ALM's inspection grade is 91 / 100, an A- — 7 points above the New Hampshire average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.
ALM's inspection grade is 91 / 100, an A- — 7 points above the New Hampshire average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 9th out of 61 nursing homes we track 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.
5h 12mStandout metric: LPN / LVN is +102% above New Hampshire average
2 of 6 metrics below New Hampshire average
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. 11 total: 6 of the facility's own employees and 5 agency contractors.
11 staff · 8-hour shifts
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. 18 total: 14 of the facility's own employees and 4 agency contractors.
18 staff · 7.8-hour shifts
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. 31 total: 29 of the facility's own employees and 2 agency contractors.
31 staff · 7.4-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
87
66 employees · 21 contractors · 26 on an average day
87 total staff / 30 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.90 : 1
↑ 60% · NH 1.81This facility: 2.90 staff per resident, 60% above the New Hampshire average of 1.81 (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
87 staff ÷ 30 residents
See full New Hampshire ranking →
Average hours one staff member works on a day they are on shift, across every role.
6.7 h
↓ 14% · NH 7.8 hThis facility: 6.7 h, 14% below the New Hampshire average of 7.8 h (among New Hampshire facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
16,057 staff hours this quarter
See full New Hampshire ranking →87% of staff hours were worked by the facility's own employees
New Hampshire average: 87% · Contractors this quarter: Registered Nurse (5), Licensed Practical Nurse (4), Physical Therapy Assistant (2), Certified Nursing Assistant (2), Qualified Social Worker (2), Speech Language Pathologist (2), Respiratory Therapy Technician (1), Medical Director (1), Occupational Therapy Assistant (1), Physical Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
32
Rank #61 / 64Bed count — State benchmarked This nursing home is ranked 61st out of 64 nursing homes we track in New Hampshire for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #8 / 39Years in operation — State benchmarked This nursing home is ranked 8th out of 39 nursing homes we track in New Hampshire for years in operation. Shows how long this facility has been in operation compared to other New Hampshire facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #28 / 61Walk Score — State benchmarked This nursing home is ranked 28th out of 61 nursing homes we track in New Hampshire for walk score. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #3 / 50Occupancy rate — State benchmarked This nursing home is ranked 3rd out of 50 nursing homes we track in New Hampshire for occupancy. Shows this facility's occupancy rate versus the New Hampshire average, with its Statewide rank out of 50. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on 31.6 residents and 32 beds. Source: CMS Provider Information, average daily residents (data as of Aug 2026)
Higher than the New Hampshire average: 82.9%
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.
Warde Senior Living is administered by Shari L Laroche.
Sourced directly from the team at Warde Senior Living.7 points above the New Hampshire average for CMS-certified facilities (84/100)
Category breakdown
5 severity-weighted points (3 deficiencies) · 6× lower than the typical CMS-certified NH facility (median: 29)
No fines on record · 0 enforcement actions
41 days to fix issues · slower than the typical CMS-certified NH facility (median: 31)
New Hampshire avg 13.6 (78% better than New Hampshire average)New Hampshire avg 3.88 (61% better than New Hampshire average)
100% corrected
3 of 3 citations corrected New Hampshire avg 0.2 (100% better than New Hampshire average)New Hampshire avg 0.1 (100% better than New Hampshire average)New Hampshire avg 11.6 (74% better than New Hampshire average)New Hampshire avg 1.7 (100% better than New Hampshire average)
Corrected
Corrected
Corrected
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 3 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
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.
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.
10.2
In line with New Hampshire averageNew Hampshire average: 10.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.7
In line with New Hampshire averageNew Hampshire average: 22.0
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
23.1%
In line with New Hampshire averageNew Hampshire average: 22.7%
Percent of long-stay residents whose ability to move independently worsened
12.1%
31% better than New Hampshire averageNew Hampshire average: 17.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.9%
16% worse than New Hampshire averageNew Hampshire average: 25.7%
Percent of long-stay residents experiencing one or more falls with major injury
7.0%
60% worse than New Hampshire averageNew Hampshire average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
5.2%
24% worse than New Hampshire averageNew Hampshire average: 4.2%
Percent of long-stay residents with a urinary tract infection
6.5%
212% worse than New Hampshire averageNew Hampshire average: 2.1%
Percent of long-stay residents who lose too much weight
3.9%
28% better than New Hampshire averageNew Hampshire average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.9%
94% better than New Hampshire averageNew Hampshire average: 13.7%
Percent of long-stay residents who received an antipsychotic medication
4.6%
74% better than New Hampshire averageNew Hampshire average: 17.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
In line with New Hampshire averageNew Hampshire average: 97.3%
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%
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
97.6%
12% better than New Hampshire averageNew Hampshire average: 86.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New Hampshire averageNew Hampshire average: 1.3%
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.
67% of new residents, usually for short-term rehab.
17% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
30Residents 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 Warde Senior Living from 2012–2025, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 03/2025.
Based on CMS SNF Cost Report for fiscal year ending in 03/2025.
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 #56 / 57Payroll costs — State benchmarked This nursing home is ranked 56th out of 57 nursing homes we track in New Hampshire. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New Hampshire average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 #27 / 57Payroll % of net patient revenue — State benchmarked This nursing home is ranked 27th out of 57 nursing homes we track in New Hampshire. Shows payroll as a percentage of net patient revenue versus the New Hampshire average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New Hampshire that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (67% of admissions), and a typical Medicare stay runs around 26 days.
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. Car-dependent. 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.
Warde Senior Living's occupancy is 98.8%.
Warde Senior Living has been operating for approximately 1 year, based on available licensing and registration records.
Yes, Warde Senior Living allows residents to bring their pets.
The team at Warde Senior Living can be reached at slaroche@nh-cc.org.
Warde Senior Living is registered as a non-profit in NH.
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