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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.
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.
Bedford Hills is a 147-bed nursing home owned by Heidi Forrence, situated just off Route 101 in Bedford, New Hampshire. The facility accommodates multiple coverage paths, accepting Medicare, Medicaid, and private pay options. For visitors, the surrounding suburban area is car-dependent, scoring low on walkability scales and requiring family members to use a vehicle for errands and transit to the property.
The facility runs at a busy 94 percent occupancy level, and patients stay an average of 118 days. This timeframe underscores a heavy operational focus on short-term recovery and therapy tracks rather than long-term placement. Daily care is handled by an around-the-clock team of registered nurses, licensed practical nurses, and nurse aides who deliver an average of 3 hours and 20 minutes of nursing care per resident each day to cover physical rehabilitation and memory support needs.
State reviews indicate that the property functions within standard public health guidelines. Earlier health department inspections flagged some issues with medication tracking, but follow-up evaluations confirm those areas were resolved. The building now maintains a clean standard compliance record, bringing its long-term cumulative citations-per-inspection rate to zero.
Prospective residents will find a setup focused on transitioning patients back home after a hospital stay. The kitchen plans meals around standard nutritional requirements and serves them in a centralized dining room.
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 44th out of 58 homes 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.
| 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.
| 42m per day | ▼ 5% 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.
| 53m 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 46m per day | ▼ 26% 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.
| 3h 1m per day | ▼ 12% 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.
| 2m per day | ▼ 50% 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.
| 30m per day | ▼ 3% State avg: 31m per day · National avg: 28m per day |
Higher than the New Hampshire average: 81.1%Bedford Hills is administrated by Heidi M Forrence.
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.
This scorecard compares key inspection, citation, 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
| This Facility | NH Average | vs. NH Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 10 | 17 | This facility has 41% fewer total deficiencies than a typical New Hampshire nursing home (10 vs. NH avg 17).↓ 41% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 3.3 | 5.7 | This facility has 42% fewer deficiencies per year than a typical New Hampshire nursing home (3.3 vs. NH avg 5.7).↓ 42% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New Hampshire average 3.5
Last Health inspection on Oct 2024
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.
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).
400% worse than New Hampshire averageNew Hampshire average: 0.2
100% better than New Hampshire averageNew Hampshire average: 0.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
37% fewer staff per resident than New Hampshire average
0% compared with New Hampshire average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 24 RN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
All 28 LPN Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
57 total: 56 full-time employees and 1 contractor.
57
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,684 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 56 | 1 | 57 | 18,757 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 28 | 0 | 28 | 10,464 | 92 | 100% | 9 |
| Registered Nurse | 24 | 0 | 24 | 6,934 | 92 | 100% | 8.5 |
| Medication Aide/Technician | 6 | 2 | 8 | 2,752 | 92 | 100% | 8.5 |
| Other Dietary Services Staff | 8 | 0 | 8 | 1,473 | 92 | 100% | 5.6 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,441 | 66 | 72% | 7.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,238 | 65 | 71% | 7.9 |
| Physical Therapy Assistant | 0 | 5 | 5 | 938 | 72 | 78% | 6.3 |
| RN Director of Nursing | 1 | 0 | 1 | 527 | 62 | 67% | 8.5 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 515 | 62 | 67% | 7.5 |
| Speech Language Pathologist | 0 | 4 | 4 | 513 | 69 | 75% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 416 | 54 | 59% | 7.2 |
| Dietitian | 1 | 0 | 1 | 409 | 62 | 67% | 6.6 |
| Qualified Social Worker | 0 | 4 | 4 | 132 | 40 | 43% | 2.8 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 61 | 23 | 25% | 2.3 |
| Medical Director | 0 | 1 | 1 | 30 | 6 | 7% | 5 |
Includes penalties issued in 2024
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)
50% lower than New Hampshire averageNew Hampshire average: $33K
48% fewer fines than New Hampshire averageNew Hampshire average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New Hampshire averageNew Hampshire average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 22, 2024 · $16K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 22, 2024Last updated: Jan 2026
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.
12.2
8% worse than New Hampshire averageNew Hampshire average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.2
9% worse than New Hampshire averageNew 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
24.4%
11% worse than New Hampshire averageNew Hampshire average: 21.9%
Percent of long-stay residents whose ability to move independently worsened
22.0%
8% worse than New Hampshire averageNew Hampshire average: 20.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.4%
8% worse than New Hampshire averageNew Hampshire average: 27.1%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
13% worse than New Hampshire averageNew Hampshire average: 4.6%
Percent of long-stay high risk residents with pressure ulcers
3.8%
16% better than New Hampshire averageNew Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
4.1%
64% worse than New Hampshire averageNew Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
5.9%
5% worse than New Hampshire averageNew Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
7.1%
14% better than New Hampshire averageNew Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
25.0%
44% worse than New Hampshire averageNew Hampshire average: 17.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
In line with New Hampshire averageNew Hampshire average: 96.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.3%
In line with New Hampshire averageNew Hampshire average: 98.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.92
16% worse than New Hampshire averageNew Hampshire average: 1.65
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.87
In line with New Hampshire averageNew 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
69.7%
17% worse than New Hampshire averageNew Hampshire average: 83.8%
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
97% worse than New Hampshire averageNew Hampshire average: 1.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.6%
In line with New Hampshire averageNew Hampshire average: 83.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.0%
In line with New Hampshire averageNew Hampshire average: 22.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.6%
11% better than New Hampshire averageNew Hampshire average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.7%
118% worse than New Hampshire averageNew Hampshire average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
31.5%
41% worse than New Hampshire averageNew Hampshire average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.4%
8% worse than New Hampshire averageNew Hampshire average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
36% of new residents, usually for short-term rehab.
48% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
135Residents 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.
Historical financial and operational data for Bedford Hills based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #10 / 58Payroll — State benchmarkedThis home is ranked 10th out of 58 homes in New Hampshire for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
1.8 miles from city center
Estimated distance in miles from Bedford's city center to Bedford Hills's address, calculated via Google Maps.
Add your location
Bedford Hills is located in Bedford, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
| Havenwood |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Concord | 159
Facility
159
NH AVG
71
Rank
#11 / 169 | 68.9% | -15% | 5.73 | +8% | +34% | $0 | 6 | 2.0 | - | 67 | A+ |
23
Facility
23
NH AVG
31
Rank
#115 / 229 | Tracy Judd | $31.5M | $15.7M | 49.8% | 305016 | ||||
| Presidential Oaks |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Concord | 52
Facility
52
NH AVG
71
Rank
#95 / 169 | 52.1% | -36% | 4.85 | -8% | +13% | $46.1k | 16 | 5.3 | - | 69 | - |
43
Facility
43
NH AVG
31
Rank
#72 / 229 | Joyce Higgins | $11.1M | $7.6M | 68.8% | 305063 | ||||
| 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
Facility
147
NH AVG
71
Rank
#16 / 169 | 94.2% | +16% | 3.33 | +20% | -22% | $16.5k | 8 | 2.0 | 1 | 135 | - |
0
Facility
0
NH AVG
31
Rank
#203 / 229 | Heidi Forrence | $25.6M | $12.8M | 49.9% | 305060 | ||||
| Exeter 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Exeter (Hampton Road) | 81
Facility
81
NH AVG
71
Rank
#63 / 169 | 30.9% | -62% | 3.34 | -19% | -22% | $28.9k | 12 | 3.0 | 1 | 25 | - |
28
Facility
28
NH AVG
31
Rank
#104 / 229 | Sunbridge Goodwin Nursing Home LLC | $11.2M | $5.2M | 46.3% | 305064 | ||||
| Hanover Hill Health Care 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. | Manchester (Hanover Hill) | 124
Facility
124
NH AVG
71
Rank
#22 / 169 | 93.5% | +15% | 3.46 | +23% | -19% | $8.5k | 10 | 3.3 | 1 | 116 | A+ |
59
Facility
59
NH AVG
31
Rank
#42 / 229 | Theodore Lee | $21.1M | $10.8M | 51.1% | 305009 |
According to NH state health department records, Bedford Hills's license number is 04772.
Bedford Hills's occupancy is 94%.
Heidi M Forrence is the administrator of Bedford Hills.
Bedford Hills has 147 beds.
Bedford Hills is located at 30 COLBY COURT.
(603) 625-6462 will put you in contact with the team at Bedford Hills.
Bedford Hills is in Carroll County.
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