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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.
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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 3rd 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 |
|---|---|---|
|
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.
| 4h 42m per day | ▲ 37% State avg: 3h 26m per day · National avg: 3h 26m per day |
Higher than the New Hampshire average: 81.1%Grafton County Nursing Home is administrated by Nha Craig J Labore.
Key information about the people who lead and staff this community.
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.
| 15 | 17 | This facility has 12% fewer total deficiencies than a typical New Hampshire nursing home (15 vs. NH avg 17).↓ 12% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 3.8 | 4.3 | This facility has 12% fewer deficiencies per year than a typical New Hampshire nursing home (3.8 vs. NH avg 4.3).↓ 12% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5 | 4.3 | This facility has 16% more deficiencies per inspection than a typical New Hampshire nursing home (5 vs. NH avg 4.3).↑ 16% worse |
Inspections
| This Facility | NH Average | vs. NH Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 3 | 4 | This facility has 25% fewer total inspections than a typical New Hampshire nursing home (3 vs. NH avg 4).↓ 25% better |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew Hampshire average 3.5
Last Health inspection on Jan 2025
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.
All 15 citations resulted from standard inspections.
100% better 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.
11% worse 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11,604 contractor hours this quarter
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 |
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.
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.
11.6
In line with New Hampshire averageNew Hampshire average: 11.4
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
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
25.3%
15% worse than New Hampshire averageNew Hampshire average: 21.9%
Percent of long-stay residents whose ability to move independently worsened
14.3%
30% better than New Hampshire averageNew Hampshire average: 20.3%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
7.4%
64% worse than New Hampshire averageNew Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
1.2%
54% better than New Hampshire averageNew Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
6.2%
10% worse than New Hampshire averageNew Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
8.2%
In line with New Hampshire averageNew Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
28.4%
63% worse than New Hampshire averageNew Hampshire average: 17.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
In line with New Hampshire averageNew Hampshire average: 96.0%
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%
Number of hospitalizations per 1,000 long-stay resident days.
1.24
25% better than New Hampshire averageNew Hampshire average: 1.65
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.93
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
76.4%
9% worse than New Hampshire averageNew Hampshire average: 83.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New Hampshire averageNew Hampshire average: 1.6%
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%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.0%
41% better than New Hampshire averageNew Hampshire average: 22.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.9%
58% better than New Hampshire averageNew Hampshire average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.7%
117% worse than New Hampshire averageNew Hampshire average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
34.7%
35% worse than New Hampshire averageNew Hampshire average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
26.4%
48% 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.
49% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
33% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
118Residents 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 Grafton County Nursing Home 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 #5 / 58Payroll — State benchmarkedThis home is ranked 5th 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.
4.1 miles from city center
Estimated distance in miles from North Haverhill's city center to Grafton County Nursing Home's address, calculated via Google Maps.
Add your location
Grafton County Nursing Home is located in NORTH HAVERHILL, 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.
| Villa Crest Nursing and Retirement 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.
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. | Manchester | 126 | 89.6% | +10% | 4.24 | -34% | -1% | $0 | 9 | 3.0 | - | 121 | - | 39 | Nathan Obara | $20.1M | $10.5M | 52% | 305079 | ||||
| The Courville at Nashua |
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. | Nashua (Hunt Street) | 94 | 75.8% | -7% | 3.64 | +15% | -15% | $0 | 8 | 2.7 | - | 68 | - | 57 | Richard Courville | $13.5M | $7.9M | 58.5% | 305037 | ||||
| Langdon Place of Dover |
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. | Dover | 30 | 90.6% | +12% | 5.05 | +77% | +18% | $0 | 6 | 2.0 | - | 20 | - | 3 | Kathleen Oby | $10.7M | $7.1M | 66% | 305089 | ||||
| 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 | 63.8% | -21% | 3.34 | -19% | -22% | $28.9k | 12 | 3.0 | 1 | 61 | - | 28 | Sunbridge Goodwin Nursing Home LLC | $11.2M | $5.2M | 46.3% | 305064 | ||||
| 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 | -16% | +43% | $0 | 15 | 5.0 | - | 121 | A+ | 2 | County Of Grafton | $18.6M | $16.7M | 89.7% | 305053 |
Grafton County Nursing Home is in the North Haverhill neighborhood of NORTH HAVERHILL.
Grafton County Nursing Home has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NH state health department records, Grafton County Nursing Home's license number is 00214.
Grafton County Nursing Home's occupancy is 87%.
Nha Craig J Labore is the administrator of Grafton County Nursing Home.
Grafton County Nursing Home has 135 beds.
Grafton County Nursing Home is located at 3855 DARTMOUTH COLLEGE HIGHWAY.
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