Grafton County Nursing Home
Nursing Home & Skilled Nursing · North Haverhill, NH
CMS overall rating Info 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.

Grafton County Nursing Home

Nursing Home & Skilled Nursing · North Haverhill, NH
CMS overall rating Info 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.
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Grafton County Nursing Home accepts Medicare, Medicaid, and private pay.

Inspection History

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.

Since 2022 · 4 years of data 15 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2022 vs. New Hampshire state average
Overall vs. NH average 0 Worse No metrics in this bucket. 2 Better Metrics better than New Hampshire average:
• Total deficiencies (12% below)
• Deficiencies per year (12% below)
Latest Inspection January 31, 2025 Annual Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility NH Average vs. NH Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 15 17 This facility has 12% fewer total deficiencies than a typical New Hampshire assisted living residence (15 vs. NH avg 17).↓ 12% better
Deficiencies per year Info Average deficiencies per year since 2022. 3.8 4.3 This facility has 12% fewer deficiencies per year than a typical New Hampshire assisted living residence (3.8 vs. NH avg 4.3).↓ 12% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • January 31, 2025 annual inspection found 8 deficiencies including restraint assessment failures, inaccurate MDS dental data, missing adaptive equipment, and incomplete infection control reviews.
  • February 8, 2024 routine inspection identified 6 deficiencies including failure to provide Medicare Non-Coverage notices, incomplete PASARR screenings, poor activities programming, and inaccurate nurse staffing postings for 31 days.
  • December 9, 2022 annual inspection found failure to meet minimum attendance requirements for QAPI meetings in all 4 quarterly reviews.

Health Inspection History

Inspections since 2022
Total health inspections 3

State average N/A


Last Health inspection on Jan 2025

Total health citations
15 Rank #37 / 66Health citations — State benchmarkedThis home is ranked 37th out of 66 homes in New Hampshire. Shows this facility's total health deficiency citations benchmarked to the New Hampshire State average, with a ranking across all 66 NH facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
5 Rank #46 / 66Citations per inspection — State benchmarkedThis home is ranked 46th out of 66 homes in New Hampshire. Shows average deficiency citations per CMS inspection for this facility versus the New Hampshire mean across 66 facilities with citation data. Lower is better.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

10 moderate citations State average: N/A

5 minor citations State average: N/A
Citations history (last 4 years)
Abuse/Neglect moderate citation Jan 31, 2025
Corrected

Infection Control minor citation Jan 31, 2025
Corrected

Nutrition moderate citation Jan 31, 2025
Corrected

Quality of Care moderate citation Jan 31, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 194
Employees 153
Contractors 41
Staff to resident ratio 1.64 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 85
Average shift 8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 62,563

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 21 RN Staff are full-time employees. No contractors work on this role. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 21 total: 12 full-time employees and 9 contractors. 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 107 total: 93 full-time employees and 14 contractors. 107
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

18.5%

11,604 contractor hours this quarter

Certified Nursing Assistant: 14 Licensed Practical Nurse: 9 Respiratory Therapy Technician: 6 Physical Therapy Assistant: 5 Qualified Social Worker: 3 Physical Therapy Aide: 2 Occupational Therapy Assistant: 1 Speech Language Pathologist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 93 14 107 37,290 92 100% 8.1
Licensed Practical Nurse 12 9 21 7,257 92 100% 9.2
Registered Nurse 21 0 21 5,981 92 100% 8.9
Other Dietary Services Staff 10 0 10 3,585 92 100% 6.4
Clinical Nurse Specialist 5 0 5 2,170 81 88% 7.2
Medication Aide/Technician 4 0 4 1,322 84 91% 8.3
Mental Health Service Worker 3 0 3 1,237 61 66% 7.4
Nurse Aide in Training 2 0 2 870 75 82% 7.6
Physical Therapy Aide 0 2 2 800 64 70% 6.8
Nurse Practitioner 1 0 1 435 58 63% 7.5
Dietitian 1 0 1 420 56 61% 7.5
Speech Language Pathologist 0 1 1 416 64 70% 6.5
Administrator 1 0 1 390 52 57% 7.5
Physical Therapy Assistant 0 5 5 127 45 49% 2.6
Qualified Social Worker 0 3 3 122 24 26% 5.1
Respiratory Therapy Technician 0 6 6 92 26 28% 3.4
Occupational Therapy Assistant 0 1 1 50 7 8% 7.1
107 Certified Nursing Assistant
% of Days 100%
21 Licensed Practical Nurse
% of Days 100%
21 Registered Nurse
% of Days 100%
10 Other Dietary Services Staff
% of Days 100%
5 Clinical Nurse Specialist
% of Days 88%
4 Medication Aide/Technician
% of Days 91%
3 Mental Health Service Worker
% of Days 66%
2 Nurse Aide in Training
% of Days 82%
2 Physical Therapy Aide
% of Days 70%
1 Nurse Practitioner
% of Days 63%
1 Dietitian
% of Days 61%
1 Speech Language Pathologist
% of Days 70%
1 Administrator
% of Days 57%
5 Physical Therapy Assistant
% of Days 49%
3 Qualified Social Worker
% of Days 26%
6 Respiratory Therapy Technician
% of Days 28%
1 Occupational Therapy Assistant
% of Days 8%

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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. 11.6
In line with State average

State average: 11.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.0
9% better than State average

State average: 23.2

Long-stay resident measures
Below average State avg: 2.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 25.3%
15% worse than State average

State average: 21.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.3%
30% better than State average

State 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 23.5%
13% better than State average

State average: 27.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.0%
9% worse than State average

State average: 4.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.4%
64% worse than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.2%
54% better than State average

State average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.2%
10% worse than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 8.2%
In line with State average

State average: 8.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.4%
63% worse than State average

State average: 17.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
In line with State average

State average: 96.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.2%
In line with State average

State average: 98.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.24
25% better than State average

State average: 1.65

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.93
In line with State average

State average: 1.90

Short-stay resident measures
Average State avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.4%
9% worse than State average

State average: 83.8%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.6%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 84.6%
In line with State average

State average: 83.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 13.0%
41% better than State average

State average: 22.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 5.9%
58% better than State average

State average: 14.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.7%
117% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 34.7%
35% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 26.4%
48% worse than State average

State average: 50.6%

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

Facility Characteristics

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

Total residents 118
Medicare
5
4.2% of residents
Medicaid
64
54.2% of residents
Private pay or other
49
41.5% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Government
Operated by federal authorities.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$6.5M
Government Operated by federal authorities.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.4M Rank #20 / 65Revenue — State benchmarkedThis home is ranked 20th out of 65 homes in New Hampshire. Shows this facility's annual revenue compared to the New Hampshire average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$6.5M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$33.0K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #6 / 65Payroll — State benchmarkedThis home is ranked 6th out of 65 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.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$13.8M 95.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #6 / 65Payroll % — State benchmarkedThis home is ranked 6th out of 65 homes in New Hampshire. Shows payroll as a percentage of revenue versus the New Hampshire average. Well-run New Hampshire facilities typically land around 59–80% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$7.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$21.0M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (49% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
76 total

Coverage residents most often arrive under.

Medicare 49%
Private pay 18%
Medicaid 33%
Discharges
68 total

Coverage residents most often leave under.

Medicare 18%
Private pay 26%
Medicaid 56%

Places of interest near Grafton County Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from North Haverhill's city center to Grafton County Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Grafton County Nursing Home

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Address

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

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Frequently Asked Questions about Grafton County Nursing Home

Is Grafton County Nursing Home in a walkable area?

Grafton County Nursing Home has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Grafton County Nursing Home?

According to NH state health department records, Grafton County Nursing Home's license number is 00214.

What is the occupancy rate at Grafton County Nursing Home?

Grafton County Nursing Home's occupancy is 87%.

Is Grafton County Nursing Home a government-operated facility?

Grafton County Nursing Home is a government-operated nursing facility in NH.

Who is the administrator of Grafton County Nursing Home?

Nha Craig J Labore is the administrator of Grafton County Nursing Home.

How many beds does Grafton County Nursing Home have?

Grafton County Nursing Home has 135 beds.

What is the address of Grafton County Nursing Home?

Grafton County Nursing Home is located at 3855 Dartmouth College Highway, North Haverhill, NH 03774.

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