Every Medicare-certified nursing home in New Hampshire, graded on inspections, staffing, turnover
and enforcement history.
5 homes in the state sit in the federal Special Focus programme.
Colonial Poplin runs a 50-bed for-profit home in Fremont, and the inspection record is genuinely its strong suit: a four-star health inspection rating, only two deficiencies on file, none of them involving harm or abuse, and a survey completed just this April. Staffing is where the picture shifts. At 3.63 nurse hours per resident day, it sits about 6 percent under the national average, and weekends drop roughly 11 percent below its own weekday coverage. Annual turnover of 61.5 percent is well above the 45.8 percent national figure, which means the people caring for residents keep changing. For a family weighing a visit, ask how the weekend shift is actually covered.
Derry Center for Rehabilitation and Healthcare runs 62 certified beds in Derry, under for-profit individual ownership. Its nurse staffing sits at 3.12 hours per resident day, roughly 19 percent under the national average of 3.86, that gap is the main thing driving its lowest CMS star rating. Weekends thin out further, about 13 percent below its own weekday level, so coverage is lightest exactly when families tend to visit.
Turnover lands at 41.5 percent, a bit better than the 45.8 percent national figure, so the people who stay appear to stick around. The home carries 12 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and its last inspection was December 11, 2025.
Nashua Post Acute Care runs 290 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86. Weekend coverage slips about 13 percent below the home's own weekday level, and annual turnover sits at 48.3 percent, higher than the 45.8 percent national figure. The inspection record shows 29 deficiencies, one tied to abuse, though none at the harm or jeopardy level. A recent inspection in November 2025 and a 1-out-of-5 health inspection rating round out the picture. Families should ask directly how the home covers weekends and what it's doing about retention.
Lafayette Center is a 72-bed for-profit home in Franconia, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.58 hours per resident per day, about 7% under the national average, and it thins out further on weekends. Staff turnover runs near 55%, well above the national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of problems. The current inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, plus a $50,164 fine and a one-star health inspection rating. A May 2025 inspection is recent, so the picture reflects current conditions rather than old ones.
Fairview Nursing Home sits just barely above the national average for nurse staffing, 3.92 hours per resident day against 3.86, but that thin margin comes with a catch: weekends run roughly 8% leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The bigger number to sit with is turnover: 97.1% of staff leaving in a year, more than double the national rate of 45.8%, which means the aides and nurses caring for residents are, on average, still learning the building. Its inspection record shows 16 deficiencies, including two tied to abuse, and a one-star health inspection rating, though none of the current citations reached the level of actual harm or jeopardy.
Exeter Center runs 81 certified beds under corporate for-profit ownership, and the staffing numbers are where your attention should go first. At 3.39 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. That thinner weekend schedule matters because nurse turnover is 49.2%, higher than the 45.8% national figure, so familiar faces are harder to count on.
The inspection record shows 12 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $28,912. No abuse-related citations appear. Its last inspection was April 30, 2026, so the record is current. Nothing here is alarming on its own, but the staffing shortfall and turnover together are the pattern worth asking about directly.
Alpine Healthcare Center runs 85 beds in Keene under for-profit LLC ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 10% below the home's own weekday numbers, and turnover lands at 47.8%, a bit above the national 45.8%. The inspection record carries 21 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level. CMS gave it one star each for health inspections and staffing, two for quality measures, and the state last visited in June 2025. What stands out is staffing: consistently thin, thinner on weekends, with a workforce cycling through faster than average.
The Elms Center runs on 3.02 nurse hours per resident day, well under the national figure of 3.86, and weekend coverage drops about 12% below its own weekday level. That thin staffing shows up in the numbers: 64% of staff turned over in the past year against a national 45.8%, and CMS gives the home its lowest mark, 1 star, for staffing. Inspections look steadier, a 3 for health and 3 for quality measures, with the most recent visit in February 2026, but 19 deficiencies sit on record, one serious enough to cause harm, plus a $9,770 fine. It's a for-profit LLC with 52 beds, so the question is whether staffing improves or the pattern holds.
Pleasant View Center runs 176 certified beds in Concord under for-profit limited liability ownership, and the numbers raise real questions. Nurse staffing sits at 3.78 hours per resident day against a national average of 3.86, and weekends drop roughly 9% below the home's own weekday coverage. Annual turnover hits 68% while the national figure is 45.8%, that churn matters when aides and nurses are the people doing daily care. The current record carries 43 deficiencies, including one at the harm or jeopardy level and six tied to abuse, plus two CMS fines totaling $12,982. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Lebanon Center runs 110 beds under Genesis Healthcare, and the numbers tell a fairly consistent story. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average of 3.86, and weekends drop about another 10% below what the home manages on weekdays. Thirty deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, along with a $72,924 fine. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor inspections. Annual turnover of 48.6% runs slightly above the national 45.8%. The most recent inspection was August 14, 2025.
Courville At Manchester runs a for-profit LLC with 76 beds, and the staffing numbers look strong on paper: 4.18 nurse hours per resident day, roughly 8% above the national average, with turnover at 43.6%, slightly better than the 45.8% norm. Weekends thin out about 11% below weekday coverage, which is where gaps tend to show up. The trouble sits in the inspection record. Twenty deficiencies, including two at harm or jeopardy level and three tied to abuse, plus $35,270 in fines and a spot in CMS's Special Focus Facility program, which is reserved for homes with a pattern of serious problems. The most recent inspection was February 2026. Good staffing hasn't translated into safe care here.
Bedford Nursing & Rehabilitation Center runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about another 10% under its own weekday level. Fifteen deficiencies sit on its current record, including one at the harm or jeopardy level, though none involve abuse, and CMS has placed the home in its Special Focus Facility program after a December 2025 inspection. Staff turnover of 39.5% is actually better than the 45.8% national figure, and the 4/5 quality measure rating suggests some clinical care is tracked well. The catch is that 1/5 inspection rating, when federal inspectors find harm-level problems and flag a home for focused oversight, the daily staffing numbers matter more than the quality score.
Mountain Ridge Center runs 86 certified beds in Franklin under Genesis Healthcare, a for-profit corporation, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day it sits about 12% under the national average, and weekends dip roughly 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover of 67.5% is well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. Inspections in April 2025 turned up 16 deficiencies, one abuse-related, with a single fine of $16,702. No harm-level citations appear on the current record, but the quality measure rating of 1 out of 5 doesn't inspire confidence.