Facility type
Nursing Home
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in New Hampshire
CMS overall rating
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.
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.
Grafton County Nursing Home
Nursing Home in New Hampshire
CMS overall rating
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.
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.
Grafton County Nursing Home
Grafton County Nursing Home is part of the Grafton County Complex located in North Haverhill, New Hampshire. The complex includes various facilities such as the Grafton County Courthouse and the Grafton County Administrative Building. It is situated on 757.7 acres of land, providing significant wildlife habitat and public recreation.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
135
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
74.9%
Residents per day (avg)
121
Occupancy rate
74.9%
Residents per day (avg)
121
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
49% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
18% of new residents, often for short stays.
Typical stay
3 years
Medicaid
33% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$18.6M
Operating deficit
-$6.5M
Governmental community
Operated by county authorities.
Home revenue
$18,581,742.00
Operating deficit
$-6,507,206.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$25.1M
135-bed community
A larger shared setting that may offer more common spaces and organized community services.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
License details
Issuance
January 1, 2026
County:
GRAFTON
Additional licensing details
License number:
00214
CMS Certification Number:
305053
Ownership & operating entity
Grafton County Nursing Home is administrated by CRAIG J LABORE, NHA.
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Craig Labore
Health Inspection History
Inspections
Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Jan 2025
Total health citations
15
New Hampshire average 14.4
Citations per inspection
5
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.2
Serious Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.1
0 critical citations
0 serious citations
10 moderate citations
5 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 31, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 31, 2025
Corrected
Infection Control minor citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 31, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 31, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 31, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 31, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 31, 2025
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.
Compare Nursing Homes around New Hampshire The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
Filter by care type
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
-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
-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
+43%
0
15
5.0
0
121
A+
County Of Grafton
$18.5M
$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
-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 Grafton County Nursing Home
4.1 miles from city center
3855 DARTMOUTH COLLEGE HIGHWAY, NORTH HAVERHILL, NH 03774
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
203
Employees
169
Contractors
34
Staff to resident ratio
1.72:1
8% worse than New Hampshire averageNew Hampshire average ratio: 1.87:1
Avg staff/day
89
Average shift
8.1 hours
0% compared with New Hampshire averageNew Hampshire average: 7.8 hours
Total staff hours (quarter)
65,279
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
25
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
109
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
14.8%
9,633 contractor hours this quarter
Certified Nursing Assistant: 9
Licensed Practical Nurse: 8
Physical Therapy Assistant: 5
Respiratory Therapy Technician: 4
Physical Therapy Aide: 2
Qualified Social Worker: 2
Registered Nurse: 1
Occupational Therapy Assistant: 1
Speech Language Pathologist: 1
Medical Director: 1
Staff by category
| 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 |
109 Certified Nursing Assistant
% of Days
100%
25 Registered Nurse
% of Days
100%
23 Licensed Practical Nurse
% of Days
100%
13 Other Dietary Services Staff
% of Days
100%
5 Clinical Nurse Specialist
% of Days
91%
4 Medication Aide/Technician
% of Days
92%
3 Mental Health Service Worker
% of Days
69%
2 Nurse Aide in Training
% of Days
85%
2 Physical Therapy Aide
% of Days
71%
1 Speech Language Pathologist
% of Days
69%
1 Administrator
% of Days
63%
1 Dietitian
% of Days
56%
1 Nurse Practitioner
% of Days
56%
2 Qualified Social Worker
% of Days
35%
4 Respiratory Therapy Technician
% of Days
34%
5 Physical Therapy Assistant
% of Days
47%
1 Occupational Therapy Assistant
% of Days
8%
1 Medical Director
% of Days
12%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
118 residents
Residents by payment source
Medicare
5 residents (4.2%)
Medicaid
64 residents (54.2%)
Private pay or other
49 residents (41.5%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.6
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 averageNew Hampshire average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.0
9% better than New Hampshire averageNew Hampshire average: 23.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
25.3%
Percent of long-stay residents whose need for help with daily activities has increased
25.3%
15% worse than New Hampshire averageNew Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.3%
Percent of long-stay residents whose ability to move independently worsened
14.3%
30% better than New Hampshire averageNew Hampshire average: 20.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.5%
13% better than New Hampshire averageNew Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
9% worse than New Hampshire averageNew Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.4%
Percent of long-stay high risk residents with pressure ulcers
7.4%
64% worse than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.2%
Percent of long-stay residents with a urinary tract infection
1.2%
54% better than New Hampshire averageNew Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.2%
Percent of long-stay residents who lose too much weight
6.2%
10% worse than New Hampshire averageNew Hampshire average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.2%
Percent of long-stay residents who have depressive symptoms
8.2%
In line with New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
28.4%
Percent of long-stay residents who received an antipsychotic medication
28.4%
63% worse than New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
In line with New Hampshire averageNew Hampshire average: 96.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
In line with New Hampshire averageNew Hampshire average: 98.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.4%
9% worse than New Hampshire averageNew Hampshire average: 83.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New Hampshire averageNew Hampshire average: 1.6%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.6%
In line with New Hampshire averageNew Hampshire average: 83.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Grafton County Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
74.9%
↑ 10.9pp vs 2023
Net Income
-$6,507,206
↓ ~$4.8M vs 2023
Total Payroll
$16,667,096
↑ ~$1.8M vs 2023
Profit Margin
-35.1%
↓ 25.6pp vs 2023
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