |
| Medication Aide/Technician | 3 | 0 | 3 | 215 | 31 | 34% | 6.9 |
| Medical Director | 0 | 1 | 1 | 55 | 27 | 30% | 2 |
| RN Director of Nursing | 1 | 0 | 1 | 45 | 6 | 7% | 7.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 23 | 17 | 19% | 1.4 |
| Other Physician | 0 | 1 | 1 | 12 | 2 | 2% | 6 |
94 Certified Nursing Assistant
% of Days
100%
14 Occupational Therapy Aide
% of Days
100%
17 Registered Nurse
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
3 Dietitian
% of Days
100%
2 Clinical Nurse Specialist
% of Days
63%
2 Speech Language Pathologist
% of Days
71%
1 Nurse Practitioner
% of Days
65%
1 Administrator
% of Days
68%
1 Mental Health Service Worker
% of Days
66%
2 Respiratory Therapy Technician
% of Days
54%
2 Physical Therapy Assistant
% of Days
69%
2 Feeding Assistant
% of Days
36%
3 Medication Aide/Technician
% of Days
34%
1 Medical Director
% of Days
30%
1 RN Director of Nursing
% of Days
7%
1 Occupational Therapy Assistant
% of Days
19%
1 Other Physician
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
48
Medicare
3
6.3% of residents
Medicaid
38
79.2% of residents
Private pay or other
7
14.6% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.0
41% worse than New Hampshire averageNew Hampshire average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.0
34% worse than New Hampshire averageNew Hampshire average: 23.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
31.8%
Percent of long-stay residents whose need for help with daily activities has increased
31.8%
45% worse than New Hampshire averageNew Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
32.2%
Percent of long-stay residents whose ability to move independently worsened
32.2%
59% worse than New Hampshire averageNew Hampshire average: 20.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.9%
7% worse than New Hampshire averageNew Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
64% better than New Hampshire averageNew Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.0%
Percent of long-stay high risk residents with pressure ulcers
7.0%
55% worse than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.8%
Percent of long-stay residents with a urinary tract infection
2.8%
11% worse than New Hampshire averageNew Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.3%
Percent of long-stay residents who lose too much weight
7.3%
30% worse than New Hampshire averageNew Hampshire average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
22.1%
Percent of long-stay residents who have depressive symptoms
22.1%
168% worse than New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.9%
Percent of long-stay residents who received an antipsychotic medication
17.9%
In line with New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
In line with New Hampshire averageNew Hampshire average: 96.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
In line with New Hampshire averageNew Hampshire average: 98.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.4%
15% better than New Hampshire averageNew Hampshire average: 83.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
37% worse than New Hampshire averageNew Hampshire average: 1.6%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.2%
11% better than New Hampshire averageNew Hampshire average: 83.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$69K
109% higher than New Hampshire averageNew Hampshire average: $33K
Number of fines
1
48% fewer fines than New Hampshire averageNew Hampshire average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New Hampshire averageNew Hampshire average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$69K
New Hampshire average
$33K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 27, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 27, 2023
$69K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Derry Rehabilitation and Nursing Center LLC based on CMS SNF Cost Reports.
Occupancy Rate
75.4%
↑ 4.5pp vs 2022
Net Income
-$351.1K
↓ ~$1.1M vs 2022
Total Payroll
$3.9M
↑ ~$103.8K vs 2022
Profit Margin
-4.6%
↓ 37.4pp vs 2022
Loading trend charts...
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