Grafton County Nursing Home
3855 Dartmouth College Highway, North Haverhill, NH 03774
Grafton County Nursing Home, a 135-bed government - county nursing facility in North Haverhill, NH, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #56 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: 6037876971
Build a private shortlist as you compare, saved on this device, no account needed.
Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.
- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #56 of 72
- In-state rank among rated NH homes
- 4.67
- Well above average · nurse hrs/day · nat'l 3.86
- 20
- Inspection findings
The verdict
Grafton County Nursing Home, a 135-bed government - county nursing facility in North Haverhill, NH, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #56 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.
- 2 / 5
- CMS overall · national 3.0
- #56 of 72
- In-state rank among rated NH homes
- 4.67
- Nurse hrs/resident-day · national 3.86
- 20
- 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
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 305053
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 135
- Residents
- 120
- In Hospital
- No
- County
- Grafton
- Last Inspection
- Apr 2, 2026
Staffing Data
How the 4.67 total nursing hours per resident-day are staffed:
- RN Hours
- 0.67 (nat'l avg: 0.69)
- LPN Hours
- 0.84
- CNA Hours
- 3.16
- Total Nursing Hours
- 4.67 (nat'l avg: 3.86)
- PT Hours
- 0.00
What the CMS Record Reveals About Grafton County Nursing Home
According to CMS Nursing Home Compare, Grafton County Nursing Home ranks #56 of 72 rated nursing homes in NH on overall stars (tie-broken by health+staffing+quality, then fewer fines). Grafton County Nursing Home operates 135 certified beds in North Haverhill, NH with approximately 120 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 2★).
The inspection file contains 20 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Reported nurse staffing runs 4.67 total hours per resident day (national average 3.86); RN hours specifically are 0.67 per resident day.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Grafton County Nursing Home falls into a category where comparative context matters.
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 (20 most recent)
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: May 11, 2026
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: May 14, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: May 14, 2026
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 8, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 14, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 11, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 10, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 21, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 14, 2025
Provide or obtain dental services for each resident.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 21, 2025
Provide care or services that was trauma informed and/or culturally competent.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 14, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 10, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 7, 2025
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 10, 2025
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 10, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Mar 8, 2024
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Category: Administration Deficiencies
Corrected: Mar 18, 2024
Provide appropriate foot care.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 7, 2024
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 1, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 6, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.3% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.7% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 6.9% | 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 | 99.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 11.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 99.2% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 22.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 74.2% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 84.6% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Grafton County Nursing Home, both outside NH so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NH (135 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NH (5.73 here).
Nearby Nursing Homes in NH
72 other nursing homes are on record in NH; 6 are shown here.
Alpine Healthcare Center
Keene, NH
Applewood Center
Winchester, NH
Bedford Hills Center
Bedford, NH
Bedford Nursing & Rehabilitation Center
Bedford, NH
Belknap County Nursing Home
Laconia, NH
Birch Healthcare Center
Rochester, NH
Understanding Nursing Home Data
What the CMS records show for Grafton County Nursing Home
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 135 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 Grafton County Nursing Home?
Where does Grafton County Nursing Home rank among nursing homes in NH?
What are the staffing levels at Grafton County Nursing Home?
How many beds does Grafton County Nursing Home have?
Does Grafton County Nursing Home have any deficiencies on record?
Has Grafton County Nursing Home received any fines or penalties?
Who owns Grafton County Nursing Home?
When was Grafton County Nursing Home last inspected?
What quality measures are tracked for Grafton County Nursing Home?
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.
Read our methodology - how this data is sourced, computed, and verified.
