Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
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.
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.