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Grafton County Nursing Home
Nursing Home & Skilled Nursing · North Haverhill, 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.

Grafton County Nursing Home

Nursing Home & Skilled Nursing · North Haverhill, 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.
3855 Dartmouth College Highway, North Haverhill, NH 03774 View map Calculator: See prices in your area
Grafton County Nursing Home accepts Medicare, Medicaid, and private pay.
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Grafton County Nursing Home accepts Medicare, Medicaid, and private pay.

Overview of Grafton County Nursing Home

Owned by the County of Grafton, Grafton County Nursing Home is a 135-bed nursing home on Dartmouth College Highway in North Haverhill, New Hampshire. It serves Medicare, Medicaid, and private-pay residents, providing multiple routes to coverage for short-term rehabilitation and longer-term skilled nursing care. The home runs at 87 percent occupancy with an average resident stay of 544 days, indicating a steady blend of post-acute recovery and ongoing care residents.

Staffing levels average 6 hours 6 minutes of total nursing care per resident day. This reflects the core of diligent support in the facility, backed by registered nurses, nurse aides, and licensed vocational nurses throughout the day. The facility is located in a rural area with a Walk Score of 2, so most errands need a car. For residents and families, the setting provides a calmer, countryside location versus more densely urban communities.

The New Hampshire Department of Health and Human Services’ state inspections have focused on documentation accuracy and compliance with care and quality-assurance protocols.

To learn about current operations and how the facility manages daily care delivery, families are encouraged to tour it.

Facility Direct Line (603) 787-6971
Facility Direct Line (603) 787-6971

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.
▼ 33.6% Below NH avg. ▼ 33.6% Below NH avg.NH average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 30.1% Below NH avg. ▼ 30.1% Below NH avg.NH average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 6.4% Below NH avg. ▼ 6.4% Below NH avg.NH average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 36.8% Below NH avg. ▼ 36.8% Below NH avg.NH average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours 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 vs New Hampshire averages

Rank #6 / 64Nurse hours — State benchmarkedThis home is ranked 6th out of 64 homes we track in New Hampshire for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the New Hampshire average, with a ranking across 64 New Hampshire facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 6th out of 64 homes we track in New Hampshire for nurse hours. 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.

5h 44m

34% above state avg
Staff type
Hours / day / resident
vs 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.
49m
+12% State avg: 44m per day · National avg: 41m 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.
1h 2m
+34% State avg: 46m per day · National avg: 52m 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.
3h 53m
+63% State avg: 2h 23m per day · National avg: 2h 20m 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.
5h 27m
+59% State avg: 3h 26m per day · National avg: 3h 26m 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.
0m
−94% State avg: 4m per day · National avg: 4m 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.
31m
Avg State avg: 31m per day · National avg: 28m per day

1 of 6 metrics below state avg

Standout metric: Nurse Aide is +63% above New Hampshire average

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 135 Rank #15 / 164Bed count — State benchmarkedThis home is ranked 15th out of 164 homes we track in New Hampshire for bed count. 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #188 / 190Walk Score — State benchmarkedThis home is ranked 188th out of 190 homes we track in New Hampshire for walk score. 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
2 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #24 / 51Occupancy rate — State benchmarkedThis home is ranked 24th out of 51 homes we track in New Hampshire for occupancy. Shows this facility's occupancy rate versus the New Hampshire average, with its Statewide rank out of 51. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
87% This home usually has limited availability
Higher than the New Hampshire average: 81.1%
Occupied beds
118 / 135
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
544 days

About this community

License Details

Facility TypeNursing Home
StatusActive
IssuanceJanuary 1, 2026
CountyGrafton
License Number00214
CMS Certification Number305053

Ownership & Operating Entity

Grafton County Nursing Home is administered by Nha Craig J Labore.

Additional Policies & Features

Pets not allowed

Contact Grafton County Nursing Home

CMS Health Inspection History

Inspections Since 2022 · 4 years of data
Total health inspections 3

State average 3.5

Last Health inspection on Jan 2025

Total health citations
15 Rank #36 / 65Health citations — State benchmarkedThis home is ranked 36th out of 65 homes we track in New Hampshire for health citations. Shows this facility's total health deficiency citations benchmarked to the New Hampshire State average, with a ranking across all 65 NH facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 14.4

Citations per inspection
5 Rank #45 / 65Citations per inspection — State benchmarkedThis home is ranked 45th out of 65 homes we track in New Hampshire for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New Hampshire mean across 65 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 3.99

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

All 15 citations resulted from standard inspections.

Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than State average

State average: 0.2

Serious health citations
0
100% better than State average

State average: 0.1

0 critical citations State average: 0.2
0 serious citations State average: 0.1
10 moderate citations State average: 12
5 minor citations State average: 2
Citations history (last 4 years)
Abuse/Neglect moderate citation Jan 31, 2025
Corrected
Infection Control minor citation Jan 31, 2025
Corrected
Nutrition moderate citation Jan 31, 2025
Corrected
Quality of Care moderate citation Jan 31, 2025
Corrected
Show Inspection Reports

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.

Staffing Data

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

Total staff 194
Employees 153
Contractors 41
Staff to resident ratio 1.64 : 1
11% fewer staff per resident than New Hampshire average
New Hampshire average ratio: 1.85 : 1 New Hampshire average ratio: 1.85 : 1See full New Hampshire ranking
Avg staff/day 85
Average shift 8 hours
0% compared with New Hampshire average
New Hampshire average: 7.8 hours New Hampshire average shift: 7.8 hoursSee full New Hampshire ranking
Total staff hours (quarter) 62,563

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 21 RN Staff are full-time employees. No contractors work on this role. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 21 total: 12 full-time employees and 9 contractors. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 107 total: 93 full-time employees and 14 contractors. 107
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 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

18.5%

11,604 contractor hours this quarter

Certified Nursing Assistant: 14 Licensed Practical Nurse: 9 Respiratory Therapy Technician: 6 Physical Therapy Assistant: 5 Qualified Social Worker: 3 Physical Therapy Aide: 2 Occupational Therapy Assistant: 1 Speech Language Pathologist: 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 Assistant931410737,29092100%8.1
Licensed Practical Nurse129217,25792100%9.2
Registered Nurse210215,98192100%8.9
Other Dietary Services Staff100103,58592100%6.4
Clinical Nurse Specialist5052,1708188%7.2
Medication Aide/Technician4041,3228491%8.3
Mental Health Service Worker3031,2376166%7.4
Nurse Aide in Training2028707582%7.6
Physical Therapy Aide0228006470%6.8
Nurse Practitioner1014355863%7.5
Dietitian1014205661%7.5
Speech Language Pathologist0114166470%6.5
Administrator1013905257%7.5
Physical Therapy Assistant0551274549%2.6
Qualified Social Worker0331222426%5.1
Respiratory Therapy Technician066922628%3.4
Occupational Therapy Assistant0115078%7.1
107 Certified Nursing Assistant
% of Days 100%
21 Licensed Practical Nurse
% of Days 100%
21 Registered Nurse
% of Days 100%
10 Other Dietary Services Staff
% of Days 100%
View All Staffing Data

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. 11.6
In line with New Hampshire average

New Hampshire average: 11.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.0
9% better than New Hampshire average

New Hampshire average: 23.2

Long-stay resident measures
Below average New Hampshire avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 25.3%
15% worse than New Hampshire average

New Hampshire average: 21.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.3%
30% better than New Hampshire average

New Hampshire 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 23.5%
13% better than New Hampshire average

New Hampshire average: 27.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.0%
9% worse than New Hampshire average

New Hampshire average: 4.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.4%
64% worse than New Hampshire average

New Hampshire average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.2%
54% better than New Hampshire average

New Hampshire average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.2%
10% worse than New Hampshire average

New Hampshire average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 8.2%
In line with New Hampshire average

New Hampshire average: 8.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.4%
63% worse than New Hampshire average

New Hampshire average: 17.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
In line with New Hampshire average

New Hampshire average: 96.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.2%
In line with New Hampshire average

New Hampshire average: 98.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.24
25% better than New Hampshire average

New Hampshire average: 1.65

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.93
In line with New Hampshire average

New Hampshire average: 1.90

Short-stay resident measures
Below average New Hampshire avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.4%
9% worse than New Hampshire average

New Hampshire average: 83.8%

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

New Hampshire average: 1.6%

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

New Hampshire average: 83.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 13.0%
41% better than New Hampshire average

New Hampshire average: 22.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 5.9%
58% better than New Hampshire average

New Hampshire average: 14.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.7%
117% worse than New Hampshire average

New Hampshire average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 34.7%
35% worse than New Hampshire average

New Hampshire average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 26.4%
48% worse than New Hampshire average

New Hampshire average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

49% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

18% of new residents, often for short stays.

Typical stay 3 years

Medicaid

33% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Facility Characteristics

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

Total residents 118
Medicare
5
4.2% of residents
Medicaid
64
54.2% of residents
Private pay or other
49
41.5% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Government
Operated by federal authorities.
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."
$14.4M
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."
-$6.5M
Government Operated by federal authorities.
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."
$14.4M Rank #20 / 59Net patient revenue — State benchmarkedThis home is ranked 20th out of 59 homes we track in New Hampshire. Shows this facility's net patient revenue compared to the New Hampshire average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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."
-$6.5M
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.
$33.0K
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 #7 / 59Payroll costs — State benchmarkedThis home is ranked 7th out of 59 homes we track in New Hampshire. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New Hampshire average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$13.8M 95.4% 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 #1 / 59Payroll % of net patient revenue — State benchmarkedThis home is ranked 1st out of 59 homes we track in New Hampshire. Shows payroll as a percentage of net patient revenue versus the New Hampshire average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New Hampshire that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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).
$7.2M
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).
$21.0M
How we calculate these figures

This home is administered by Nha Craig J Labore.

This home is owned by County Of Grafton

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 305053

Show certification details

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.

New residents most often arrive under Medicare (49% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
76 total

Coverage residents most often arrive under.

Medicare 49%
Private pay 18%
Medicaid 33%
Discharges
68 total

Coverage residents most often leave under.

Medicare 18%
Private pay 26%
Medicaid 56%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Grafton County Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from North Haverhill's city center to Grafton County Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Grafton County Nursing Home

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the NH Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New Hampshire average is: 52.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Cedar Healthcare Center ★ ★ ★ ★ ★
NH
AL
HOS
PC
RC
SNF
Portsmouth
102
Facility 102
NH AVG 69
Rank #40 / 164
87.2%
Facility 87.2%
NH AVG 82.2%
Rank #25 / 51
+6%
3.24
Facility 3.24
NH AVG 4.28
Rank #43 / 64
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +38%-24%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 65
7
Facility 7
NH AVG 14.4
Rank #13 / 65
2.3
Facility 2.3
NH AVG 4.0
Rank #9 / 65
-89-
80
Facility 80
NH AVG 37
Rank #19 / 190
-
$11.3MFiscal year ending 12/2023
Facility $11.3MFiscal year ending 12/2023
NH AVG $13.2M
Rank #29 / 59
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
NH AVG $6.9M
Rank #23 / 59
55.9%Fiscal year ending 12/2023
Facility 55.9%Fiscal year ending 12/2023
NH AVG 52.5%
Rank #18 / 59
305082
Warde Senior Living ★ ★ ★ ★ ★
NH
AL
IL
PC
RC
SNF
Windham
32
Facility 32
NH AVG 69
Rank #117 / 164
98.8%
Facility 98.8%
NH AVG 82.2%
Rank #3 / 51
+20%
5.20
Facility 5.20
NH AVG 4.28
Rank #10 / 64
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ -2%+21%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 65
4
Facility 4
NH AVG 14.4
Rank #2 / 65
2.0
Facility 2.0
NH AVG 4.0
Rank #1 / 65
-32-
36
Facility 36
NH AVG 37
Rank #88 / 190
Nh Catholic Charities Inc
$4.9MFiscal year ending 03/2024
Facility $4.9MFiscal year ending 03/2024
NH AVG $13.2M
Rank #57 / 59
$2.6MFiscal year ending 03/2024
Facility $2.6MFiscal year ending 03/2024
NH AVG $6.9M
Rank #58 / 59
52.5%Fiscal year ending 03/2024
Facility 52.5%Fiscal year ending 03/2024
NH AVG 52.5%
Rank #27 / 59
305043
Maple Leaf Healthcare Center ★ ★ ★ ★ ★
NH
MC
SNF
Manchester
114
Facility 114
NH AVG 69
Rank #23 / 164
93.7%
Facility 93.7%
NH AVG 82.2%
Rank #8 / 51
+14%
2.81
Facility 2.81
NH AVG 4.28
Rank #59 / 64
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -30%-34%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 65
6
Facility 6
NH AVG 14.4
Rank #6 / 65
2.0
Facility 2.0
NH AVG 4.0
Rank #1 / 65
-107-
49
Facility 49
NH AVG 37
Rank #58 / 190
Nh3 Opco Holdco LLC$10.8M*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$7.1M*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.65.9%*Fiscal year ending 08/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.305030
St Francis Rehab and Nursing Center ★ ★ ★ ★ ★
NH
IL
PC
RC
SNF
Laconia
51
Facility 51
NH AVG 69
Rank #96 / 164
89.2%
Facility 89.2%
NH AVG 82.2%
Rank #15 / 51
+9%
4.50
Facility 4.50
NH AVG 4.28
Rank #19 / 64
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ +7%+5%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 65
4
Facility 4
NH AVG 14.4
Rank #2 / 65
4.0
Facility 4.0
NH AVG 4.0
Rank #35 / 65
-46-
4
Facility 4
NH AVG 37
Rank #176 / 190
-
$6.8MFiscal year ending 03/2024
Facility $6.8MFiscal year ending 03/2024
NH AVG $13.2M
Rank #50 / 59
$4.5MFiscal year ending 03/2024
Facility $4.5MFiscal year ending 03/2024
NH AVG $6.9M
Rank #40 / 59
65.9%Fiscal year ending 03/2024
Facility 65.9%Fiscal year ending 03/2024
NH AVG 52.5%
Rank #7 / 59
305070
Grafton County Nursing Home ★ ★ ☆ ☆ ☆
NH
SNF
North Haverhill
135
Facility 135
NH AVG 69
Rank #15 / 164
87.4%
Facility 87.4%
NH AVG 82.2%
Rank #24 / 51
+6%
5.73
Facility 5.73
NH AVG 4.28
Rank #6 / 64
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ -16%+34%
$0
Facility $0
NH AVG $36.9k
Rank #1 / 65
15
Facility 15
NH AVG 14.4
Rank #36 / 65
5.0
Facility 5.0
NH AVG 4.0
Rank #45 / 65
-118-
2
Facility 2
NH AVG 37
Rank #188 / 190
County Of Grafton
$14.4MFiscal year ending 06/2024
Facility $14.4MFiscal year ending 06/2024
NH AVG $13.2M
Rank #20 / 59
$13.8MFiscal year ending 06/2024
Facility $13.8MFiscal year ending 06/2024
NH AVG $6.9M
Rank #7 / 59
95.4%Fiscal year ending 06/2024
Facility 95.4%Fiscal year ending 06/2024
NH AVG 52.5%
Rank #1 / 59
305053
Nursing Home Explorer

Frequently Asked Questions about Grafton County Nursing Home

Is Grafton County Nursing Home in a walkable area?

Grafton County Nursing Home has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Grafton County Nursing Home?

According to NH state health department records, Grafton County Nursing Home's license number is 00214.

What is the occupancy rate at Grafton County Nursing Home?

Grafton County Nursing Home's occupancy is 87%.

Are pets allowed at Grafton County Nursing Home?

No, Grafton County Nursing Home has a no-pet policy.

Is Grafton County Nursing Home a government-operated facility?

Grafton County Nursing Home is a government-operated nursing facility in NH.

Who is the administrator of Grafton County Nursing Home?

Nha Craig J Labore is the administrator of Grafton County Nursing Home.

How many beds does Grafton County Nursing Home have?

Grafton County Nursing Home has 135 beds.

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