PlainNursing
CMS Nursing Home Compare · August 2026

Coos County Nursing Hospital

136 County Farm Road, West Stewartstown, NH 03597

Coos County Nursing Hospital, a 97-bed government - county nursing facility in West Stewartstown, NH, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #11 of 72 rated homes in NH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6032463321

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5 / 5
Much above average · CMS overall · nat'l 3.0
#11 of 72
In-state rank among rated NH homes
4.74
Well above average · nurse hrs/day · nat'l 3.86
3
Inspection findings

The verdict

Coos County Nursing Hospital, a 97-bed government - county nursing facility in West Stewartstown, NH, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #11 of 72 rated homes in NH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

5 / 5
CMS overall · national 3.0
#11 of 72
In-state rank among rated NH homes
4.74
Nurse hrs/resident-day · national 3.86
3
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 73 NH nursing homes split by ownership sector

This facility is recorded as Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

5/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
30E076
Ownership
Government - County
Provider Type
Medicaid
Beds
97
Residents
56
In Hospital
No
County
Coos
Last Inspection
Oct 16, 2025

Staffing Data

How the 4.74 total nursing hours per resident-day are staffed:

RN Hours
0.75 (nat'l avg: 0.69)
LPN Hours
0.70
CNA Hours
3.29
Total Nursing Hours
4.74 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
45.3%
RN Turnover
43.8%

What the CMS Record Reveals About Coos County Nursing Hospital

According to CMS Nursing Home Compare, Coos County Nursing Hospital ranks #11 of 72 rated nursing homes in NH on overall stars (tie-broken by health+staffing+quality, then fewer fines). Coos County Nursing Hospital operates 97 certified beds in West Stewartstown, NH with approximately 56 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 4★ · quality 2★).

The inspection file contains 3 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Reported nurse staffing runs 4.74 total hours per resident day (national average 3.86); RN hours specifically are 0.75 per resident day.

Classified as "Government - County" ownership and operating as a "Medicaid" provider, Coos County Nursing Hospital falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 45.3% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (3 most recent)

B - Pattern - No harm Nov 17, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 11, 2023

B - Pattern - No harm Nov 17, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 11, 2023

D - Isolated - Minimal harm Nov 17, 2023 Tag: 0761

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 drugs.

Category: Pharmacy Service Deficiencies

Corrected: Dec 11, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.6% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 31.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 3.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 38.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 57.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Coos County Nursing Hospital, both outside NH so the neighborhoods are not the same-state geography list below.

What the CMS records show for Coos County Nursing Hospital

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NH registry aggregates state averages and the highest-rated homes in this cohort. View NH registry
  • Peer homes near 97 beds show how CMS stars vary at a similar scale in NH. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Coos County Nursing Hospital?
Coos County Nursing Hospital has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (4★), and quality measures (2★).
Where does Coos County Nursing Hospital rank among nursing homes in NH?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Coos County Nursing Hospital ranks 11th among 72 rated nursing homes in NH (#11 of 72). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Coos County Nursing Hospital?
Coos County Nursing Hospital reports 4.74 total nursing hours per resident day (national average: 3.86). RN hours are 0.75 per resident day (national average: 0.69). Nursing staff turnover is 45.3%.
How many beds does Coos County Nursing Hospital have?
Coos County Nursing Hospital has 97 certified beds with approximately 56 residents. The facility is located at 136 County Farm Road, West Stewartstown, NH 03597.
Does Coos County Nursing Hospital have any deficiencies on record?
Yes, Coos County Nursing Hospital has 3 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Coos County Nursing Hospital received any fines or penalties?
No, Coos County Nursing Hospital has no fines or penalties on record.
Who owns Coos County Nursing Hospital?
Coos County Nursing Hospital is classified as "Government - County" ownership. The facility type is "Medicaid".
When was Coos County Nursing Hospital last inspected?
The most recent health inspection for Coos County Nursing Hospital was on Oct 16, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for Coos County Nursing Hospital?
Coos County Nursing Hospital is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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