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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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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.
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.
This home is ranked 3rd out of 67 homes in New Hampshire.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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.
|
4h 42m per day | ▲ 37% State avg: 3h 26m per day · National avg: 3h 26m per day |
Occupancy lower than 85% suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
49% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
33% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 65Payroll — state benchmarkedThis home is ranked 8th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Grafton County Nursing Home is administrated by Craig J Labore, Nha.
Key information about the people who lead and staff this community.
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.
New Hampshire average 3.5
Last Health inspection on Jan 2025
New Hampshire average 14.4
New Hampshire 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.
100% better than New Hampshire average
New Hampshire average: 0.2
0
100% better than New Hampshire average
New Hampshire average: 0.1
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 31, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 31, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 31, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 31, 2025
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.
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| 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 | 59.6% | 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 | ||||
| Grafton County Nursing Home |
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. |
North Haverhill | 135 | 74.9% | -8% | 6.11 | -2% | +43% | 0 | 15 | 5.0 | 0 | 121 | A+ | - | County Of Grafton | $18.6M | $9.6M | 51.9% | 305053 | ||||
| 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 | ||||
| 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 | - | - | - | - | - | - | - | - |
4.1 miles from city center
Estimated distance in miles from NORTH HAVERHILL's city center to Grafton County Nursing Home's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
8% worse than New Hampshire average
New Hampshire average ratio: 1.87:1
0% compared with New Hampshire average
New Hampshire average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This role is partially covered by contractors.
Total hours from contractors
9,633 contractor hours this quarter
| Certified Nursing Assistant | 100 | 9 | 109 | 38,056 | 91 | 100% | 8.2 |
| Registered Nurse | 24 | 1 | 25 | 7,417 | 91 | 100% | 9 |
| Licensed Practical Nurse | 15 | 8 | 23 | 7,186 | 91 | 100% | 9.1 |
| Other Dietary Services Staff | 13 | 0 | 13 | 3,921 | 91 | 100% | 6.5 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,209 | 83 | 91% | 7.5 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,357 | 84 | 92% | 9.1 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,258 | 63 | 69% | 7.4 |
| Nurse Aide in Training | 2 | 0 | 2 | 880 | 77 | 85% | 7.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 857 | 65 | 71% | 6.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 443 | 63 | 69% | 7 |
| Administrator | 1 | 0 | 1 | 428 | 57 | 63% | 7.5 |
| Dietitian | 1 | 0 | 1 | 383 | 51 | 56% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 372 | 51 | 56% | 7.3 |
| Qualified Social Worker | 0 | 2 | 2 | 216 | 32 | 35% | 6.7 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 112 | 31 | 34% | 3.5 |
| Physical Therapy Assistant | 0 | 5 | 5 | 97 | 43 | 47% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 52 | 7 | 8% | 7.4 |
| Medical Director | 0 | 1 | 1 | 38 | 11 | 12% | 3.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
118
Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
14.3%
30% better than New Hampshire average
New Hampshire average: 20.3%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
7.4%
64% worse than New Hampshire average
New Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
1.2%
54% better than New Hampshire average
New Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
6.2%
10% worse than New Hampshire average
New Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
8.2%
In line with New Hampshire average
New Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
28.4%
63% worse than New Hampshire average
New Hampshire average: 17.4%
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%
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%
Number of hospitalizations per 1,000 long-stay resident days.
1.24
25% better than New Hampshire average
New Hampshire average: 1.65
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
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New Hampshire average
New Hampshire average: 1.6%
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%
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%
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%
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%
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%
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.
Historical financial and operational data for Grafton County Nursing Home based on CMS SNF Cost Reports.
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