Show Inspection Reports
Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Feb 2025
Riverside Rest Home
Nursing Home in Dover
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.
Riverside Rest Home
Nursing Home in Dover
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.
Riverside Rest Home is a 215 bed Medicare and Medicaid certified nursing facility located in Dover, New Hampshire. It has been providing quality, individualized long-term supportive care since 1867. The facility offers a variety of services tailored to fit each resident's needs.
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.
Total nursing care / resident
This home is ranked 6th out of 62 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.
This home is ranked 6th out of 62 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.
5h 34m per day
Rank #6 / 62Nurse hours — state benchmarkedThis home is ranked 6th out of 62 homes in New Hampshire.Shows adjusted nurse hours per resident per day benchmarked to the New Hampshire average, with a ranking across 62 New Hampshire SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs New Hampshire avg
+32%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
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.
| 4h 1m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
71.6%
Rank #51 / 62Occupancy rate — state benchmarkedThis home is ranked 51st 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
71.6%
Rank #51 / 62Occupancy rate — state benchmarkedThis home is ranked 51st 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.
215-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJanuary 1, 2026
CountyStrafford
License Number00185
CMS Certification Number305047
Riverside Rest Home is administrated by Raymond F Bower, Nha.
Accept Medicaid
Accept Medicare
24-Hour Staffing
Specific ProgramsAccommodations, Hyder Family House, Careers, Volunteer, Events, Riverside Rest Home Family Council, Reserve The Riverside Rest Home Resident Lounge, Donations, Health Info
Operating HoursMonday—Friday: 12:00AM–12:00PM; Saturday & Sunday: Closed
Access & Eligibility
Ways to qualify for care at this community, including accepted programs.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
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.
3 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
February 12, 2025
Routine7 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New Hampshire average: 17 deficiencies
Inspection Report Summary for Riverside Rest Home
The most recent inspection on February 12, 2025, found deficiencies related to medication administration, expired medication removal, laboratory services, and infection control during a Norovirus outbreak. Earlier inspections also noted medication-related issues, including improper labeling, expired medications, and failure to follow physician orders for medication administration. Inspectors cited recurring problems with medication management and adherence to physician orders as main themes. There were no complaint investigations or enforcement actions listed in the available reports. The pattern of deficiencies suggests ongoing challenges with medication practices and infection control, with no clear improvement over time.
Health Inspection History
Inspections
Total health citations
6
Rank #5 / 63Health citations — state benchmarkedThis home is ranked 5th 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
2
Rank #1 / 63Citations per inspection — state benchmarkedThis home is ranked 1st 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 6 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
6 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 12, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Feb 12, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 12, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 12, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 12, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Feb 12, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 12, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 12, 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.
Financial Assistance for
Nursing Home in New Hampshire
Riverside Rest Home is located in DOVER, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
Places of interest near Riverside Rest Home
3.7 miles from city center
Estimated distance in miles from DOVER's city center to Riverside Rest Home's address, calculated via Google Maps.
Calculate Travel Distance to Riverside Rest 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
317
Employees
211
Contractors
106
Staff to resident ratio
2.07:1
11% better than New Hampshire averageNew Hampshire average ratio: 1.87:1
Avg staff/day
114
Average shift
7.5 hours
0% compared with New Hampshire averageNew Hampshire average: 7.8 hours
Total staff hours (quarter)
77,301
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
46
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
46
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
184
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
5.7%
4,430 contractor hours this quarter
Certified Nursing Assistant: 78
Licensed Practical Nurse: 20
Registered Nurse: 8
Staff by category
| Certified Nursing Assistant | 106 | 78 | 184 | 37,107 | 91 | 100% | 7.3 |
| Registered Nurse | 38 | 8 | 46 | 15,248 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 26 | 20 | 46 | 9,939 | 91 | 100% | 7.6 |
| Other Dietary Services Staff | 14 | 0 | 14 | 5,130 | 91 | 100% | 7.5 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,247 | 90 | 99% | 8 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,561 | 64 | 70% | 7 |
| Therapeutic Recreation Specialist | 3 | 0 | 3 | 1,477 | 76 | 84% | 9 |
| Speech Language Pathologist | 2 | 0 | 2 | 851 | 67 | 74% | 7.2 |
| Physical Therapy Assistant | 2 | 0 | 2 | 829 | 68 | 75% | 8.1 |
| Administrator | 1 | 0 | 1 | 472 | 62 | 68% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 469 | 67 | 74% | 7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 406 | 59 | 65% | 6.9 |
| Dietitian | 1 | 0 | 1 | 400 | 59 | 65% | 6.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 394 | 57 | 63% | 6.9 |
| Other Physician | 3 | 0 | 3 | 341 | 65 | 71% | 3.8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 285 | 39 | 43% | 7.3 |
| Medical Director | 1 | 0 | 1 | 146 | 39 | 43% | 3.8 |
184 Certified Nursing Assistant
% of Days
100%
46 Registered Nurse
% of Days
100%
46 Licensed Practical Nurse
% of Days
100%
14 Other Dietary Services Staff
% of Days
100%
6 Medication Aide/Technician
% of Days
99%
4 Mental Health Service Worker
% of Days
70%
3 Therapeutic Recreation Specialist
% of Days
84%
2 Speech Language Pathologist
% of Days
74%
2 Physical Therapy Assistant
% of Days
75%
1 Administrator
% of Days
68%
1 Nurse Practitioner
% of Days
74%
1 Occupational Therapy Aide
% of Days
65%
1 Dietitian
% of Days
65%
1 Clinical Nurse Specialist
% of Days
63%
3 Other Physician
% of Days
71%
1 Respiratory Therapy Technician
% of Days
43%
1 Medical Director
% of Days
43%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
153
Medicare
1
0.7% of residents
Medicaid
125
81.7% of residents
Private pay or other
27
17.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
7.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
31% 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.
19.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.1
18% 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
18.5%
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
16% better than New Hampshire averageNew Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.2%
Percent of long-stay residents whose ability to move independently worsened
12.2%
40% 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
26.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.5%
In line with New Hampshire averageNew Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
27% 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
3.1%
Percent of long-stay high risk residents with pressure ulcers
3.1%
31% better than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
40% better than New Hampshire averageNew Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.2%
Percent of long-stay residents who lose too much weight
2.2%
61% better than New Hampshire averageNew Hampshire average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.9%
Percent of long-stay residents who have depressive symptoms
1.9%
78% better than New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
34.4%
Percent of long-stay residents who received an antipsychotic medication
34.4%
98% worse than New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
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
99.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.4%
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
30.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.0%
64% worse than New Hampshire averageNew Hampshire average: 83.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.6%
Percent of short-stay residents who newly received an antipsychotic medication
4.6%
188% worse than New Hampshire averageNew Hampshire average: 1.6%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
26.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
26.8%
68% worse than 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.
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
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Nursing Homes around Dover The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
Filter by care type
| Riverside Rest 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. | Dover | 215 | 71.6% | -12% | 5.56 | +15% | +30% | 0 | 6 | 2.0 | 0 | 160 | - | County Of Strafford | - | - | - | 305047 | ||||
| Dover Center for Health & Rehabilitation |
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.
N Nursing | Dover (Plaza Drive) | 112 | 91.0% | +12% | 3.20 | +59% | -25% | 0 | 15 | 5.0 | 0 | 99 | 25 | Dutton, Joel | $20.5M | $4.4M | 21.4% | 305018 | ||||
| Riverside Rest 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.
N Nursing | Dover | - | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | 10 | - | - | - | - | - |
Financial Trends
Historical financial and operational data for Riverside Rest Home based on CMS SNF Cost Reports.
Occupancy Rate
96.7%
↓ 0.8pp vs 2012
Net Income
N/A
Total Payroll
$16.5M
↑ ~$642.0K vs 2012
Profit Margin
0.0%
→ 0.0pp vs 2012
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