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Nursing Home in New Hampshire

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.

Bedford Hills

Nursing Home in New Hampshire

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.

Bedford Hills

Overview of Bedford Hills
Bedford Hills Rehabilitation & Skilled Nursing Center is a 147-bed facility located in Bedford, New Hampshire. It offers post-hospital short-term rehabilitation, compassionate long-term care, and a secure Memory Support unit for individuals with Alzheimer's and dementia. The center has received a Bronze AHCA Quality Award and is a partner in the We Honor Veterans program.
(603) 625-6462

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.
3/5
New Hampshire average: 2.9/5
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.
4/5
New Hampshire average: 2.8/5
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.
3/5
New Hampshire average: 3.2/5
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.
1/5
New Hampshire average: 3.1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 20m per day

This home provides 21% less nursing time per resident than the New Hampshire average.

New Hampshire average: 4h 13m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 147

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the New Hampshire average
Occupancy rate 94.2%
Residents per day (avg) 135
Occupancy rate
94.2%
Residents per day (avg)
135

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

48% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

16% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$25.6M
Operating loss
-$1.1M
Privately-owned community Operated by a business corporation.
Home revenue
$25.6M
Operating loss
-$1.1M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$8.5M
33.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$18.2M
Total costs $26.7M
Bed community size
147-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
94%
In line with New Hampshire average
Occupied beds
138 / 147
Average residents 80 per day

License Details

Facility TypeNursing Home
StatusActive
IssuanceSeptember 1, 2025
CountyCarroll

Additional Licensing Details

License Number04772
CMS Certification Number305060
AccreditationsBronze AHCA Quality Award recipient
AwardsBronze AHCA Quality Award recipient
Inspection RatingDEFICIENCY-FREE SURVEY

Ownership & Operating Entity

Bedford Hills is administrated by Heidi M Forrence.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Additional Services

4 services
Short Stay Care
Long Term Care
Memory Support
Rehabilitation Therapy

Amenities & Lifestyle

0 amenities
Specific ProgramsShort Stay Care, Long Term Care, Memory Support, Rehabilitation Therapy

Contact Bedford Hills

Health Inspection History

Inspections
Total health inspections 4

New Hampshire average 3.5


Last Health inspection on Oct 2024

Total health citations 8

New Hampshire average 14.4

Citations per inspection
2

New Hampshire average 3.99


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

5 of 8 citations resulted from standard inspections; 2 of 8 resulted from complaint investigations; and 1 of 8 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
400% worse than New Hampshire average

New Hampshire average: 0.2


Serious Health citations More info 0
100% better than New Hampshire average

New Hampshire average: 0.1

1 critical citation More info New Hampshire average: 0.2

0 serious citations More info New Hampshire average: 0.1

5 moderate citations More info New Hampshire average: 12

2 minor citations More info New Hampshire average: 2
Citations history (last 3 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Oct 03, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jul 31, 2024
Corrected

Care Planning minor citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jul 31, 2024
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Jul 31, 2024
Corrected

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

5 facilities compared · CMS & NH Dept. of Health data · Updated Apr 2026

Filter by care type
Cedar 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.

Portsmouth
102
78.6%
-3%
3.30
+20%
-23%
0
7
2.3
0
84
-
$11.0M
$5.7M
51.4%
305082
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
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
-
-
-
-
-
-

Places of interest near Bedford Hills

Address 1.8 miles from city center

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 140
Employees 134
Contractors 6
Staff to resident ratio 1.04:1
44% worse than New Hampshire average

New Hampshire average ratio: 1.87:1

Avg staff/day 63
Average shift 8 hours
0% compared with New Hampshire average

New Hampshire average: 7.8 hours

Total staff hours (quarter) 45,772
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 61
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

1.1%

502 contractor hours this quarter

Occupational Therapy Assistant: 3 Medication Aide/Technician: 1 Certified Nursing Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant6016118,25691100%7.6
Licensed Practical Nurse2802811,08091100%9
Registered Nurse210216,70891100%8.7
Medication Aide/Technician7182,84591100%8.1
Other Dietary Services Staff8081,89591100%6
Mental Health Service Worker3031,4976571%7.8
Clinical Nurse Specialist3031,4576571%8
Nurse Practitioner1015126470%8
RN Director of Nursing1015026066%8.4
Administrator1014966268%8
Dietitian1014216774%6.3
Occupational Therapy Assistant033743437%1.9
Medical Director0113067%5
61 Certified Nursing Assistant
% of Days 100%
28 Licensed Practical Nurse
% of Days 100%
21 Registered Nurse
% of Days 100%
8 Medication Aide/Technician
% of Days 100%
8 Other Dietary Services Staff
% of Days 100%
3 Mental Health Service Worker
% of Days 71%
3 Clinical Nurse Specialist
% of Days 71%
1 Nurse Practitioner
% of Days 70%
1 RN Director of Nursing
% of Days 66%
1 Administrator
% of Days 68%
1 Dietitian
% of Days 74%
3 Occupational Therapy Assistant
% of Days 37%
1 Medical Director
% of Days 7%

Facility Characteristics

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

Total census
135 residents
Residents by payment source
Medicare
14 residents (10.4%)
Medicaid
105 residents (77.8%)
Private pay or other
16 residents (11.9%)
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.

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. 12.2
8% worse than 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. 25.2
9% worse than New Hampshire average

New Hampshire average: 23.2

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 24.4%
11% 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 22.0%
8% worse 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 29.4%
8% worse 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 5.2%
13% 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 3.8%
16% better than New Hampshire average

New Hampshire average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.1%
64% worse than New Hampshire average

New Hampshire average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.9%
5% worse than New Hampshire average

New Hampshire average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.1%
14% better than New Hampshire average

New Hampshire average: 8.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 25.0%
44% 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 95.7%
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 99.3%
In line with New Hampshire average

New Hampshire average: 98.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 69.7%
17% 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 3.1%
97% worse 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 79.6%
In line with New Hampshire average

New Hampshire average: 83.0%

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 $16K
50% lower than New Hampshire average

New Hampshire average: $33K

Number of fines 1
48% fewer fines than New Hampshire average

New Hampshire average: 1.9

Payment Denials Info 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 average

New Hampshire average: 0.1

Fines amount comparison
Fines amount comparison
This facility $16K
New Hampshire average $33K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 22, 2024
$16K

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for New Hampshire Seniors

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Choices for Independence

NH Medicaid CFI Waiver

Age 65+ or disabled, New Hampshire resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Small state; rural access emphasis.

NH ServiceLink Aging and Disability Resource Center

NH ServiceLink

Age 60+, New Hampshire resident, or caregiver.

No strict limit; prioritizes low-income.

Not applicable.

Primarily referral-based; limited direct funding.

Old Age Assistance (OAA)

New Hampshire Old Age Assistance

Age 65+, NH resident, US citizen/eligible alien, not in public institution.

~$1,063/month (individual, net after deductions); varies by living arrangement.

$1,500 (individual), $2,000 (couple).

Automatic Medicaid eligibility; estate recovery applies.

New Hampshire Family Caregiver Program (via NFCSP)

New Hampshire Family Caregiver Program

Caregivers of 60+ needing care or 55+ caregivers of others; NH resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

13 ServiceLink locations; rural/low-income priority.

Medicare Savings Program (MSP)

New Hampshire Medicare Savings Program

Age 65+ or disabled, NH resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

New Hampshire Fuel Assistance Program (FAP)

New Hampshire Fuel Assistance Program

Age 60+ prioritized, NH resident, low-income household.

~$33,614/year (1-person), ~$43,958/year (2-person) (150% FPL).

Not assessed; income-focused.

Administered by 5 CAP agencies; covers oil, gas, electric, wood.

Senior Community Service Employment Program (SCSEP)

New Hampshire SCSEP

Age 55+, unemployed, low-income, NH resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

New Hampshire VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, NH resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

NH Low and Moderate Income Homeowners Property Tax Relief

New Hampshire Property Tax Relief

Age 65+ prioritized, NH resident, homeowner, paid property taxes.

~$47,000/year (individual), ~$60,000/year (couple).

Not assessed; home value cap at $750,000.

Refundable relief (~$100-$500/year); annual application.

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