Home / New Hampshire / Bedford
Bedford Nursing & Rehabilitation Center
480 Donald Street, Bedford, NH 03110 · Hillsborough County · (603) 627-4147
102 certified beds, about 94 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305086 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 17, 2025, inspectors cited 6 health deficiencies (the New Hampshire average is 4, the national average 9.2).
Of 15 health citations since December 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $16,153 in the last three years; the largest was $16,153, and the latest is dated December 17, 2025.
Nurses and nurse aides worked 2.93 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
39.5% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
612/23
310/24
612/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
0E
0F
Potential for minimal harm
0A
1B
0C
December 17, 2025Standard inspection · 6 citations
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to provide Cardiopulmonary Resuscitation (CPR) in accordance with the American Heart Association (AHA) guidelines and/or the facility's policy for 1 of 3 closed records reviewed. (Resident identifier is #119.)
- D 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.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that resident's advance directives were accurately reflected for 3 residents in a final sample of 32 residents. (Resident identifiers are #18, #70 and #92.)
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, it was determined that the facility failed to complete a Preadmission Screening and Resident Review (PASARR) for individuals who required greater than 30 days of facilities services for 2 of 3 residents reviewed for PASARR in a final survey sample of 24. (Resident identifiers are #20 and #48.)
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to follow physician's orders for 1 of 3 closed records reviewed. (Resident identifier is #119.)
- D 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.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to store medications securely in accordance with professional standards for 1 of 2 units observed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to implement infection control policies and standards for 1 of 1 resident reviewed for Transmission Based Precautions (TBP) and 1 of 1 resident reviewed for catheters. (Resident identifier are #2 and #114.)
October 3, 2024Standard inspection · 3 citations
- D 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.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that expired medications were removed from a medication cart in 1 of 3 medication carts observed.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that food and dishware were stored in accordance to professional standards for food service safety for 1 of 1 kitchen observed.
- B Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on interview and record review it was determined that the facility failed to employ, at least on a part time basis, an Infection Prevetionist who completed specialized training in infection prevention and control for a facility census of 86 residents.
December 15, 2023Standard inspection, Complaint inspection · 6 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure dignity was maintained for 1 of 1 residents reviewed for dressing changes in a final sample of 18 residents (Resident identifier is #37).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview, record review, and policy review, it was determined that the facility failed to notify the resident's physician when medications were unavailable for 1 resident in a final sample of 18 residents (Resident identifier is #281).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow physicians orders for 1 of 1 residents reviewed for general skin conditions in a final sample of 18 residents (Resident identifier is #6). Findings Include: Observation on 12/13/23 at approximately 9:30 a.m. of Resident #6's right hand revealed a mepiplex dressing dated 12/8/23. Review on 12/13/23 of Resident #6's medical record revealed the following physician's order: Skin tear top of right hand, cleanse with NS [normal saline] apply Vaseline, gauze, assure steri strips are intact then cover with Tegaderm, change QOD [every other day] and prn [as needed] every evening shift every other day, Start Date 12/3/23. Interview on 12/14/23 at approximately 1:15 p.m with Staff B (Nurse Unit Manager) confirmed the above findings. Standards: [NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 7th ed. St. [...]
- D 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.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that medications were secured for 2 of 3 medication carts observed and the facility failed to ensure that medications were labeled with open expiration dates for 1 of 3 medication carts and 1 of 1 medication room observed.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and policy review it was determined that the facility failed to maintain a clean environment in the dishwashing area.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to secure a communication process was implemented that ensures that the needs of the resident were addressed for hospice services for 1 resident in a closed record sample of 4 residents (Resident identifier is #228).
Fire safety inspections
6 fire safety citations on file: 1 on December 17, 2025, 2 on October 3, 2024, 3 on December 15, 2023.
Every fire safety citation6 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- C Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- C Provide properly protected cooking facilities.
- C Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 17, 2025 | Fine | $16,153 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Hampshire | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.93 | 3.90 | 3.86 |
| Registered nurses | 0.59 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.65 | 3.47 | 3.42 |
| Nurse aides | 1.58 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 39.5% | 44.1% | 45.8% |
| Registered nurse turnover | 33.3% | 40.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.04 on weekdays and 2.65 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.30 in April to June 2025 to 2.93 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.93 | 0.59 | 3.04 | 2.65 | 3.3% | 0 of 90 | 94 |
| Oct to Dec 2025 | 3.00 | 0.60 | 3.11 | 2.73 | 5.4% | 0 of 92 | 94 |
| Jul to Sep 2025 | 3.19 | 0.53 | 3.31 | 2.88 | 10.1% | 0 of 92 | 88 |
| Apr to Jun 2025 | 3.30 | 0.56 | 3.42 | 2.98 | 7.6% | 0 of 91 | 86 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Hampshire, Jan to Mar 2026 | 3.85 | 0.74 | 4.01 | 3.45 | 13.1% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Hampshire | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.9 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.6 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.8 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.8 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.3 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.9 | 1.8 |
Owners and operators
Legal business name: BEDFORD SNF OPCO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Woh LLC | 5% or greater direct ownership interest | Organization | 100% | 02/01/2023 |
| Black Mountain II LLC | 5% or greater indirect ownership interest | Organization | 15% | 08/15/2025 |
| Pr Nh Holdings LLC | 5% or greater indirect ownership interest | Organization | 7% | 08/15/2025 |
| Rr Nh Holdings LLC | 5% or greater indirect ownership interest | Organization | 7% | 08/15/2025 |
| Zmry LLC | 5% or greater indirect ownership interest | Organization | 08/15/2025 | |
| Margulies, Zisha | Indirect ownership interest | Individual | 08/15/2025 | |
| Yarmove, Rivka | Indirect ownership interest | Individual | 08/15/2025 | |
| 603 Healthcare LLC | Operational/managerial control | Organization | 08/15/2025 | |
| Auletto, Amy | Operational/managerial control | Individual | 10/27/2025 | |
| Pasha, Muhammad | Operational/managerial control | Individual | 02/01/2023 | |
| 603 Healthcare LLC | Adp of the SNF | Organization | 12/10/2025 | |
| Bedford SNF Realty LLC | Adp of the SNF | Organization | 04/15/2025 | |
| Mad Family Holdings LLC | Adp of the SNF | Organization | 02/01/2023 | |
| Natr Trust | Adp of the SNF | Organization | 02/01/2023 | |
| Pr Nh Holdings LLC | Adp of the SNF | Organization | 08/15/2025 | |
| Rr Nh Holdings LLC | Adp of the SNF | Organization | 08/15/2025 | |
| Auletto, Amy | Adp of the SNF | Individual | 12/10/2025 | |
| Pasha, Muhammad | Adp of the SNF | Individual | 04/15/2025 | |
| Rausman, Philip | Adp of the SNF | Individual | 08/15/2025 | |
| Rausman, Robert | Adp of the SNF | Individual | 08/15/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on December 17, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on December 17, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on December 17, 2025: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on December 17, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.65 hours per resident per day, below the New Hampshire average of 3.47.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Bedford Hills Center Bedford, 1 mi · 4 of 5 stars · 8 citations
- Ridgewood Center, Genesis Healthcare Bedford, 1.2 mi · 2 of 5 stars · 14 citations
- Maple Leaf Health Care Center Manchester, 3 mi · 5 of 5 stars · 7 citations
- Courville at Manchester Manchester, 3.1 mi · 2 of 5 stars · 20 citations
- Mount Carmel Rehabilitation and Nursing Center Manchester, 3.1 mi · 3 of 5 stars · 11 citations
- Hillsborough County Nursing Home Goffstown, 3.3 mi · 5 of 5 stars · 9 citations
- Hanover Hill Health Care Center Manchester, 3.6 mi · 4 of 5 stars · 7 citations
- Saint Teresa Rehabilitation & Nursing Center Manchester, 3.7 mi · 2 of 5 stars · 15 citations
Common questions
- What is Bedford Nursing & Rehabilitation Center's Medicare star rating?
- CMS rates Bedford Nursing & Rehabilitation Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bedford Nursing & Rehabilitation Center get at its last inspection?
- 6 health deficiencies at the standard inspection on December 17, 2025. The New Hampshire average is 4.
- Has Bedford Nursing & Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $16,153 in the last three years.
- Does Bedford Nursing & Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bedford Nursing & Rehabilitation Center?
- CMS lists 20 owners and managers. Legal business name: BEDFORD SNF OPCO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.