Home / New Hampshire / Portsmouth
Cedar Healthcare Center
188 Jones Avenue, Portsmouth, NH 03801 · Rockingham County · (603) 431-2530
102 certified beds, about 89 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305082 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 26, 2025, inspectors cited 1 health deficiency (the New Hampshire average is 4, the national average 9.2).
None of its 7 health citations since May 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 3.54 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
44.7% 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 7 health citations on file.
June 26, 2025Standard inspection · 1 citation
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the facility acted upon provider approved recommendations that were identified by the pharmacist during the monthly Pharmacy Medication Regimen Review for 1 of 5 residents reviewed for unnecessary medications in a final sample of 18 residents. (Resident Identifier is #61).
May 8, 2024Standard inspection · 3 citations
- D Have policies on smoking.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to implement smoking policies for 1 of 2 residents reviewed for smoking in a final sample of 22 residents (Resident Identifier #66).
- B Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure their arbitration agreement contained all the necessary elements for 3 of 3 residents reviewed for binding arbitration in a final sample of 22 (Resident Identifiers are #60, #66, and #83).
- B Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the arbitration agreement provided for the selection of a venue that is convenient to both parties for 3 of 3 residents reviewed for binding arbitration in a final sample of 22 residents (Resident Identifiers are #60, #66, and #83).
May 12, 2023Standard inspection · 3 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to ensure that the residents' environment remained free of accident hazards for 1 of 2 residents reviewed for smoking in a final sample of 27 residents (Resident Identifier is #3).
- 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 policy review, it was determined that the facility failed to ensure eye medications were labeled with open expiration dates and that expired medications were removed from use on 1 of 3 medication carts and 1 of 2 medication rooms observed (Resident Identifier is #44).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and policy review it was determined that the facility failed to clean and disinfect a glucometer after use for 1 out of 2 medication carts observed.
Fire safety inspections
6 fire safety citations on file: 2 on June 26, 2025, 3 on May 8, 2024, 1 on May 12, 2023.
Every fire safety citation6 citations
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- C Provide properly protected cooking facilities.
- C Have generator or other power source capable of supplying service within 10 seconds.
- C Install emergency lighting that can last at least 1 1/2 hours.
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) | 3.54 | 3.90 | 3.86 |
| Registered nurses | 0.55 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.42 | 3.47 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 44.7% | 44.1% | 45.8% |
| Registered nurse turnover | 36.4% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.19 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 3.59 on weekdays and 3.42 on weekends, 5% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.48 in April to June 2025 to 3.54 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 | 3.54 | 0.55 | 3.59 | 3.42 | 7.1% | 0 of 90 | 89 |
| Oct to Dec 2025 | 3.52 | 0.54 | 3.56 | 3.42 | 15.7% | 0 of 92 | 91 |
| Jul to Sep 2025 | 3.36 | 0.58 | 3.40 | 3.26 | 8.0% | 0 of 92 | 91 |
| Apr to Jun 2025 | 3.48 | 0.58 | 3.54 | 3.33 | 6.7% | 0 of 91 | 84 |
| 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 | 21.0 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.3 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.7 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.6 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.0 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.1 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.0 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.9 | 1.8 |
Owners and operators
Legal business name: PEAK HEALTHCARE AT PORTSMOUTH LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| White Mountain Peak Healthcare LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2023 |
| Nhoc LLC | Direct ownership interest | Organization | 11/19/2020 | |
| Black Mountain II LLC | 5% or greater indirect ownership interest | Organization | 01/20/2026 | |
| Pr Nh Holdings LLC | 5% or greater indirect ownership interest | Organization | 01/20/2026 | |
| Rr Nh Holdings LLC | 5% or greater indirect ownership interest | Organization | 01/20/2026 | |
| Wmp Holdco LLC | 5% or greater indirect ownership interest | Organization | 11/19/2020 | |
| Aggcp LLC | Indirect ownership interest | Organization | 01/20/2026 | |
| Kamna Holdings LLC | Indirect ownership interest | Organization | 01/20/2026 | |
| Wmp Hc LLC | Indirect ownership interest | Organization | 11/19/2020 | |
| Goldstein, Avrohom | Indirect ownership interest | Individual | 01/20/2026 | |
| Halberstam, Miriam | Indirect ownership interest | Individual | 01/20/2026 | |
| Halberstam, Moshe | Indirect ownership interest | Individual | 01/20/2026 | |
| 603 Healthcare LLC | Operational/managerial control | Organization | 08/15/2025 | |
| Rizkalla Hanna, Magued | Operational/managerial control | Individual | 02/28/2025 | |
| St. Pierre, Nathan | Operational/managerial control | Individual | 11/19/2020 | |
| 603 Healthcare LLC | Adp of the SNF | Organization | 05/20/2026 | |
| Kansas SNF Holdings LLC | Adp of the SNF | Organization | 11/19/2020 | |
| Mad Family Holdings LLC | Adp of the SNF | Organization | 11/19/2020 | |
| Natr Trust | Adp of the SNF | Organization | 11/19/2020 | |
| Pr Nh Holdings LLC | Adp of the SNF | Organization | 01/20/2026 | |
| Rarmna Holdings LLC | Adp of the SNF | Organization | 11/19/2020 | |
| Ratr Trust | Adp of the SNF | Organization | 11/19/2020 | |
| Rnr Holdings LLC | Adp of the SNF | Organization | 11/19/2020 | |
| Rr Nh Holdings LLC | Adp of the SNF | Organization | 01/20/2026 | |
| Wetr Trust | Adp of the SNF | Organization | 11/19/2020 | |
| Rausman, Philip | Adp of the SNF | Individual | 01/20/2026 | |
| Rausman, Robert | Adp of the SNF | Individual | 01/20/2026 | |
| Rizkalla Hanna, Magued | Adp of the SNF | Individual | 04/10/2025 | |
| St. Pierre, Nathan | Adp of the SNF | Individual | 04/10/2025 |
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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 26, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on May 8, 2024: "Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse."
- 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 May 8, 2024: "Have policies on smoking."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on May 12, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.42 hours per resident per day, below the New Hampshire average of 3.47.
Other nursing homes nearby
- Edgewood Centre (the) Portsmouth, 0.3 mi · 3 of 5 stars · 14 citations
- Webster at Rye Rye, 4 mi · 4 of 5 stars · 8 citations
- Durgin Pines Kittery, 4.8 mi · 5 of 5 stars · 9 citations
- Saint Ann Rehabilitation and Nursing Center Dover, 7.6 mi · 4 of 5 stars · 6 citations
- Oceanside Skilled Nursing and Rehabilitation Hampton, 8.6 mi · 1 of 5 stars · 17 citations
- Exeter Center Exeter, 9.8 mi · 3 of 5 stars · 12 citations
- Langdon Place of Dover Dover, 9.8 mi · 5 of 5 stars · 7 citations
- Dover Center for Health & Rehabilitation Dover, 12.5 mi · 4 of 5 stars · 13 citations
Common questions
- What is Cedar Healthcare Center's Medicare star rating?
- CMS rates Cedar Healthcare Center 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cedar Healthcare Center get at its last inspection?
- 1 health deficiency at the standard inspection on June 26, 2025. The New Hampshire average is 4.
- Has Cedar Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Cedar Healthcare 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 Cedar Healthcare Center?
- CMS lists 29 owners and managers. Legal business name: PEAK HEALTHCARE AT PORTSMOUTH 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.