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Hillsboro House Nursing Home
Nursing Home, Memory Care & Skilled Nursing · Hillsboro, 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.
Senior resident watering plants in a garden Residents socializing in a cozy common area

Hillsboro House Nursing Home

Nursing Home, Memory Care & Skilled Nursing · Hillsboro, 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.
67 School Street, Hillsboro, NH 03244 View map Calculator: See prices in your area
Hillsboro House Nursing Home accepts Medicare.
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Hillsboro House Nursing Home accepts Medicare.

Overview of Hillsboro House Nursing Home

Andrew Irwin owns and operates Hillsboro House Nursing Home, a 33-bed skilled nursing facility located on School Street in Hillsboro, New Hampshire. To cover resident costs, the billing office processes multiple payment methods, accepting Medicare alongside standard insurance and continuing care financing choices. For visitors, the surrounding rural neighborhood carries a low walkability footprint, meaning family members will generally rely on a personal vehicle to travel to the property or manage errands.

The property maintains a steady population of 26 residents, representing a 79 percent occupancy level. This smaller census supports a specific clinical workload split between short-term post-hospital rehabilitation and specialized dementia care. To manage these daily needs, around-the-clock staffing provides an average of 3 hours and 49 minutes of direct nursing care per resident each day, which includes 49 minutes from registered nurses, 21 minutes from licensed practical nurses, and 2 hours and 30 minutes of hands-on support from nurse aides.

Official health department records indicate that the property functions within standard public health and environmental guidelines. Oversight logs confirm that the smaller-scale facility maintains a consistent compliance track record across its clinical and safety inspections, resulting in an overall cumulative citations-per-inspection rate of zero.

Prospective representatives will find a small-scale community setting designed for manageable medical oversight and behavioral memory support. Meals are individually prepared to meet therapeutic diets and specific medical requirements and served in a centralized dining room.

Facility Direct Line (603) 464-5561
Facility Direct Line (603) 464-5561 contact@hillsborohouse.org

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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

Info 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.

Hours per resident per day — compared to state averages

Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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. 45m per day ▲ 3% State avg: 44m per day · National avg: 41m per day
LPN / LVN Info 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. 22m per day ▼ 53% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info 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 18m per day ▼ 4% State avg: 2h 23m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 1m per day ▼ 12% State avg: 3h 26m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 0m per day ▼ 100% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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. 31m per day ■ Avg State avg: 31m per day · National avg: 28m per day
Bed community size
33-bed community Rank #121 / 169Bed count — State benchmarkedThis home is ranked 121st out of 169 homes in New Hampshire. Shows this facility's certified or reported bed count compared to other New Hampshire facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation Rank #29 / 130Years in operation — State benchmarkedThis home is ranked 29th out of 130 homes in New Hampshire. Shows how long this facility has been in operation compared to other New Hampshire facilities. Longer operating histories may benefit residents, families, and staff.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.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 0 / 100 Rank #203 / 229Walk Score — State benchmarkedThis home is ranked 203rd out of 229 homes in New Hampshire. Shows how walkable this facility's neighborhood is compared to the average Walk Score across New Hampshire facilities. Higher scores benefit residents, families, and staff.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.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
79%
Rank #36 / 65Occupancy rate — State benchmarkedThis home is ranked 36th out of 65 homes in New Hampshire. Shows this facility's occupancy rate versus the New Hampshire average, with its Statewide rank out of 65. Higher occupancy signals strong local demand and financial stability.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.
Similar to the New Hampshire average: 81.1%
Occupied beds
26 / 33
Average occupied beds in New Hampshire homes 80 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJune 1, 2025
CountyHillsborough
License Number00534
CMS Certification Number305092

Ownership & Operating Entity

Hillsboro House Nursing Home is administered by Andrew Irwin.

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Services

1 service
Alzheimer's Care

Amenities & Lifestyle

Specific ProgramsDementia and Memory Care, Medicare Skilled Nursing and Rehab Care, Post Hospital Rehab Care, Compassionate Cognitive Care, Continuing Rehab and Care, Other Support Services

Contact Hillsboro House Nursing Home

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 2023 · 3 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 2023 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 August 6, 2025 Routine

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 2023. 5 5.7 This facility has 12% fewer deficiencies per year than a typical New Hampshire assisted living residence (5 vs. NH avg 5.7).↓ 12% better

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

  • August 6, 2025 inspection found 2 deficiencies including unlabeled medication cups and failure to perform hand hygiene during medication administration.
  • September 5, 2024 inspection cited 7 deficiencies including improper medication labeling, unqualified food service director, and incomplete infection prevention and water management programs.
  • August 17, 2023 inspection identified 6 deficiencies involving lack of private resident meeting space, unqualified activities director, and incomplete facility-wide assessments.
Show Inspection Reports

Health Inspection History

Inspections since 2023
Total health inspections 3

State average N/A

Last Health inspection on Aug 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 3 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 3 years)
Infection Control moderate citation Aug 06, 2025
Corrected
Pharmacy moderate citation Aug 06, 2025
Corrected
Administration moderate citation Sep 05, 2024
Corrected
Infection Control moderate citation 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.

Staffing Data

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

Total staff 38
Employees 38
Contractors 0
Staff to resident ratio 1.36 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 13
Average shift 7.5 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 8,942

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 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 3 LPN Staff are full-time employees. No contractors work on this role. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 23 CNA Staff are full-time employees. No contractors work on this role. 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 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 0% — all staff are direct employees this quarter

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 23 0 23 5,640 92 100% 7.6
Registered Nurse 7 0 7 1,329 92 100% 7.6
Licensed Practical Nurse 3 0 3 895 80 87% 6.6
Dietitian 3 0 3 536 59 64% 7.1
Nurse Practitioner 1 0 1 530 53 58% 10
Mental Health Service Worker 1 0 1 13 13 14% 1
23 Certified Nursing Assistant
% of Days 100%
7 Registered Nurse
% of Days 100%
3 Licensed Practical Nurse
% of Days 87%
3 Dietitian
% of Days 64%
1 Nurse Practitioner
% of Days 58%
1 Mental Health Service Worker
% of Days 14%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2023-2024

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 Rank #66 / 66Federal fines — State benchmarkedThis home is ranked 66th out of 66 homes in New Hampshire. Shows this facility's cumulative CMS federal fine dollars versus the New Hampshire average among facilities with fines, and where it ranks among 66 facilities in the pool. Lower total dollars mean 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.
194% higher than State average

State average: $33K

Number of fines 17
790% more fines than State average

State average: 1.9

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.1

Fines amount comparison
Fines amount comparison
This facility $98K
State 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 20, 2024
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 12, 2024
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 22, 2024
$15K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 8, 2024
$5K

Last updated: Jan 2026

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. 6.7
41% better than 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. 14.6
37% better than State average

State average: 23.2

Long-stay resident measures
Significantly above 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 17.6%
20% better than State average

State average: 21.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.8%
37% 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 13.5%
50% 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 2.9%
35% better than State average

State average: 4.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.0%
100% better than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 8.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.8%
32% better than State average

State average: 17.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
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 100.0%
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. 1.76
7% worse 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. 0.23
88% better than State average

State average: 1.90

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
19% better than State average

State average: 83.8%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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.

This home is administered by Andrew Irwin.

This home is owned by Andrew Irwin

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 305092

Show certification details

Places of interest near Hillsboro House Nursing Home

Address 67 School Street, Hillsboro, NH 03244

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Frequently Asked Questions about Hillsboro House Nursing Home

What is the license number of Hillsboro House Nursing Home?

According to NH state health department records, Hillsboro House Nursing Home's license number is 00534.

What is the occupancy rate at Hillsboro House Nursing Home?

Hillsboro House Nursing Home's occupancy is 79%.

Does Hillsboro House Nursing Home operate as a for-profit or non-profit?

Hillsboro House Nursing Home is registered as a for-profit in NH.

Who is the administrator of Hillsboro House Nursing Home?

Andrew Irwin is the administrator of Hillsboro House Nursing Home.

How many beds does Hillsboro House Nursing Home have?

Hillsboro House Nursing Home has 33 beds.

Are there photos of Hillsboro House Nursing Home?

Yes — there are 2 photos of Hillsboro House Nursing Home in the photo gallery on this page.

What is the address of Hillsboro House Nursing Home?

Hillsboro House Nursing Home is located at 67 School Street, Hillsboro, NH 03244.

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