ElderGrade
D

54/100

Below average

Bedford Nursing & Rehabilitation Center

480 Donald Street, Bedford, NH 03110

CMS 1/5 stars #20 of 21 in Hillsborough County (603) 627-4147
Certified beds
102
Occupancy
92%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $16,153 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

20/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years

Staffing

10/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.71 total nurse hours per resident per day (national median 3.77)
  • 0.59 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 40% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $16,153 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.93 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.59 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.65 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 39.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 15 citations

Last standard health inspection: December 17, 2025 (8 months ago).

J Dec 17, 2025 F0678

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Immediate jeopardy to resident health or safety

D Dec 17, 2025 F0578

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

No actual harm, potential for more than minimal harm

D Dec 17, 2025 F0645

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

No actual harm, potential for more than minimal harm

D Dec 17, 2025 F0658

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Dec 17, 2025 F0761

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...

No actual harm, potential for more than minimal harm

D Dec 17, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Oct 3, 2024 F0761

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...

No actual harm, potential for more than minimal harm

D Oct 3, 2024 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
MARGULIES, ZISHA Individual INDIRECT OWNERSHIP INTEREST
STEVENSON, SEAN Individual INDIRECT OWNERSHIP INTEREST
YARMOVE, RIVKA Individual INDIRECT OWNERSHIP INTEREST
603 HEALTHCARE LLC Organization OPERATIONAL/MANAGERIAL CONTROL
AULETTO, AMY Individual OPERATIONAL/MANAGERIAL CONTROL
PASHA, MUHAMMAD Individual OPERATIONAL/MANAGERIAL CONTROL
603 HEALTHCARE LLC Organization ADP OF THE SNF
BEDFORD SNF REALTY LLC Organization ADP OF THE SNF
MAD FAMILY HOLDINGS LLC Organization ADP OF THE SNF
NATR TRUST Organization ADP OF THE SNF
PR NH HOLDINGS LLC Organization ADP OF THE SNF
RR NH HOLDINGS LLC Organization ADP OF THE SNF

What families say

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Common questions about Bedford Nursing & Rehabilitation Center

What is the ElderGrade for Bedford Nursing & Rehabilitation Center? +

Bedford Nursing & Rehabilitation Center holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Bedford Nursing & Rehabilitation Center? +

Residents receive an average of 2.93 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Bedford Nursing & Rehabilitation Center been cited for harming residents? +

Yes. 1 of the 15 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Bedford Nursing & Rehabilitation Center accept Medicaid? +

Yes, Bedford Nursing & Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.