Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (87% of admissions), and a typical Medicare stay runs around 18 days.
Operated by Daniel Estee under private ownership, Derry Rehabilitation and Nursing Center LLC is a skilled nursing facility in Derry, New Hampshire. The 62-bed community offers short-term rehabilitation, memory care, and respite care. It accepts Medicare, Medicaid, and private pay.
CMS gives the facility a 1-star overall rating, the lowest tier. Nurse staffing averages 34% below the New Hampshire average of 4 hours and 13 minutes per resident per day. That gap is worth considering for residents who need frequent clinical attention.
The facility’s inspection record is significant. Between 2023 and 2025, the facility recorded 22 deficiencies, about 78% above New Hampshire’s average of 4.1 per year.
One of the most serious findings came from a March 2023 complaint investigation tied to a COVID-19 outbreak. The survey identified an Immediate Jeopardy finding after a COVID-positive staff member returned to work early and provided direct care to residents. During that time, PPE protocols were not consistently followed, and vaccinations had not been offered or administered as required.
More recent inspections identified deficiencies in medication storage and labeling failures, gaps in infection control for residents with multidrug-resistant organisms, and inadequate supervision during meals.
The facility’s occupancy rate is 76%, below the New Hampshire average of 81%, reflecting current availability. It also provides post-surgical recovery, stroke reconditioning, palliative care, and pain management, occupational, and respiratory therapy services.
Derry Rehabilitation and Nursing Center’s rehabilitation programming and current bed availability make it best suited for residents seeking short-term post-acute stays in Rockingham County.
Derry Rehabilitation and Nursing Center LLC is administered 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.
Deficiencies
| This Facility | NH Average | vs. NH Avg |
|---|---|---|---|
|
Total deficiencies
| 22 | 17 | This facility has 29% more total deficiencies than a typical New Hampshire assisted living residence (22 vs. NH avg 17).↑ 29% worse |
|
Deficiencies per year
| 7.3 | 5.7 | This facility has 28% more deficiencies per year than a typical New Hampshire assisted living residence (7.3 vs. NH avg 5.7).↑ 28% worse |
State average N/A
Last Health inspection on Oct 2024
State average N/A
State average N/A
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.
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
2,583 contractor hours this quarter
| 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)
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.
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)
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.
Historical financial and operational data for Derry Rehabilitation and Nursing Center LLC from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (87% of admissions), and a typical Medicare stay runs around 18 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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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The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
| Derry Rehabilitation and Nursing Center LLC | NH HC PC RC | Derry | - | 62 | - | 88 | - |
| Harris Hill Center | NH HC MC PC | Concord | - | 85 | - | 59 | Private Rooms / Semi-Private Rooms |
| Epsom Healthcare Center | NH RC | Epsom | - | 108 | A+ | 30 | Private Rooms |
| Presidential Oaks | NH AL HC NC RC | Concord | - | 52 | - | 43 | 1 Bed / 2 Bed |
| Exeter Center | NH HC PC RC | Exeter (Hampton Road) | - | 81 | - | 28 | - |
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%.
Derry Rehabilitation and Nursing Center LLC is registered as a for-profit in NH.
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.
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