Show Inspection Reports
Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Aug 2025
Hillsboro House Nursing Home
Nursing Home in New Hampshire
CMS overall rating
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.
Hillsboro House Nursing Home
Nursing Home in New Hampshire
CMS overall rating
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.
Hillsboro House Nursing Home is a small, family-owned nursing facility in Hillsboro, NH. It offers skilled nursing care, Alzheimer's care, and rehabilitation services in a homelike environment. The facility is known for its individualized care and has been serving the community for nearly fifty years.
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.
Staffing hours breakdown
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.
| Staff type | Hours / day | 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.
| 49m per day | ▲ 11% 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.
| 21m per day | ▼ 54% 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.
| 2h 30m per day | ▲ 5% State avg: 2h 23m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 3h 7m per day | ▼ 9% State avg: 3h 26m per day · National avg: 3h 26m per day |
|
RN (Weekend)
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.
| 35m per day | ▲ 13% State avg: 31m per day · National avg: 28m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
88.2%
Rank #23 / 62Occupancy rate — state benchmarkedThis home is ranked 23rd out of 62 homes in New Hampshire.Shows this facility's occupancy rate versus the New Hampshire average, with its statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.
Occupancy rate
88.2%
Rank #23 / 62Occupancy rate — state benchmarkedThis home is ranked 23rd out of 62 homes in New Hampshire.Shows this facility's occupancy rate versus the New Hampshire average, with its statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.
33-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJune 1, 2025
CountyHillsborough
License Number00534
CMS Certification Number305092
Hillsboro House Nursing Home is administrated by Andrew Irwin.
Accept Medicare
Rehabilitation Services
Alzheimer's Care
Specific ProgramsDementia and Memory Care, Medicare Skilled Nursing and Rehab Care, Long Term Care, Post Hospital Rehab Care, Compassionate Cognitive Care, Continuing Rehab and Care, Other Support Services
Food DescriptionHillsboro House offers individualized dietary programs, including therapeutic diets.
Access & Eligibility
Ways to qualify for care at this community, including accepted programs.
Medicare Accepted
This facility is certified for eligible Medicare services.
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.
Health Inspection History
Inspections
Total health citations
15
Rank #32 / 63Health citations — state benchmarkedThis home is ranked 32nd out of 63 homes in New Hampshire.Shows this facility's total health deficiency citations benchmarked to the New Hampshire state average, with a ranking across all 63 NH SNFs. Lower citation counts earn a better rank.
New Hampshire average 14.4
Citations per inspection
5
Rank #43 / 63Citations per inspection — state benchmarkedThis home is ranked 43rd out of 63 homes in New Hampshire.Shows average deficiency citations per CMS inspection for this facility versus the New Hampshire mean across 63 SNFs with citation data. Lower is better.
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
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)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 06, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 06, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 06, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 06, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 05, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 05, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 05, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 05, 2024
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.
Financial Assistance for
Nursing Home in New Hampshire
Hillsboro House Nursing Home is located in HILLSBORO, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
Places of interest near Hillsboro House Nursing Home
26.1 miles from city center
Estimated distance in miles from HILLSBORO's city center to Hillsboro House Nursing Home's address, calculated via Google Maps.
Calculate Travel Distance to Hillsboro House Nursing Home
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
35
Employees
35
Contractors
0
Staff to resident ratio
1.25:1
33% worse than New Hampshire averageNew Hampshire average ratio: 1.87:1
Avg staff/day
14
Average shift
7.3 hours
6% worse than New Hampshire averageNew Hampshire average: 7.8 hours
Total staff hours (quarter)
9,354
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
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 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 19 | 0 | 19 | 5,961 | 91 | 100% | 7.4 |
| Registered Nurse | 5 | 0 | 5 | 1,660 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 7 | 0 | 7 | 999 | 86 | 95% | 7 |
| Nurse Practitioner | 1 | 0 | 1 | 522 | 54 | 59% | 9.7 |
| Dietitian | 2 | 0 | 2 | 200 | 27 | 30% | 5.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 13 | 13 | 14% | 1 |
19 Certified Nursing Assistant
% of Days
100%
5 Registered Nurse
% of Days
100%
7 Licensed Practical Nurse
% of Days
95%
1 Nurse Practitioner
% of Days
59%
2 Dietitian
% of Days
30%
1 Mental Health Service Worker
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
28
Medicaid
4
14.3% of residents
Private pay or other
24
85.7% 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.
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.
6.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.7
41% better than 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.
14.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.6
37% better than New Hampshire averageNew Hampshire average: 23.2
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
17.6%
Percent of long-stay residents whose need for help with daily activities has increased
17.6%
20% better than New Hampshire averageNew Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.8%
Percent of long-stay residents whose ability to move independently worsened
12.8%
37% 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
13.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.5%
50% 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
2.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
35% better than New Hampshire averageNew Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than New Hampshire averageNew Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than New Hampshire averageNew Hampshire average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.8%
Percent of long-stay residents who received an antipsychotic medication
11.8%
32% better than New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
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
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with New Hampshire averageNew Hampshire average: 98.0%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.76
Number of hospitalizations per 1,000 long-stay resident days.
1.76
7% worse than New Hampshire averageNew Hampshire average: 1.65
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.23
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.23
88% better than New Hampshire averageNew Hampshire average: 1.90
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
19% better than New Hampshire averageNew Hampshire average: 83.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$98K
194% higher than New Hampshire averageNew Hampshire average: $33K
Number of fines
17
790% more fines than New Hampshire averageNew Hampshire average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$98K
New Hampshire average
$33K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
17 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 20, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 20, 2024
$5K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 12, 2024
$5K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 22, 2024
$15K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 8, 2024
$5K
Last updated: Jan 2026
Compare Nursing Homes around New Hampshire The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
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| Bedford Hills |
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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 | +19% | -22% | 1 | 8 | 2.0 | 1 | 135 | - | Forrence, Heidi | $25.6M | $8.5M | 33.2% | 305060 | ||||
| Hillsboro House 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. | Hillsboro | 33 | 88.2% | +9% | - | +14% | - | 17 | 15 | 5.0 | 0 | 28 | - | Irwin, Andrew | - | - | - | 305092 | ||||
| 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 | -52% | -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 | - | - | - | - | - | - | - |
Financial Trends
Historical financial and operational data for Hillsboro House Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
83.8%
↑ 43.0pp vs 2017
Net Income
-$43.4K
↓ ~$13.6K vs 2017
Total Payroll
$1.0M
↓ ~$275.9K vs 2017
Profit Margin
-1.7%
↓ 0.5pp vs 2017
Loading trend charts...
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