Elm Wood Center at Claremont

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Claremont, NH

CMS overall rating

290 Hanover Street, Claremont, NH 03743 View map

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Elm Wood Center at Claremont accepts Medicare, Medicaid, and private pay.

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Elm Wood Center at Claremont accepts Medicare, Medicaid, and private pay.

Overview of Elm Wood Center at Claremont

A skilled nursing community in Claremont, New Hampshire, is Elm Wood Center at Claremont. The 68-bed home is owned by Genesis Omg Operations LLC and accepts Medicare, Medicaid, and private pay to give families flexibility in funding short-term rehabilitation and long-term care. It currently runs at 75 percent occupancy, with an average stay length of around 145 days, reflecting a mix of post-acute rehab occupants and those staying for ongoing skilled care.

The center is organized around short-term rehabilitation and long-term nursing care, anchored by on-site clinical staff, including a doctor and 24-hour nursing coverage. Total nursing care averages 3 hours 33 minutes per resident day, with registered nurses providing 51 minutes of that time. Rehabilitation services and pain management exist alongside respite care and palliative care choices for families managing end-of-life transitions. Daily life is anchored by restaurant-style dining with a choice of meals and an always-available menu, ensuring flexibility for different preferences and dietary needs. Occupants can access private and semi-private rooms with individual climate control, an activity room, garden and courtyard spaces, and wellness amenities including a beauty salon and sunroom. Wireless internet and cable television are available, and the center organizes cultural, educational, religious, and social activities along with recreation programming. The facility’s location in Claremont carries a Walk Score of 1, indicating the area is car-dependent, and most errands need a vehicle.

For families examining Elm Wood Center at Claremont, state inspection data identifies areas of concern surrounding resident care practices, medication management, staffing protocols, and care standards compliance. Visitors are encouraged to interrogate the home directly regarding how these areas are managed and tracked.

Facility Direct Line (603) 542-2606

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 33m per day

vs avg

3 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +17% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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.	51m per day	▲ 17% State avg: 44m per day · National avg: 41m per day
LPN / LVN 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.	39m per day	▼ 15% State avg: 46m per day · National avg: 52m per day
Nurse Aide 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.	1h 44m per day	▼ 27% State avg: 2h 23m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	2h 47m per day	▼ 19% State avg: 3h 26m per day · National avg: 3h 26m per day
Physical Therapist 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.	4m per day	▲ 6% State avg: 4m per day · National avg: 4m per day
Weekend RN 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.	31m per day	■ Avg State avg: 31m per day · National avg: 28m per day

Capacity and availability

145 days

68-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 1 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

75%

Lower than the New Hampshire average: 81.1%

Occupied beds

51 / 68

Average occupied beds in New Hampshire homes 80 beds

2023 AHCA Bronze National Quality Award

Facility TypeNursing Home

StatusActive

IssuanceJuly 1, 2025

CountySullivan

License Number03404

CMS Certification Number305041

Elm Wood Center at Claremont is administered by Kaylyn E Rushford.

Emergency Systems24-hour emergency alert and response system

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Longterm Care

Shortstay Rehabilitation

Palliative Care

Private And Semi-Private Rooms

Spacious Rooms

Private Bathroom

Individual Climate Control

Activity Room

Wellness Programs

Sunroom

Beautiful Garden(S) / Courtyard(S)

Private Balcony/ Porch / Patio

Beauty Salon / Barber Services

Cable Television

Café With Always Available Menu Options

Comfortable Common And Lounge Areas

Country Kitchen

Dining Room

In-Room Dining Options

Private Dining Rooms For Family Gatherings

Restaurant-Style Dining

Spa Services

Alarm System For Residents With Cognitive Deficits

Complimentary Laundry Facility

Housekeeping

Laundry Facility

Mail And Newspaper Service

Pharmaceutical Delivery Service

Phone Service

Wireless Internet

Smoke Free Environment

Activities

Since 2023 · 3 years of data 28 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. New Hampshire state average

Overall vs. NH average

Latest Inspection September 11, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NH Average	vs. NH Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	28	17	This facility has 65% more total deficiencies than a typical New Hampshire assisted living residence (28 vs. NH avg 17).↑ 65% worse
Deficiencies per year Average deficiencies per year since 2023.	9.3	5.7	This facility has 63% more deficiencies per year than a typical New Hampshire assisted living residence (9.3 vs. NH avg 5.7).↑ 63% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

September 11, 2025 complaint investigation substantiated emotional abuse by staff mocking three residents on video, resulting in staff termination and reports to nursing board and police.
August 1, 2025 inspection found six deficiencies including failure to serve meals simultaneously, inaccurate PASARR screenings, poor hospice coordination, and inadequate infection prevention practices.
June 13, 2024 routine inspection cited seven deficiencies including medication errors above 5%, insufficient weekend staffing, delayed pain management, and failure to follow physician orders.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on Sep 2025

Total health citations

State average N/A

Citations per inspection

7.25

State average N/A

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

28 of 29 citations resulted from standard inspections; and 1 of 29 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

24 moderate citations State average: N/A

5 minor citations State average: N/A

Citations history (last 3 years)

Abuse/Neglect moderate citation Sep 11, 2025

Administration minor citation Aug 01, 2025

Corrected

Administration moderate citation Aug 01, 2025

Corrected

Infection Control moderate citation Aug 01, 2025

Corrected

Total staff 94

Employees 76

Contractors 18

Staff to resident ratio 1.57 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 29

Average shift 7.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 20,832

Nursing staff breakdown

8.5 hours

9.5 hours

8 hours

Contractor staffing

2,850 contractor hours this quarter

Certified Nursing Assistant: 8 Occupational Therapy Assistant: 4 Occupational Therapy Aide: 2 Medical Director: 1 Licensed Practical Nurse: 1 Administrator: 1 Speech Language Pathologist: 1

Staff by category


Certified Nursing Assistant	20	8	28	9,117	92	100%	8
Licensed Practical Nurse	9	1	10	3,441	92	100%	9.5
Registered Nurse	11	0	11	3,381	92	100%	8.5
Clinical Nurse Specialist	3	0	3	644	55	60%	7.6
Administrator	1	1	2	523	62	67%	8.4
Physical Therapy Aide	3	0	3	518	67	73%	7.2
Nurse Practitioner	3	0	3	475	50	54%	8.8
Mental Health Service Worker	3	0	3	471	61	66%	7.2
Physical Therapy Assistant	5	0	5	465	60	65%	6.3
Other Dietary Services Staff	5	0	5	422	51	55%	6.4
Respiratory Therapy Technician	5	0	5	372	60	65%	5.9
Qualified Social Worker	3	0	3	364	50	54%	7.1
Other Social Services Staff	1	0	1	266	36	39%	7.4
Speech Language Pathologist	3	1	4	131	21	23%	6.2
Occupational Therapy Aide	0	2	2	108	19	21%	5.4
Medication Aide/Technician	1	0	1	51	8	9%	6.4
Occupational Therapy Assistant	0	4	4	50	44	48%	1.1
Medical Director	0	1	1	36	12	13%	3

28 Certified Nursing Assistant

% of Days 100%

10 Licensed Practical Nurse

% of Days 100%

11 Registered Nurse

% of Days 100%

3 Clinical Nurse Specialist

% of Days 60%

2 Administrator

% of Days 67%

3 Physical Therapy Aide

% of Days 73%

3 Nurse Practitioner

% of Days 54%

3 Mental Health Service Worker

% of Days 66%

5 Physical Therapy Assistant

% of Days 65%

5 Other Dietary Services Staff

% of Days 55%

5 Respiratory Therapy Technician

% of Days 65%

3 Qualified Social Worker

% of Days 54%

1 Other Social Services Staff

% of Days 39%

4 Speech Language Pathologist

% of Days 23%

2 Occupational Therapy Aide

% of Days 21%

1 Medication Aide/Technician

% of Days 9%

4 Occupational Therapy Assistant

% of Days 48%

1 Medical Director

% of Days 13%

View All Staffing Data

No penalties in the past 3 years

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

High-risk clinical events score 8.8

23% better than State average

State average: 11.4

Functional decline score 17.9

23% better than State average

State average: 23.2

Long-stay resident measures

Significantly above average State avg: 2.7

Need for Help with Daily Activities Increased 13.4%

39% better than State average

State average: 21.9%

Walking Ability Worsened 16.5%

19% better than State average

State average: 20.3%

Low Risk Residents with Bowel/Bladder Incontinence 23.8%

12% better than State average

State average: 27.1%

Falls with Major Injury 2.7%

41% better than State average

State average: 4.6%

High Risk Residents with Pressure Ulcers 4.0%

12% better than State average

State average: 4.5%

Urinary Tract Infection 0.5%

81% better than State average

State average: 2.5%

Lost Too Much Weight 7.2%

29% worse than State average

State average: 5.6%

Depressive Symptoms 11.7%

42% worse than State average

State average: 8.3%

Antipsychotic Use 4.2%

76% better than State average

State average: 17.4%

Pneumococcal Vaccine 93.7%

In line with State average

State average: 96.0%

Influenza Vaccine 98.3%

In line with State average

State average: 98.0%

Hospitalizations per 1,000 days 1.42

14% better than State average

State average: 1.65

ED visits per 1,000 days 2.20

16% worse than State average

State average: 1.90

Short-stay resident measures

Average State avg: 2.9

Pneumococcal Vaccine 67.1%

20% worse than State average

State average: 83.8%

Antipsychotic medication increase 0.9%

41% better than State average

State average: 1.6%

Influenza Vaccine 68.1%

18% worse than State average

State average: 83.0%

Re-hospitalized after SNF stay 21.5%

In line with State average

State average: 22.1%

Emergency department visits 15.2%

8% worse than State average

State average: 14.1%

Falls with major injury 1.4%

75% worse than State average

State average: 0.8%

Ability to care for self at discharge 47.9%

11% worse than State average

State average: 53.7%

Successful return to home or community 51.1%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

48% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

41% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Total residents 60

Medicare

21.7% of residents

Medicaid

58.3% of residents

Private pay or other

20% 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.

Financial Trends

Historical financial and operational data for Elm Wood Center at Claremont from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 09/2023.

Occupancy Rate 92.6% ↓ 0.7pp vs 2022

Net Patient Income -$65.8K ↑ ~$212.9K vs 2022

Payroll Costs $3.9M ↑ ~$152.4K vs 2022

Operating Margin -0.8% ↑ 2.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	92.0%	95.9%	88.1%	91.6%	95.2%	95.0%	89.2%	90.7%	88.5%	89.6%	93.7%	93.3%	92.6%
Beds	68	68	68	68	68	68	68	68	68	68	68	68	68
Net Income	-$358,421	-$761,451	-$383,972	-$275,315	-$268,994	-$413,590	-$400,884	-$171,505	-$178,625	$818,986	-$647,928	$327,975	-$52,044
Gross Revenue	$7,064,840	$7,616,964	$5,418,959	$7,425,053	$7,777,634	$7,781,564	$7,751,718	$8,138,002	$8,540,062	$8,840,659	$8,646,844	$8,597,223	$9,095,433
Operating Expenses	$7,010,074	$7,208,227	$4,850,380	$6,617,794	$6,754,724	$6,709,607	$6,402,612	$6,158,121	$6,292,095	$6,485,234	$7,738,790	$7,777,124	$7,941,766
Net Patient Income	-$358,692	-$761,451	-$384,246	-$275,315	-$271,627	-$416,732	-$401,042	-$171,505	-$178,625	$818,986	-$507,071	-$278,694	-$65,790
Net Patient Revenue	$6,651,382	$6,446,776	$4,466,134	$6,342,479	$6,483,097	$6,292,875	$6,001,570	$5,986,616	$6,113,470	$7,304,220	$7,231,719	$7,498,430	$7,875,976
Payroll Costs	$3,133,745	$3,257,838	$2,249,282	$2,886,745	$2,917,926	$2,937,215	$2,450,997	$2,575,919	$2,772,337	$2,707,858	$3,306,278	$3,699,835	$3,852,215
Operating Margin %	-5.4%	-11.8%	-8.6%	-4.3%	-4.2%	-6.6%	-6.7%	-2.9%	-2.9%	11.2%	-7.0%	-3.7%	-0.8%
Medicare %	22.2%	20.7%	19.3%	18.8%	15.3%	13.4%	14.8%	12.4%	15.2%	14.3%	12.3%	12.1%	14.7%
Medicaid %	57.9%	62.4%	63.9%	62.1%	63.5%	65.8%	67.1%	72.1%	73.2%	73.8%	75.0%	71.7%	70.3%
Private %	19.8%	16.9%	16.8%	19.1%	21.2%	20.8%	18.1%	15.5%	11.7%	11.9%	12.7%	16.2%	15.0%
Net Patient Revenue/Day	$291	$270	$273	$279	$274	$266	$271	$266	$278	$328	$311	$324	$343
Cost/Day	$307	$302	$296	$291	$286	$284	$289	$274	$286	$291	$333	$336	$346
Avg Length of Stay	119.6 days	127.7 days	102.9 days	101.0 days	123.1 days	116.5 days	103.4 days	115.4 days	104.6 days	133.6 days	215.3 days	180.8 days	145.4 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

Net patient revenue

$7.9M

Net patient income

-$65.8K

For-profit Corporation

Net patient revenue

$7.9M

Net patient income

-$65.8K

Other income

$13.7K

Payroll costs

$3.9M 48.9% of net patient revenue

Other operating costs

$4.1M

Total costs

$7.9M

TYPE OF STAY

Mostly short-term rehab stays

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

New residents most often arrive under Medicare (48% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 48%

Private pay 41%

Medicaid 11%

Coverage residents most often leave under.

Medicare 37%

Private pay 41%

Medicaid 22%

1.5 miles from city center Estimated distance in miles from Claremont's city center to Elm Wood Center at Claremont's address, calculated via Google Maps.

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The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.


Villa Crest Nursing and Retirement Center	NH AL MC RC SNF	Manchester	-	126	-	39	Private Rooms
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RiverWoods Exeter	NH AL IL MC SNF	Exeter (Perkins Hill)	-	66	-	0	-
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Elm Wood Center at Claremont	NH HOS PC RC SNF	Claremont	-	68	-	1	-

Nursing Home Explorer

Is Elm Wood Center at Claremont in a walkable area?

Elm Wood Center at Claremont has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Elm Wood Center at Claremont?

According to NH state health department records, Elm Wood Center at Claremont's license number is 03404.

What is the occupancy rate at Elm Wood Center at Claremont?

Elm Wood Center at Claremont's occupancy is 75%.

Does Elm Wood Center at Claremont operate as a for-profit or non-profit?

Elm Wood Center at Claremont is registered as a for-profit in NH.

Who is the administrator of Elm Wood Center at Claremont?

Kaylyn E Rushford is the administrator of Elm Wood Center at Claremont.

How many beds does Elm Wood Center at Claremont have?

Elm Wood Center at Claremont has 68 beds.

Are there photos of Elm Wood Center at Claremont?

Yes — there are 3 photos of Elm Wood Center at Claremont in the photo gallery on this page.

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Elm Wood Center at Claremont

Overview of Elm Wood Center at Claremont

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

Awards

License Details

Ownership & Operating Entity

Safety & Compliance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Amenities & Lifestyle

Contact Elm Wood Center at Claremont

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

28 Certified Nursing Assistant

10 Licensed Practical Nurse

11 Registered Nurse

3 Clinical Nurse Specialist

2 Administrator

3 Physical Therapy Aide

3 Nurse Practitioner

3 Mental Health Service Worker

5 Physical Therapy Assistant

5 Other Dietary Services Staff

5 Respiratory Therapy Technician

3 Qualified Social Worker

1 Other Social Services Staff

4 Speech Language Pathologist

2 Occupational Therapy Aide

1 Medication Aide/Technician

4 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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