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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.
Derry Rehabilitation and Nursing Center LLC is a 62-bed skilled nursing facility in Derry, New Hampshire, providing short-term rehabilitation, memory care, respite care, and 24-hour staffing. The facility is operated by Daniel Estee under private ownership and accepts Medicare, Medicaid, and private pay.
CMS rates the facility 1 star overall — the lowest tier — with all four sub-ratings significantly below New Hampshire averages. Staffing is the sharpest gap: nurse staffing averages 2 hours and 46 minutes per resident per day, last in the state at 58th out of 58 New Hampshire skilled nursing facilities and roughly 34% below the state average of 4 hours and 13 minutes.
The inspection record reinforces this picture. Across six inspections from 2023 through 2025, the facility recorded 22 deficiencies — averaging 7.3 per year, compared with a state average of 4.1. A March 2023 complaint investigation into a COVID-19 outbreak was substantiated by an Immediate Jeopardy finding: COVID-positive staff were returning to work prematurely and caring for residents; PPE protocols were not followed; and required vaccinations had not been administered or offered. More recent inspections have cited medication labeling failures, gaps in infection control, and inadequate mealtime supervision.
The facility’s occupancy rate is 76%, below the New Hampshire average of 81%, suggesting current availability. The facility offers post-surgical recovery, stroke reconditioning, palliative care, and pain management programs, as well as occupational and respiratory therapy services.
Derry Rehabilitation and Nursing Center’s rehabilitation programming and current bed availability indicate it is oriented toward short-term post-acute stays for residents and families in Rockingham County who have reviewed the compliance and staffing record.
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 58th out of 58 homes in New Hampshire. 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.
| 41m per day | ▼ 7% 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.
| 22m per day | ▼ 52% 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 51m per day | ▼ 22% State avg: 2h 23m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 44m per day | ▼ 20% State avg: 3h 26m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ■ Avg 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 |
Lower than the New Hampshire average: 81.1%Derry Rehabilitation and Nursing Center LLC is administrated by Mikyla P Pixos.
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.
| 22 | 17 | This facility has 29% more total deficiencies than a typical New Hampshire nursing home (22 vs. NH avg 17).↑ 29% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 7.3 | 5.7 | This facility has 28% more deficiencies per year than a typical New Hampshire nursing home (7.3 vs. NH avg 5.7).↑ 28% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.4 | 4.3 | This facility has 2% more deficiencies per inspection than a typical New Hampshire nursing home (4.4 vs. NH avg 4.3).↑ 2% worse |
Inspections
| This Facility | NH Average | vs. NH Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 5 | 4 | This facility has 25% more total inspections than a typical New Hampshire nursing home (5 vs. NH avg 4).↑ 25% worse |
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.
7 of 17 citations resulted from standard inspections; and 10 of 17 resulted from complaint investigations.
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.
87% better 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.
21 total: 4 full-time employees and 17 contractors.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
23 total: 7 full-time employees and 16 contractors.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
87 total: 26 full-time employees and 61 contractors.
87
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,583 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 61 | 87 | 9,207 | 92 | 100% | 8 |
| Occupational Therapy Aide | 16 | 0 | 16 | 3,552 | 92 | 100% | 7.1 |
| Registered Nurse | 4 | 17 | 21 | 2,353 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 7 | 16 | 23 | 2,344 | 92 | 100% | 9.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 835 | 63 | 68% | 7.9 |
| Dietitian | 7 | 0 | 7 | 747 | 81 | 88% | 6 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 443 | 59 | 64% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 438 | 59 | 64% | 7.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 348 | 65 | 71% | 4.8 |
| Feeding Assistant | 0 | 1 | 1 | 304 | 38 | 41% | 8 |
| Medical Director | 0 | 1 | 1 | 62 | 34 | 37% | 1.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 31 | 32 | 35% | 1 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 3 | 2 | 2% | 1.5 |
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)
109% higher 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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
16.0
41% worse than New Hampshire averageNew Hampshire average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.0
34% 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
31.8%
45% worse than New Hampshire averageNew Hampshire average: 21.9%
Percent of long-stay residents whose ability to move independently worsened
32.2%
59% worse than New Hampshire averageNew Hampshire average: 20.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.9%
7% worse than New Hampshire averageNew Hampshire average: 27.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
64% better than New Hampshire averageNew Hampshire average: 4.6%
Percent of long-stay high risk residents with pressure ulcers
7.0%
55% worse than New Hampshire averageNew Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
2.8%
11% worse than New Hampshire averageNew Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
7.3%
30% worse than New Hampshire averageNew Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
22.1%
168% worse than New Hampshire averageNew Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
17.9%
In line with 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
95.7%
In line with New Hampshire averageNew Hampshire average: 98.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.95
18% worse than New Hampshire averageNew Hampshire average: 1.65
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.91
53% worse than 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
96.4%
15% better than New Hampshire averageNew Hampshire average: 83.8%
Percent of short-stay residents who newly received an antipsychotic medication
2.2%
37% worse than New Hampshire averageNew Hampshire average: 1.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.2%
11% better than New Hampshire averageNew Hampshire average: 83.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
40.0%
81% worse than New Hampshire averageNew Hampshire average: 22.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.6%
39% worse than New Hampshire averageNew Hampshire average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New Hampshire averageNew Hampshire average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
22.6%
58% worse than New Hampshire averageNew Hampshire average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
44.7%
12% 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.
87% of new residents, usually for short-term rehab.
10% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
48Residents 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 Derry Rehabilitation and Nursing Center LLC 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 #54 / 58Payroll — State benchmarkedThis home is ranked 54th out of 58 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.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.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Derry's city center to Derry Rehabilitation and Nursing Center LLC's address, calculated via Google Maps.
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Derry Rehabilitation and Nursing Center LLC is located in Derry, 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 | 68.9% | -15% | 5.73 | +8% | +34% | $0 | 6 | 2.0 | - | 67 | A+ | 23 | 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 | 52.1% | -36% | 4.85 | -8% | +13% | $46.1k | 16 | 5.3 | - | 69 | - | 43 | Joyce Higgins | $11.1M | $7.6M | 68.8% | 305063 | ||||
| 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 | 30.9% | -62% | 3.34 | -19% | -22% | $28.9k | 12 | 3.0 | 1 | 25 | - | 28 | 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 | 93.5% | +15% | 3.46 | +23% | -19% | $8.5k | 10 | 3.3 | 1 | 116 | A+ | 59 | Theodore Lee | $21.1M | $10.8M | 51.1% | 305009 | ||||
| Derry Rehabilitation and Nursing Center LLC |
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. | Derry | 62 | 75.8% | -7% | 2.77 | -1% | -35% | $69.2k | 17 | 3.4 | 1 | 47 | - | 88 | Daniel Estee | $7.7M | $3.9M | 51.3% | 305095 |
Derry Rehabilitation and Nursing Center LLC has a walk score of 88. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NH state health department records, Derry Rehabilitation and Nursing Center LLC's license number is 04566.
Derry Rehabilitation and Nursing Center LLC's occupancy is 76%.
Mikyla P Pixos is the administrator of Derry Rehabilitation and Nursing Center LLC.
Derry Rehabilitation and Nursing Center LLC has 62 beds.
Yes — there are 2 photos of Derry Rehabilitation and Nursing Center LLC in the photo gallery on this page.
Derry Rehabilitation and Nursing Center LLC is located at 20 CHESTER ROAD.
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