5/5
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.
5/5
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.
Warde Senior Living in Windham, New Hampshire, provides multiple levels of support, including independent living, assisted living, nursing care, palliative care, and respite services. This continuum of care can help older adults remain within the same community as their needs change. The community is owned by NH Catholic Charities Inc. and administered by Shari L. Laroche.
With 32 licensed beds and 31 currently occupied, the community has reached a high occupancy rate during its first year of operation. Residents may use Medicare, Medicaid, or private pay to cover care costs, and the average stay of approximately 197 days reflects a combination of short-term and longer-term residents.
Clinical support includes more than five hours of nursing care per resident each day, delivered through a combination of registered nurses, licensed practical or vocational nurses, and nurse aides. Rehabilitation services, respite care, and around-the-clock staffing further support residents who require ongoing assistance.
Residents have access to restaurant-style dining featuring seasonal ingredients, with meals available throughout the day. Social opportunities include games, music, entertainment, and regular religious services. The building is wheelchair accessible and equipped with security systems, alarm monitoring, and an on-site defibrillator. Pets are also welcome.
State inspections have identified a limited number of moderate issues related to care planning and administrative documentation, with no serious-level citations reported. All cited concerns were corrected. Families considering the community may wish to ask how resident care plans are reviewed and updated to ensure they remain current.
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 16th out of 65 homes in New Hampshire for nurse hours. 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 |
|---|---|---|
|
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.
| 30m per day | ▼ 40% State avg: 49m 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.
| 1h 22m per day | ▲ 75% State avg: 47m 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 31m per day | ▲ 6% State avg: 2h 23m per day · National avg: 2h 20m per day |
|
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 6m per day | ▲ 14% State avg: 3h 35m per day · National avg: 3h 27m per day |
|
Physical Therapist
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.
| 7m per day | ▲ 95% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 23m per day | ▼ 31% State avg: 33m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the New Hampshire average: 81.1%Warde Senior Living is administered by Shari L Laroche.
New Hampshire average 3.5
Last Health inspection on Mar 2024
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 4 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.
47% more staff per resident than New Hampshire average
14% worse than 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.
11 total: 6 full-time employees and 5 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
18 total: 14 full-time employees and 4 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursHelps with daily care and mobility.
31 total: 29 full-time employees and 2 contractors.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,085 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 2 | 31 | 7,212 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 14 | 4 | 18 | 3,530 | 92 | 100% | 7.8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,308 | 82 | 89% | 5.2 |
| Registered Nurse | 6 | 5 | 11 | 547 | 52 | 57% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 448 | 67 | 73% | 4.1 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 444 | 46 | 50% | 7.4 |
| RN Director of Nursing | 1 | 0 | 1 | 444 | 57 | 62% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 439 | 57 | 62% | 7.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 360 | 62 | 67% | 5.8 |
| Administrator | 1 | 0 | 1 | 333 | 60 | 65% | 5.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 263 | 68 | 74% | 3.8 |
| Dental Services Staff | 1 | 0 | 1 | 211 | 33 | 36% | 6.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 198 | 31 | 34% | 6.4 |
| Qualified Social Worker | 0 | 2 | 2 | 169 | 52 | 57% | 3.2 |
| Medication Aide/Technician | 2 | 0 | 2 | 96 | 12 | 13% | 8 |
| Medical Director | 0 | 1 | 1 | 30 | 2 | 2% | 15 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
| Physical Therapy Aide | 0 | 1 | 1 | 9 | 2 | 2% | 4.6 |
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.
13.2
16% worse than New Hampshire averageNew Hampshire average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.7
19% worse than New Hampshire averageNew Hampshire average: 23.2
Percent of long-stay residents whose need for help with daily activities has increased
24.5%
12% worse than New Hampshire averageNew Hampshire average: 21.9%
Percent of long-stay residents whose ability to move independently worsened
22.5%
11% worse than New Hampshire averageNew Hampshire average: 20.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.9%
33% worse than New Hampshire averageNew Hampshire average: 27.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
In line with New Hampshire averageNew Hampshire average: 4.6%
Percent of long-stay high risk residents with pressure ulcers
5.7%
26% worse than New Hampshire averageNew Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
5.9%
135% worse than New Hampshire averageNew Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
8.3%
49% worse than New Hampshire averageNew Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than New Hampshire averageNew Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
3.8%
78% better than New Hampshire averageNew Hampshire average: 17.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with New Hampshire averageNew Hampshire average: 96.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.9%
5% worse than New Hampshire averageNew Hampshire average: 98.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
15% better 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
89.3%
8% better 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.
63% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
32Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Warde Senior Living from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 03/2024.
Based on CMS SNF Cost Report for fiscal year ending in 03/2024.
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."
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."
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."
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."
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.
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 #57 / 65Payroll — State benchmarkedThis home is ranked 57th out of 65 homes in New Hampshire for Payroll. 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.
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 #11 / 65Payroll % — State benchmarkedThis home is ranked 11th out of 65 homes in New Hampshire for Payroll %. Shows payroll as a percentage of revenue versus the New Hampshire average. Well-run New Hampshire facilities typically land around 59–76% — 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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (63% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
Shari LaRoche, MS, LNHA, serves as the Administrator at Warde Senior Living, overseeing all operations of the Independent, Assisted Living, and Skilled Nursing/Long-term Care communities. With over 27 years of experience, she is dedicated to supporting her associates and ensuring exceptional care and customer service for residents and their families.
0.3 miles from city center
Estimated distance in miles from Windham's city center to Warde Senior Living's address, calculated via Google Maps.
— 5.32 miles to nearest hospital (Parkland Medical Center)
Add your location
Warde Senior Living is located in Windham, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
Warde Senior Living has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NH state health department records, Warde Senior Living's license number is 4086.
According to NH state health department records, Warde Senior Living's license expires on June 30, 2026.
Warde Senior Living's occupancy is 98%.
Yes, Warde Senior Living allows residents to bring their pets.
Warde Senior Living is registered as a non-profit in NH.
Shari L Laroche is the administrator of Warde Senior Living.
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