Home / New Hampshire / Milford
40 Crosby Street, Milford, NH 03055 · Hillsborough County · (603) 673-7061
82 certified beds, about 64 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305061 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 18, 2025, inspectors cited 3 health deficiencies (the New Hampshire average is 4, the national average 9.2).
Of 13 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $15,646 in the last three years; the largest was $15,646, and the latest is dated June 26, 2024.
Nurses and nurse aides worked 3.37 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.
43.1% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.
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.
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 13 health citations on file.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to develop and implement a comprehensive care plan for 1 of 1 residents reviewed for mood and behavior in a final sample of 17 residents (Resident identifier is #6).
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to implement the facilities infection control policies for TBP (Transmission Based Precautions) for 2 of 2 dining observation. (Resident Identifier is #50.)
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the facility assessment included specific staffing needs for each resident unit in the facility and specific staffing needs for each shift such as day, evening, night for a census of 65 residents.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that 2 of 4 residents reviewed for insulin were free from potential exposure to bloodborne pathogen transmission when staff administered insulin to two residents using the same insulin pen (Resident Identifiers are #1 and #2).
Inspectors wroteBased on interview and record review, it was determined that the facility failed to provide sufficient staff to meet residents' needs in September 2023 and October 2023.
Inspectors wroteBased on interview, the facility failed to employ a full-time qualified dietician or other clinically qualified nutrition professional to carry out the functions of the food and nutrition services.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to honor residents' choice for showers for 1 out of 3 residents reviewed for Activities of Daily Living (ADL) in a final sample of 17 residents (Resident Identifier is #60).
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that residents' formulated advance directives would be followed for 1 out of 17 residents in a final sample (Resident Identifier is #16). Review on 1/29/24 of Resident #16's care plan, with a revision date of 9/19/22, revealed Resident #16's code status to be Full Code. Review on 1/29/24 of Resident #16's current Electronic Medication Administration Record (eMAR) revealed code status of Do Not Resuscitate (DNR). Review on 1/29/24 of Resident #16's current paper chart revealed Resident #16's pink portable DNR form signed by the provider on 7/20/23. Interview on 1/29/24 at 2:06 p.m. with Staff H (Unit Manager) revealed resident #16's code status is DNR and Staff H confirmed the above findings. [...]
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that all allegations of abuse were reported to the administrator for 3 of 8 residents reviewed for abuse in a final sample of 17 residents (Resident Identifiers are #2, #4, and #36.)
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that the residents' environment remained as free of accident hazards as was possible regarding one resident room heater on 1 of 3 units observed (Unit 3).
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the required committee members attended meetings at least quarterly for 3 of the 4 quarterly meetings reviewed in 2023.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to provide timely notifications of the Skilled Nursing Facility (SNF) Advance Beneficiary Notice (ABN) and Notice of Medicare Non-Coverage (NOMNC) for 3 out of 3 residents reviewed for Beneficiary Notices (Resident Identifiers are #50, #18, and #270).
Inspectors wroteBased on interview and record review, it was determined that the facility failed to provide residents with activities designed to meet their preferences, interests, and needs in the evenings since November 2023.
8 fire safety citations on file: 2 on December 4, 2024, 6 on January 30, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| June 26, 2024 | Fine | $15,646 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.37 | 3.90 | 3.86 |
| Registered nurses | 0.81 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.92 | 3.47 | 3.42 |
| Nurse aides | 1.88 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 43.1% | 44.1% | 45.8% |
| Registered nurse turnover | 42.9% | 40.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.96 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.55 on weekdays and 2.92 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.37 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 | 3.37 | 0.81 | 3.55 | 2.92 | 4.6% | 0 of 90 | 64 |
| Oct to Dec 2025 | 3.34 | 0.88 | 3.51 | 2.91 | 3.5% | 0 of 92 | 63 |
| Jul to Sep 2025 | 3.16 | 0.82 | 3.29 | 2.82 | 2.4% | 0 of 92 | 62 |
| Apr to Jun 2025 | 3.26 | 0.96 | 3.42 | 2.87 | 2.9% | 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New Hampshire, all employers | |||
| CNAs (nursing assistants) | $23.02 | $21.58 to $26.16 | 7,810 |
| LPNs and LVNs | $37.07 | $32.53 to $39.79 | 2,220 |
| Registered nurses | $47.93 | $39.85 to $52.12 | 15,390 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 24.4 | 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 | 2.5 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.3 | 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 | 22.3 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.3 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.1 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.5 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Crestwood Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.9% this home
No different from the national rate
US median of homes 51.5% · New Hampshire: 19 better, 5 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 63 eligible stays.
9.3% this home
No different from the national rate
US median of homes 10.7% · New Hampshire: 0 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 69 eligible stays.
8.6% this home
No different from the national rate
US median of homes 7.1% · New Hampshire: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 56 eligible stays.
75.4% this home
Median of homes: New Hampshire54.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 57 residents counted.
0.0% this home
Median of homes: New Hampshire0.8% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 76 residents counted.
0.0% this home
Median of homes: New Hampshire2.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 76 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: New Hampshire99.6% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 6 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: 40 CROSBY STREET OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Harborside New Hampshire Limited Partnership | 5% or greater direct ownership interest | Organization | 100% | 05/01/2019 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Harborside Healthcare LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Harborside Toledo Business LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Sunbridge Healthcare LLC | 5% or greater indirect ownership interest | Organization | 05/01/2019 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 05/01/2019 | |
| Berg, Michael | Corporate officer | Individual | 05/01/2019 | |
| Bridgeford, Laura | Corporate officer | Individual | 06/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 06/01/2024 | |
| Benson, Hannah | Operational/managerial control | Individual | 03/01/2024 | |
| Morris, Diane | Operational/managerial control | Individual | 12/23/2023 | |
| Ojutalayo, Ayobami | Operational/managerial control | Individual | 03/01/2024 | |
| Benson, Hannah | Adp of the SNF | Individual | 03/18/2025 | |
| Morris, Diane | Adp of the SNF | Individual | 12/27/2023 | |
| Ojutalayo, Ayobami | Adp of the SNF | Individual | 03/18/2025 |
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.
Chosen from this home's own inspection record.