Home / New Hampshire / Berlin
Coos County Nursing Home
364 Cates Hill Rd Po Box 416, Berlin, NH 03570 · Coos County · (603) 752-2343
100 certified beds, about 77 residents a day · Government - County · Medicare and Medicaid since 2017
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305102 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 26, 2026, inspectors cited 2 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 11 health citations since December 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 4.93 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
50.9% 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 11 health citations on file.
February 26, 2026Standard inspection · 2 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review it was determine that the facility failed to implement the facility's infection control policies for 1 of 1 residents reviewed for transmission based precautions (Resident identifier is #1) and hand hygiene for 1 of 4 residents observed for medication administration (Resident identifier is #74). The facility failed to implement monitoring measures in the a water management plan that has the potential to effect a census of 74 residents.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a medication error rate was less than 5 percent (%) for 3 of 29 medication administrations observed. (Resident identifier is #74).
December 18, 2024Standard inspection · 7 citations
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, record review, and interview, it was determined that the facility failed to keep residents free from physical restraints for 1 of 1 residents reviewed for physical restraints in a final sample of 18 residents (Resident identifier is #72).
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, it was determined that the staff failed to report an alleged violation of abuse immediately to the Administrator and the facility failed to report to the State Survey Agency (SSA) for 1 of 1 resident reviewed for abuse in a final sample of 18 residents (Resident identifier is #57).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to refer residents with newly evident or possible serious mental disorder and intellectual disability for a Level I Pre-admission Screening and Resident Review (PASARR) for 1 of 4 residents reviewed for PASARR in a final sample of 18 residents (Resident identifier is #1).
- 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 physician orders for 1 resident out of 3 residents reviewed for pressure ulcers in a final sample of 18 residents (Resident identifier is #36).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure a resident does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable for 1 of 2 residents reviewed for pressure ulcers in a final sample of 18 residents (Resident identifier is #69).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure a resident with an order for a CPAP (continuous positive airway pressure) machine recieved treatment consistant with the providers orders for 1 of 2 residents reviewed for Respiratory Care in a final sample of 18 residents (Resident identifier is #18).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, it was determined the facility failed to ensure that medical records were accurate for 2 residents reviewed in a final sample of 18 residents (Resident identifiers are #17 and #81).
December 8, 2023Standard inspection · 2 citations
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that a resident was assessed for restraints for 1 of 1 resident reviewed for restraints in a final sample of 22 residents (Resident Identifier is #69).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interviews and record reviews it was determined that the facility failed to follow physician's orders for 1 resident in a final sample of 22 residents (Resident Identifier is #8).
Fire safety inspections
5 fire safety citations on file: 3 on February 26, 2026, 2 on December 18, 2024.
Every fire safety citation5 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have simulated fire drills held at unexpected times.
- D Develop and maintain an Emergency Preparedness Program (EP).
- E Have simulated fire drills held at unexpected times.
- D Install corridor and hallway doors that block smoke.
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) | 4.93 | 3.90 | 3.86 |
| Registered nurses | 0.80 | 0.78 | 0.69 |
| All nursing staff on weekends | 4.23 | 3.47 | 3.42 |
| Nurse aides | 3.29 | ||
| Licensed practical nurses | 0.84 | ||
| Nursing staff turnover (share who left in a year) | 50.9% | 44.1% | 45.8% |
| Registered nurse turnover | 45.5% | 40.9% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.64 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 5.22 on weekdays and 4.23 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 37.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.53 in April to June 2025 to 4.93 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 | 4.93 | 0.80 | 5.22 | 4.23 | 37.0% | 0 of 90 | 77 |
| Oct to Dec 2025 | 4.81 | 0.82 | 5.07 | 4.15 | 35.1% | 0 of 92 | 76 |
| Jul to Sep 2025 | 4.55 | 0.88 | 4.80 | 3.93 | 33.8% | 0 of 92 | 77 |
| Apr to Jun 2025 | 4.53 | 0.98 | 4.76 | 3.95 | 30.7% | 0 of 91 | 76 |
| 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 | 20.0 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 8.1 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.8 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.0 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.8 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 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: COOS COUNTY NURSING HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Coos County | Direct ownership interest | Organization | 05/17/1976 | |
| Brady, Mark | Indirect ownership interest | Individual | 05/11/2023 | |
| Brady, Thomas | Managing control - governing body | Individual | 01/01/2025 | |
| Gorman, Raymond | Managing control - governing body | Individual | 01/01/2022 | |
| Theberge, Robert | Managing control - governing body | Individual | 01/01/2022 | |
| Brady, Mark | Corporate director | Individual | 05/15/2023 | |
| Berry Dunn McNeil & Parker LLC | Operational/managerial control | Organization | 01/01/2025 | |
| Camden National Cooperation | Operational/managerial control | Organization | 03/17/2025 | |
| Vachon & Clukay & Co, PC | Operational/managerial control | Organization | 01/14/2020 | |
| Belanger, Louise | Operational/managerial control | Individual | 11/28/2023 | |
| Brady, Thomas | Operational/managerial control | Individual | 01/01/2025 | |
| Cardenas, Javier | Operational/managerial control | Individual | 06/01/2020 | |
| Berry Dunn McNeil & Parker LLC | Adp of the SNF | Organization | 11/24/2025 | |
| Camden National Cooperation | Adp of the SNF | Organization | 07/31/2025 | |
| Pharmacy Corporation of America | Adp of the SNF | Organization | 01/01/2022 | |
| Vachon & Clukay & Co, PC | Adp of the SNF | Organization | 03/04/2025 | |
| Belanger, Louise | Adp of the SNF | Individual | 11/28/2023 | |
| Brady, Mark | Adp of the SNF | Individual | 05/11/2023 | |
| Cardenas, Javier | Adp of the SNF | Individual | 06/01/2020 | |
| Mudgett, Alicia | Adp of the SNF | Individual | 01/03/2023 |
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 4 problems in this area, most recently on December 18, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on December 18, 2024: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 18, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- 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 February 26, 2026: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Saint Vincent Rehabilitation & Nursing Center Berlin, 1.4 mi · 2 of 5 stars · 22 citations
- Country Village Center, Genesis Healthcare Lancaster, 19.8 mi · 4 of 5 stars · 10 citations
- Morrison Nursing Home Whitefield, 22.7 mi · 4 of 5 stars · 21 citations
Common questions
- What is Coos County Nursing Home's Medicare star rating?
- CMS rates Coos County Nursing Home 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Coos County Nursing Home get at its last inspection?
- 2 health deficiencies at the standard inspection on February 26, 2026. The New Hampshire average is 4.
- Has Coos County Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Coos 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 Coos County Nursing Home?
- CMS lists 20 owners and managers. Legal business name: COOS COUNTY NURSING HOME.
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.