Home / New Hampshire / Laconia
Belknap County Nursing Home
30 County Drive, Laconia, NH 03246 · Belknap County · (603) 527-5410
94 certified beds, about 58 residents a day · Government - County · Medicare and Medicaid since 2008
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305101 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 4, 2025, inspectors cited 2 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 4 health citations since August 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.96 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
31.9% 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.
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 4 health citations on file.
September 4, 2025Standard inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow professional standards for 1 of 1 resident observed for medication administration via gastrostomy tube (g-tube) (Resident identifier is #2).
- 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 procedures for hand hygiene and glove for 1 of 1 resident reviewed for skin condition in a final sample of 15 residents. (Resident identifier is #33).
September 19, 2024Standard inspection · 2 citations
- D Keep all essential equipment working safely.
Inspectors wroteBased on interview, observation, and record review, it was determined that the facility failed to follow manufacturer's instructions for care and cleaning of the Hydrocollator.
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the resident and/or resident representative was provided the Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) form CMS-10055 (Centers form Medicare and Medicaid) for 3 out of 3 residents reviewed for beneficiary notices.(Resident Identifiers are #39, #41, and #57).
August 9, 2023Standard inspection · 0 citations
Fire safety inspections
8 fire safety citations on file: 6 on September 4, 2025, 1 on September 19, 2024, 1 on August 9, 2023.
Every fire safety citation8 citations
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Install emergency lighting that can last at least 1 1/2 hours.
- C Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- C Have generator or other power source capable of supplying service within 10 seconds.
- C Have generator or other power source capable of supplying service within 10 seconds.
- C Have simulated fire drills held at unexpected times.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.96 | 3.90 | 3.86 |
| Registered nurses | 0.80 | 0.78 | 0.69 |
| All nursing staff on weekends | 4.45 | 3.47 | 3.42 |
| Nurse aides | 3.20 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 31.9% | 44.1% | 45.8% |
| Registered nurse turnover | 41.7% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.56 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 5.18 on weekdays and 4.45 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.82 in April to June 2025 to 4.96 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 | 4.96 | 0.80 | 5.18 | 4.45 | 3.8% | 0 of 90 | 58 |
| Oct to Dec 2025 | 4.77 | 0.73 | 5.04 | 4.08 | 5.0% | 0 of 92 | 59 |
| Jul to Sep 2025 | 4.87 | 0.70 | 5.08 | 4.35 | 7.6% | 0 of 92 | 61 |
| Apr to Jun 2025 | 4.82 | 0.66 | 5.08 | 4.17 | 6.2% | 0 of 91 | 62 |
| 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 | 25.6 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 15.4 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.7 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.7 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.1 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.2 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.9 | 1.8 |
Owners and operators
Legal business name: BELKNAP COUNTY.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Belknap County | 5% or greater direct ownership interest | Organization | 100% | 09/01/2008 |
| Belknap County | Operational/managerial control | Organization | 09/01/2008 | |
| Darst, Rose | Operational/managerial control | Individual | 02/13/2023 | |
| Ephrem, Vercin | Operational/managerial control | Individual | 03/18/2022 | |
| O'Brien, Amy | Operational/managerial control | Individual | 11/24/2025 | |
| Pauley, Richard | Operational/managerial control | Individual | 09/05/2023 | |
| Richardson, Shelley | Operational/managerial control | Individual | 01/01/2017 | |
| Shiel, Alison | Operational/managerial control | Individual | 02/12/2019 | |
| Twardosky, Brenda | Operational/managerial control | Individual | 08/17/2015 | |
| Belknap County | Adp of the SNF | Organization | 04/14/2008 | |
| Darst, Rose | Adp of the SNF | Individual | 02/13/2023 | |
| Ephrem, Vercin | Adp of the SNF | Individual | 03/18/2022 | |
| Gallagher, Amanda | Adp of the SNF | Individual | 05/16/2022 | |
| O'Brien, Amy | Adp of the SNF | Individual | 11/24/2025 | |
| Pauley, Richard | Adp of the SNF | Individual | 09/05/2023 | |
| Richardson, Shelley | Adp of the SNF | Individual | 01/01/2017 | |
| Shiel, Alison | Adp of the SNF | Individual | 02/12/2019 | |
| Twardosky, Brenda | Adp of the SNF | Individual | 08/17/2015 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on September 4, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 4, 2025: "Provide and implement an infection prevention and control program."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on September 19, 2024: "Keep all essential equipment working safely."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 19, 2024: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
Other nursing homes nearby
- Laconia Rehabilitation Center Laconia, 0.4 mi · 1 of 5 stars · 17 citations
- Saint Francis Rehabilitation and Nursing Center Laconia, 1.7 mi · 5 of 5 stars · 4 citations
- Golden View Health Care Center Meredith, 3.9 mi · 4 of 5 stars · 16 citations
- Mountain Ridge Center, Genesis Healthcare Franklin, 10.3 mi · 1 of 5 stars · 19 citations
- Wolfeboro Bay Center Wolfeboro, 14.2 mi · 4 of 5 stars · 16 citations
- Merrimack County Nursing Home Boscawen, 15.1 mi · 3 of 5 stars · 12 citations
- Mountain View Community Ossipee, 19.9 mi · 4 of 5 stars · 6 citations
- Epsom Healthcare Center Epsom, 22.4 mi · 2 of 5 stars · 12 citations
Common questions
- What is Belknap County Nursing Home's Medicare star rating?
- CMS rates Belknap County Nursing Home 4 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Belknap County Nursing Home get at its last inspection?
- 2 health deficiencies at the standard inspection on September 4, 2025. The New Hampshire average is 4.
- Has Belknap County Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Belknap County Nursing Home 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 Belknap County Nursing Home?
- CMS lists 18 owners and managers. Legal business name: BELKNAP COUNTY.
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.