Home / New Hampshire / Claremont
Elm Wood Center at Claremont
290 Hanover Street, Claremont, NH 03743 · Sullivan County · (603) 542-2606
68 certified beds, about 58 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305041 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 1, 2025, inspectors cited 6 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 29 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 3.18 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
51.0% 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.
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.
1505/23
706/24
608/25
109/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 29 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
4E
0F
Potential for minimal harm
0A
4B
1C
September 11, 2025Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to protect that residents' right to be free from emotional abuse and exploitation by staff for 3 of 6 residents reviewed for abuse. (Resident identifiers are Resident #1, #2 and #3.)
August 1, 2025Standard inspection · 6 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to treat the residents with dignity by not serving the whole table together in the dining room in 5 of 5 meals observed (Resident identifiers are #12, #32, #41, #42, and #46).
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview, it was determined the facility failed have an accurate Level I Pre-admission Screening and Resident Review (PASARR) for 2 of 2 residents reviewed for PASARR in a final sample of 19 residents (Resident identifiers are #38 and #2).
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that residents' individual preferences for meals were given for 2 of 4 residents reviewed for food in a final sample of 19 residents. (Resident identifiers are #9 and #2.)
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to coordinate hospice care in 1 of 1 resident reviewed for hospice care in a final sample of 19 residents (Resident identifier is #24).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and policy review, it was determined that the facility failed to implement their policy on Enhanced Barrier Precautions (EBP) for 2 of 3 residents observed for EBP and failed to implement their policy on cleaning and disinfecting a point of care device for 1 of 1 glucometer observed. (Resident identifiers are #23 and #49.)
- C Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on record review and interview, 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.
June 13, 2024Standard inspection · 7 citations
- E Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to ensure that a resident received proper treatment to maintain hearing abilities by ensuring audiology appointments were made for 1 of 1 residents reviewed for Communication-Sensory in a final sample of 17 residents (Resident identifier is #36).
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to provide sufficient staff to meet residents' needs on Saturdays and Sundays in January 2024, February 2024, and March 2024.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to follow physician's orders for 3 residents in a final sample of 17 residents (Resident Identifiers are #22, #25, and #64).
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that a resident received effective pain management for 1 out 1 resident reviewed for pain in a final sample of 17 residents (Resident Identifier is #118).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, interview, and policy review, it was determined that the facility failed to establish a system of records of receipt and disposition of controlled drugs in sufficient detail to enable an accurate reconciliation; and determine that drug records are in order; and that an account of all controlled drugs was maintained in 2 of 3 narcotic books reviewed.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure a medication error rate less than 5 percent (%) for medication administration for 2 of 25 medications observed (8% error rate) (Resident Identifier is #33).
- 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 informed timely of the Skilled Nursing Facility (SNF) Notice of Medicare Non-Coverage (NOMNC) or Advance Beneficiary Notice (ABN) for 2 out of 3 residents reviewed for beneficiary notices (Resident Identifiers are #33 and #217).
May 2, 2023Standard inspection · 15 citations
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to ensure a medication error rate less than 5 percent (%) (Resident Identifiers are #40, #117 and #169).
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to inform a resident's representative of the risk and benefits of an antipsychotic medication use for a resident that lacked capacity for making their own decisions for 1 out of a final sample of 26 residents (Resident Identifier is #38).
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 2 out of 26 residents reviewed (Resident Identifiers are #36 and #38).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the provider was updated regarding changes in the residents' status for 3 residents in a final sample of 26 residents (Resident Identifiers are #29, #58 and #118).
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure a safe and homelike environment for 1 resident out of a census of 63 residents (Resident Identifier is #38).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review it was determined that the facility failed to follow physicians' orders for 3 out of 26 residents reviewed (Resident Identifier's are #26, #47, and #167).
- 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 assess pressure ulcers weekly for 1 out of 4 residents reviewed for pressure ulcers in a sample of 26 residents (Resident Identifier #56).
- D Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that a resident was seen by a physician at least once every 60 days for 2 out of 5 residents reviewed for physician visits, and that the required visits alternated between the physician and the physician assistant (Resident Identifiers are #4 and #47).
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on record review and interview it was determined that the facility failed to ensure that licensed nurses have specific intravenous (IV) certificate/competencies necessary to care for residents needs for 1 out of 6 Licensed Practical Nurses (LPNs) reviewed.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review it was determined that the facility failed to ensure adequate monitoring for 1 resident reviewed for insulin in a final sample of 26 residents (Resident Identifier is #168).
- 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 record review it was determined that the facility failed to ensure expired medications were removed from the medication cart for 1 out of 2 medication carts observed and that controlled medications were separately locked in the medication room for 1 out of 1 medication rooms observed.
- D Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on interview and record review, it was determined that the Facility Assessment failed to include the number of staff needed to ensure sufficient numbers of qualified staff are available to meet each residents' needs, and to ensure the residents attain or maintain their highest practicable level of physical, functional, mental and psychosocial well-being.
- B Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to accurately complete an Minimum Data Set (MDS) for 2 out of 3 residents in a final sample of 26 residents (Resident Identifiers are #56 and #215).
- B Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that resident medical records were accurate and compete for 2 residents in a final sample of 18 residents (Resident Identifiers are #38 and #58).
- B Keep all essential equipment working safely.
Inspectors wroteBased on interview and observation it was determined that the facility failed to maintain patient care equipment in safe operating condition. Observation on 5/1/23 at approximately 9:45 a.m. of the Invacare Reliant 600 scale lift on the 300 Hall of the Owl's Nest Unit revealed a yellow sticky note on the floor that said scale off by 3.51 lbs [pounds]!! Interview on 5/1/23 at approximately 9:11 a.m. with Staff O (Licensed Nursing Assistant (LNA)) who confirmed that the yellow sticky note is supposed to be taped to the Invacare Reliant 600 scale lift, and that he/she uses the scale to weigh residents and has to subtract 3.51 pounds. Interview on 5/1/23 at approximately 9:30 a.m. with Staff P (LNA) who confirmed that he/she has been working at the facility for approximately one month and the lift scale has had that sticky note on it since he/she has been here. [...]
Fire safety inspections
12 fire safety citations on file: 6 on August 1, 2025, 4 on June 13, 2024, 2 on May 2, 2023.
Every fire safety citation12 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- 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 Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- D Have generator or other power source capable of supplying service within 10 seconds.
- C Have simulated fire drills held at unexpected times.
- B Have proper medical gas storage and administration areas.
- E Have simulated fire drills held at unexpected times.
- 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 Have properly located and lighted "Exit" signs.
- C Conduct testing and exercise requirements.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
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) | 3.18 | 3.90 | 3.86 |
| Registered nurses | 0.71 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.85 | 3.47 | 3.42 |
| Nurse aides | 1.77 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 51.0% | 44.1% | 45.8% |
| Registered nurse turnover | 30.0% | 40.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.03 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 3.32 on weekdays and 2.85 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.24 in April to June 2025 to 3.18 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 | 3.18 | 0.71 | 3.32 | 2.85 | 12.3% | 0 of 90 | 58 |
| Oct to Dec 2025 | 3.25 | 0.85 | 3.43 | 2.78 | 14.4% | 0 of 92 | 57 |
| Jul to Sep 2025 | 3.33 | 0.86 | 3.54 | 2.82 | 16.3% | 0 of 92 | 59 |
| Apr to Jun 2025 | 3.24 | 0.54 | 3.39 | 2.86 | 13.6% | 0 of 91 | 58 |
| 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 | 19.1 | 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 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 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 | 11.6 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.4 | 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 | 16.0 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.9 | 1.8 |
Owners and operators
Legal business name: 290 HANOVER 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 |
|---|---|---|---|---|
| Genesis Omg Operations LLC | 5% or greater direct ownership interest | Organization | 100% | 02/02/2015 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 12/01/2012 | |
| Berg, Michael | Corporate officer | Individual | 12/01/2012 | |
| Bridgeford, Laura | Corporate officer | Individual | 06/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 06/01/2024 | |
| Genesis Healthcare LLC | Operational/managerial control | Organization | 12/01/2012 | |
| Djalayer, Kasra | Operational/managerial control | Individual | 06/01/2024 | |
| Ferland, Lindsey | Operational/managerial control | Individual | 06/01/2024 | |
| Djalayer, Kasra | Adp of the SNF | Individual | 01/31/2025 | |
| Ferland, Lindsey | Adp of the SNF | Individual | 01/31/2025 |
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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on August 1, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on August 1, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 13, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on August 1, 2025: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.85 hours per resident per day, below the New Hampshire average of 3.47.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Cedar Hill Health Care Center Windsor, 4.2 mi · 3 of 5 stars · 13 citations
- Sullivan County Health Care Unity, 5.8 mi · 4 of 5 stars · 10 citations
- Woodlawn Healthcare Center LLC Newport, 8.1 mi · 2 of 5 stars · 16 citations
- Springfield Health & Rehab Springfield, 10.5 mi · not rated · 79 citations
- Gill Odd Fellows Home of Vermont Ludlow, 18 mi · 4 of 5 stars · 25 citations
- Lebanon Center, Genesis Healthcare Lebanon, 18.9 mi · 1 of 5 stars · 30 citations
- Hanover Terrace Health and Rehabilitation Hanover, 22.9 mi · 4 of 5 stars · 3 citations
Common questions
- What is Elm Wood Center at Claremont's Medicare star rating?
- CMS rates Elm Wood Center at Claremont 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Elm Wood Center at Claremont get at its last inspection?
- 6 health deficiencies at the standard inspection on August 1, 2025. The New Hampshire average is 4.
- Has Elm Wood Center at Claremont been fined?
- CMS lists no fines in the last three years.
- Does Elm Wood Center at Claremont 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 Elm Wood Center at Claremont?
- CMS lists 18 owners and managers, and links the home to Genesis Healthcare. Legal business name: 290 HANOVER STREET OPERATIONS 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.