Home / New Hampshire / Goffstown
29 Center Street, Goffstown, NH 03045 · Hillsborough County · (603) 497-4871
41 certified beds, about 36 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305096 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 3, 2025, inspectors cited 10 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 34 health citations since October 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 3.36 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
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 34 health citations on file.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to inform residents or resident's representative of the risk and benefits of psychotropic medication use for 1 out of 6 residents reviewed for unnecessary medications in final sample of 12 residents. (Resident identifiers is #18.)Resident #18 Review on 12/2/25 of Resident #18's physicians orders revealed: Depakote Sprinkles Oral Capsule Delayed Release Sprinkle 125 mg (milligrams) (Divalproex Sodium), Give 500 mg by mouth one time a day for Bi-polar with Psychosis HOLD FOR SEDATION AND Give 750 mg by mouth in the evening for Bi-Polar with Psychosis, Order Date, 10/28/25. Review on 12/3/25 of Resident #18's medical record revealed that there was no documentation that Resident #18 and or the resident representative had been informed of the risks and benefits of the above medication. [...]
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that PRN orders for anti-psychotic drugs are limited to 14 days and are not renewed unless the attending physician or prescribing practitioner evaluates the resident for the appropriateness of that medication for 1 of 6 residents reviewed for unnecessary medications in a final sample of 12 residents. (Resident identifier is #2.)
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure residents have a documented discharge summary for 1 of 3 closed records reviewed. (Resident identifier is #6.)
Inspectors wroteBased on observation, interview, record review, it was determined that the facility failed to dispose of a medication in a proper receptacle during observation of administration of 27 medications.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to provide services to maintain/prevent decrease in ROM/mobility for 1 out of 1 residents observed for mobility and positioning in a final sample of 12 residents. (Resident identifier is #20.)Observation on 12/2/25 at approximately 9:23 a.m. in Resident #20's room revealed a bedside table with four palm-wrist splints. Resident #20 was sitting in his/her wheelchair without a splint on his/her right hand. Observation further revealed that Resident #20's right hand was resting in a fisted position. Further observation revealed a sign, undated, on the wall near Resident #20's bed that stated Please put on [Resident #20's name omitted]'s palm splint in AM [morning] and remove before bed. rehab. Interview on 12/2/25 at approximately 9:30 a.m. [...]
Inspectors wroteBased on policy review and record review, it was determined that the facility failed to ensure that the provider reviewed irregularities identified by the pharmacist during the monthly Pharmacy Medication Regimen Review (MRR) timely for 1 of 5 residents reviewed for unnecessary medications (Resident Identifier is #1).
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 3 of 27 medication administrations observed. (Resident Identifiers are #29 and #33.)
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that an expired medication was removed from a medication cart for 1 of 2 carts observed and the facility failed to ensured that medications with a shortened shelf life were labeled with an opening date. North Medication Cart Observation on [DATE] at approximately 8:30 a.m. of the North Medication Cart revealed: One Facility Glucagon with an expiration date of 11/25One Degludec insulin pen (Resident #16) opened and not labeled with a date of opening or an open expiration date Interview on [DATE] at approximately 8:30 a.m. with Staff A (Licensed Practical Nurse) confirmed the above findings. Further interview revealed that Staff A administered Resident #16's morning dose of Degludec from the above insulin pen. [...]
Inspectors wroteBased on interview, observation, and record review, it was determined that the facility failed to maintain an equipment per manufacturer's instruction for 1 of 1 resident humidifier observed. (Resident identifier is #1.)
Inspectors wroteBased on interview and policy review it was determined that the facility failed to ensure that residents had access to their personal funds during off business hours. The facility manages personal accounts for 25 residents.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to submit to the Centers for Medicare & Medicaid Services (CMS) complete and accurate direct care staffing information based on payroll data for Fiscal Quarter 3 (April 1, 2024 - June 30, 2024). Review on 10/20/24 of the facility's Payroll Based Journal Staffing Data Report for Quarter 3 2024 (April 1, 2024 - June 30, 2024) revealed that the facility failed to submit data for the quarter. Interview on 10/22/24 at 1:00 p.m. with Staff F (Business Office Manager) confirmed the above findings.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that a Registered Nurse (RN) was on duty for 8 consecutive hours a day, 7 days a week, for 3 of 30 days reviewed between September 15, 2024 - October 20, 2024.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to follow antibiotic use protocols related to the appropriate use of antibiotic monitoring, tracking, and reviewing antibiotic use for 9 of 12 months reviewed for antibiotic use.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to maintain resident care equipment according to manufacturer's instructions for the hoyer lift.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to report alleged violations of neglect to the State Survey Agency (SSA) for 1 of 3 residents reviewed for falls in a final sample of 15 residents (Resident Identifier #26).
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that alleged violations of neglect were thoroughly investigated for 1 of 3 residents reviewed for falls in a final sample of 15 residents (Resident Identifier #26).
Inspectors wroteBased on interview and record review, it was determined that the facility failed to perform neurological assessments after a resident fell and hit their head for 1 out of 3 residents reviewed for falls in a final sample of 15 residents (Resident Identifier #26).
Inspectors wroteBased on record review and interview, it was determined that the facility failed to identify trauma triggers to eliminate or mitigate triggers that may cause re-traumatization of the resident in 1 of 1 residents reviewed for Post Traumatic Stress Disorder (PTSD) in a final sample of 15 residents (Resident Identifier #10).
Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that resident's who take psychotropic medications received a Gradual Dose Reduction (GDR) or document if GDR was clinically contraindicated for 1 of 5 resident's reviewed for unnecessary medications in a final sample of 15 residents (Resident Identifier #13).
Inspectors wroteBased on observation, record review, and interview, it was determined that the facility failed to follow Center For Disease Control (CDC) guidance for wearing Personal Protective Equipment (PPE) for Enhanced Barrier Precautions (EBP) for 1 of 1 residents reviewed for an indwelling catheter in a sample of 15 residents (Resident Identifier #32).
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 of the Skilled Nursing Facility (SNF) Advance Beneficiary Notice (ABN) for 2 out of 3 residents reviewed for beneficiary notices (Resident Identifiers are #135 and #136).
Inspectors wroteBased on interview and record review, it was determined that the facility failed to update a residents care plan with new or revised interventions after a fall for 1 of 1 residents reviewed for accidents in a final sample of 13 residents (Resident identifier is #1).
Inspectors wroteBased on interview and record review, it was determined that the facility failed to follow physician orders for 5 residents in a final sample of 13 residents (Resident identifiers are #25, #5, #6, #28, and #27).
Inspectors wroteBased on interview, observation, and record review, it was determined that the facility failed to ensure that a resident with a pressure ulcer had documentation of weekly assessments that contained measurements and descriptions of the pressure ulcer for 1 out of 1 resident reviewed for pressure ulcers in a final sample of 13 residents (Resident identifier is #19).
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that licensed nursing staff had demonstrated competencies and skills necessary to care for residents' needs for 7 out of 7 licensed staff reviewed for competencies (Staff identifiers are Staff B, Staff J, Staff K, Staff L, Staff P, Staff M, Staff N).
Inspectors wroteBased on interview and record review it was determined that the facility failed to ensure that a Registered Nurse (RN) was on duty for 8 consecutive hours a day, 7 days a week, for 5 of 90 days reviewed between April 1, 2023 and June 30, 2023.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to provide a stop date for a as needed (PRN) psychotropic medication for 1 of 5 residents reviewed for unnecessary medications in a final sample of 13 residents (Resident identifier is #26).
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow manufacturer's recommendations on 1 of 2 medication carts observed (Resident identifier is #10).
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to provide residents with the necessary assistive devices for dining for 4 residents observed for assistive devices out of a sample of 6 residents reviewed (Resident identifiers are #6, #88, #24, and #1). Findings Include: Review on 10/24/23 of a list of residents that use adaptive equipment, provided by the facility, revealed that 6 residents require adaptive equipment with meals. Resident #88: Observation on 10/25/23 at approximately 7:45 a.m. of Resident #88's breakfast tray revealed that Resident #88 received plastic utensils, a paper plate and a 1 handle coffee mug. Review on 10/25/23 of Resident #88's dietary meal ticket, under adaptive, revealed the following items that should be on Resident #88's meal tray: a divided red plate, built up foam for all utensils and a two handle cup. [...]
Inspectors wroteBased on observation and interview, it was determined that the facility failed to dispose of garbage and refuse properly in a contained dumpster with a lid or cover. Findings Include: Observation on 10/25/23 at 9:15 a.m. of the dumpster located in the back of the facility revealed multiple clear bags with waste noted on the ground in front of the dumpster. The dumpster was not covered. Observations on 10/26/23 at 9:00 a.m. of the dumpster located in the back of the facility revealed multiple clear bags with waste noted on the ground in front of the dumpster. The dumpster was not covered. Interview on 10/26/23 at 9:00 a.m. with Staff C (Administrator) confirmed the above findings. Review on 10/26/23 at 10:00 a.m. [...]
Inspectors wroteBased on interview it was determined that the facility failed to report to the State Department of Public Health an outbreak of COVID-19 Infection that included 16 out of 29 residents. Findings Include: Interview on 10/25/23 at 1:00 p.m. with Staff B (Infection Preventionist) revealed that Staff B had not reported the current COVID-19 outbreak that began on 10/19/23 to the State Department Of Public Health. Interview on 10/26/23 at 10:00 a.m. with Staff C (Administrator) confirmed the above findings. Review on 10/26/23 of the facility's Infection Control Policy and Procedure Manual Titled: Surveillance Dated 5/2014 .Outbreak of Communicable Diseases .The Administrator will be responsible for: 1. Telephoning a report to the health department .3. Submitting periodic progress reports to the health department as requested .6. [...]
Inspectors wroteBased on interview and record review, it was determined that the facility failed to have an antibiotic stewardship program that included a system to monitor antibiotic use. Findings Include: Review on 10/24/23 of the facility's line listing for antibiotic use from January 2023 through October 2023 revealed that the facility did not track antibiotic use within the facility from February 2023 through April 2023. Interview on 10/25/23 at 1:30 p.m. with Staff B (Infection Preventionist) confirmed the above findings. Review on 10/25/23 at 2:00 p.m. of the facility's policy titled [NAME]-Air Nursing and Rehab Antibiotic Stewardship Program 2. Policy: [NAME]-Air Nursing and Rehab Center will implement an antibiotic stewardship program based on the Center for Disease Control's: [...]
Inspectors wroteBased on record review and interview it was determined that the facility failed to revise the pneumococcal policy, and ensure/implement a facility system for the monitoring and recording of pneumococcal immunizations for 4 out of 5 residents reviewed for immunizations (Resident identifiers are #19, #12, #24, #27). Findings Include: Resident #19 Review on 10/24/23 of Resident #19's medical record revealed that he/she was admitted to the facility 10/2019. Further review of Resident #19's medical record revealed that there was no documented evidence of pneumococcal vaccination being offered or received. Resident #12 Review on 10/24/23 of Resident #12's medical record revealed that he/she was admitted to the facility 6/2022. Further review of Resident #12's medical record revealed that there was no documented evidence of pneumococcal vaccination being offered or received. [...]
Inspectors wroteBased on observation and interview, it was determined that the facility failed to post the Nursing Staffing Data on a daily basis. Findings Include: Observation on 10/24/23 at 9:00 a.m. of the facility common areas revealed no daily Nursing Staff Data Posting. Observation on 10/25/23 at 10:00 a.m. of the facility common areas revealed no daily Nursing Staff Data Posting. Interview on 10/25/23 at 10:15 a.m. with Staff C (Administrator) confirmed that the facility was not posting staffing data daily. Review on 10/26/23 of the facility's policy titled: Posting Direct Care Daily Staffing Numbers: Policy Statement Our facility will post, on a daily basis for each shift, the number of nursing personal responsible for providing direct care to residents.
20 fire safety citations on file: 8 on December 3, 2025, 4 on October 22, 2024, 8 on October 26, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.36 | 3.90 | 3.86 |
| Registered nurses | 0.41 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.88 | 3.47 | 3.42 |
| Nurse aides | 2.09 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | not reported | 44.1% | 45.8% |
| Registered nurse turnover | not reported | 40.9% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.85 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 3.56 on weekdays and 2.88 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.94 in April to June 2025 to 3.36 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 | 3.36 | 0.41 | 3.56 | 2.88 | 0.0% | 1 of 90 | 36 |
| Jul to Sep 2025 | 3.59 | 0.38 | 3.74 | 3.21 | 0.0% | 8 of 92 | 36 |
| Apr to Jun 2025 | 3.94 | 0.51 | 3.99 | 3.81 | 0.0% | 0 of 91 | 34 |
| 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 | 12.6 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 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 | 13.4 | 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 | 21.4 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 9.7 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.3 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 1.9 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Goffstown Nursing and Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
52.3% 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. 48 eligible stays.
11.4% 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. 51 eligible stays.
8.0% 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. 46 eligible stays.
37.5% 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. 32 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. 41 residents counted.
2.4% 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. 41 residents counted.
Not reported
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this 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.
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: MORE COWBELL LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Soroka, Nachum | 5% or greater direct ownership interest | Individual | 100% | 07/08/2022 |
| Teller, Joshua | W-2 managing employee | Individual | 07/31/2022 | |
| Soroka, Nachum | Corporate director | Individual | 07/31/2022 |
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.