Home / New Hampshire / West Stewartstown
Coos County Nursing Hospital
136 County Farm Road, West Stewartstown, NH 03597 · Coos County · (603) 246-3321
97 certified beds, about 56 residents a day · Government - County · Medicaid since 1979
CMS Care Compare ratings, data as of September 1, 2026 · CCN 30E076 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 16, 2025, inspectors cited 0 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 3 health citations since November 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 4.74 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.
45.3% 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 3 health citations on file.
October 16, 2025Standard inspection · 0 citations
December 5, 2024Standard inspection · 0 citations
November 17, 2023Standard 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 policies, it was determined that the facility failed to ensure that expired medications were removed from the emergency kit (E-kit) stored in the medication storage room on the first floor in 1 of 2 storage rooms observed.
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the residents' Minimum Data Set (MDS) accurately reflect the resident's status for 4 of 16 residents reviewed for MDS in a final sample of 16 residents. (Resident identifiers are #5, #19, #48, and #51).
- B Post nurse staffing information every day.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the posted daily nurse staffing data included the daily census and the actual hours worked by registered nurses and licensed practical nurses for 33 of the 33 days reviewed.
Fire safety inspections
6 fire safety citations on file: 3 on October 16, 2025, 3 on December 5, 2024.
Every fire safety citation6 citations
- F Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have generator or other power source capable of supplying service within 10 seconds.
- 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) | 4.74 | 3.90 | 3.86 |
| Registered nurses | 0.75 | 0.78 | 0.69 |
| All nursing staff on weekends | 4.03 | 3.47 | 3.42 |
| Nurse aides | 3.29 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 45.3% | 44.1% | 45.8% |
| Registered nurse turnover | 43.8% | 40.9% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.97 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 5.03 on weekdays and 4.03 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 28.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.04 in April to June 2025 to 4.74 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 | 4.74 | 0.75 | 5.03 | 4.03 | 28.0% | 0 of 90 | 56 |
| Oct to Dec 2025 | 4.72 | 0.70 | 4.98 | 4.04 | 29.0% | 1 of 92 | 54 |
| Jul to Sep 2025 | 4.33 | 0.66 | 4.60 | 3.65 | 26.3% | 0 of 92 | 60 |
| Apr to Jun 2025 | 4.04 | 0.82 | 4.25 | 3.51 | 18.3% | 0 of 91 | 56 |
| 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 | 16.6 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.8 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.2 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 4.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.6 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.4 | 17.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.2 | 1.9 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 1 problem in this area, most recently on November 17, 2023: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on November 17, 2023: "Ensure each resident receives an accurate assessment."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on November 17, 2023: "Post nurse staffing information every day."
Common questions
- What is Coos County Nursing Hospital's Medicare star rating?
- CMS rates Coos County Nursing Hospital 5 out of 5 stars overall, with 5 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 Hospital get at its last inspection?
- 0 health deficiencies at the standard inspection on October 16, 2025. The New Hampshire average is 4.
- Has Coos County Nursing Hospital been fined?
- CMS lists no fines in the last three years.
- Does Coos County Nursing Hospital accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Coos County Nursing Hospital?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.