Home / New Hampshire / Hillsboro
Hillsboro House Nursing Home
Po Box 400 67 School Street, Hillsboro, NH 03244 · Hillsborough County · (603) 464-5561
33 certified beds, about 26 residents a day · For profit - Corporation · Medicare and Medicaid since 2002
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305092 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 6, 2025, inspectors cited 2 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 16 health citations since August 2023 was rated as actual harm or immediate jeopardy.
CMS lists 16 fines totaling $90,321 in the last three years; the largest was $14,814, and the latest is dated February 20, 2024.
Nurses and nurse aides worked 3.48 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
57.7% 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.
608/23
709/24
208/25
104/26
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 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
3E
2F
Potential for minimal harm
0A
0B
5C
April 27, 2026Complaint inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to store and prepare food in accordance with professional standards for food service safety.
August 6, 2025Standard inspection · 2 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 record review, it was determined that the facility failed follow currently accepted professional principles for labeling and/or storing drugs and biologicals in 1 of 1 medication rooms and 1 of 1 medication carts observed. (Resident identifiers are #7 and #2.)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to implement policies and procedures for infection control during medication administration. (Resident identifiers are #12, #20, #25 and #4.)
September 5, 2024Standard inspection · 7 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to develop and implement a comprehensive infection control guideline for facility water management that had the potential to effect the facility census of 26 residents who resided at the facility.
- E Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, record review, and interview, it was determined that the facility failed to determine clinical appropriateness of self-administration of medications for 2 of 4 residents reviewed for choices in a final sample of 13 residents (Resident Identifiers are #19 and #22).
- E Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on interview, it was determined that the facility failed to ensure the food service director met minimum qualifications.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that dishes were sanitized according to manufacturer's instruction for food services safety in the main kitchen.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that a resident was assessed and an informed consent was obtained for the use of full-length bed rails for 1 of 1 resident reviewed for restraints in a final sample of 13 residents (Resident Identifier #18).
- 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, record review, and interview, it was determined that the facility failed to ensure that medications were labeled and stored in accordance with currently accepted professional principles for 1 of 1 medication carts observed and 1 of 4 residents reviewed for choices (Resident Identifier #19).
- 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 failed to ensure that the facility assessment determined the amount of time required to fulfill the role of the designated Infection Preventionist (IP).
August 17, 2023Standard inspection · 6 citations
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure a resident was offered or provided education on the risks and benefits of the Pneumococcal vaccination for 1 of 5 residents reviewed for Pneumococcal vaccination (Resident Identifier is #11).
- C Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that residents were provided with a private space for a resident group to meet on a regular basis for a facility census of 25 residents (Resident identifiers are #17, #20, #21, and #25).
- C Ensure the activities program is directed by a qualified professional.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure the activities program was directed by a qualified professional for a facility census of 25 residents.
- C Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview and record review, it determined that the facility failed to have a Director of Nursing serving on a full time basis for a facility census of 25 residents.
- 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 interview and record review, it was determined that the facility failed to conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during day-to-day operations. The facility also failed to review and update the assessment by the required individuals, as necessary, and at least annually.
- C Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to submit to the Centers for Medicare & Medicaid Services (CMS) accurate direct care staffing information for Registered Nurse hours for 10 of 92 days reviewed for Fiscal Quarter 2 (1/1/23 - 3/31/23) and direct care staffing information for the period of 6/16/23 - 6/30/23.
Fire safety inspections
25 fire safety citations on file: 2 on April 27, 2026, 11 on August 6, 2025, 11 on September 5, 2024, 1 on August 17, 2023.
Every fire safety citation25 citations
- D Provide properly protected cooking facilities.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have simulated fire drills held at unexpected times.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Install corridor and hallway doors that block smoke.
- C Have properly located and lighted "Exit" signs.
- C Provide properly protected cooking facilities.
- C Inspect, test, and maintain automatic sprinkler systems.
- C Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have properly located and lighted "Exit" signs.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have generator or other power source capable of supplying service within 10 seconds.
- C Ensure proper usage of power strips and extension cords.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 20, 2024 | Fine | $4,938 |
| February 12, 2024 | Fine | $4,938 |
| January 22, 2024 | Fine | $14,814 |
| January 8, 2024 | Fine | $4,938 |
| January 2, 2024 | Fine | $4,587 |
| December 11, 2023 | Fine | $13,762 |
| November 20, 2023 | Fine | $4,587 |
| November 13, 2023 | Fine | $4,587 |
| November 6, 2023 | Fine | $4,587 |
| October 30, 2023 | Fine | $4,587 |
| October 23, 2023 | Fine | $4,587 |
| October 17, 2023 | Fine | $4,587 |
| October 10, 2023 | Fine | $4,235 |
| October 2, 2023 | Fine | $3,882 |
| September 25, 2023 | Fine | $3,529 |
| September 18, 2023 | Fine | $3,176 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.48 | 3.90 | 3.86 |
| Registered nurses | 0.76 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.00 | 3.47 | 3.42 |
| Nurse aides | 2.26 | ||
| Licensed practical nurses | 0.46 | ||
| Nursing staff turnover (share who left in a year) | 57.7% | 44.1% | 45.8% |
| Registered nurse turnover | 40.0% | 40.9% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.99 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 3.68 on weekdays and 3.00 on weekends, 18% 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 3.65 in April to June 2025 to 3.48 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 | 3.48 | 0.76 | 3.68 | 3.00 | 0.0% | 0 of 90 | 26 |
| Oct to Dec 2025 | 3.41 | 0.76 | 3.57 | 3.02 | 0.0% | 0 of 92 | 27 |
| Jul to Sep 2025 | 3.66 | 0.82 | 3.88 | 3.12 | 0.0% | 0 of 92 | 29 |
| Apr to Jun 2025 | 3.65 | 0.87 | 3.81 | 3.25 | 0.0% | 0 of 91 | 28 |
| 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 | 18.4 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 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 | 0.0 | 4.4 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.3 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.1 | 17.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.9 | 1.8 |
Owners and operators
Legal business name: SCHOOL STREET ASSOCIATES.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Irwin, Andrew | 5% or greater direct ownership interest | Individual | 100% | 07/01/2016 |
| Irwin, Andrew | W-2 managing employee | Individual | 01/01/2008 | |
| Irwin, Andrew | Corporate officer | Individual | 12/31/2009 | |
| Irwin, Anne-Marie | Corporate officer | Individual | 01/01/1974 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 27, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on August 6, 2025: "Provide and implement an infection prevention and control program."
- 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 September 5, 2024: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 6, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.00 hours per resident per day, below the New Hampshire average of 3.47.
Other nursing homes nearby
- Pheasant Wood Center Peterborough, 15.6 mi · 2 of 5 stars · 21 citations
- Pleasant View Center Concord, 19.1 mi · 1 of 5 stars · 47 citations
- Presidential Oaks Concord, 19.4 mi · 3 of 5 stars · 16 citations
- Harris Hill Center, Genesis Healthcare Concord, 20.4 mi · 2 of 5 stars · 16 citations
- Woodlawn Healthcare Center LLC Newport, 20.4 mi · 2 of 5 stars · 16 citations
- Goffstown Nursing and Rehab Center Goffstown, 20.5 mi · 1 of 5 stars · 34 citations
- Merrimack County Nursing Home Boscawen, 21.1 mi · 3 of 5 stars · 12 citations
- Hillsborough County Nursing Home Goffstown, 21.5 mi · 5 of 5 stars · 9 citations
Common questions
- What is Hillsboro House Nursing Home's Medicare star rating?
- CMS rates Hillsboro House Nursing Home 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hillsboro House Nursing Home get at its last inspection?
- 2 health deficiencies at the standard inspection on August 6, 2025. The New Hampshire average is 4.
- Has Hillsboro House Nursing Home been fined?
- Yes. CMS lists 16 fines totaling $90,321 in the last three years.
- Does Hillsboro House 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 Hillsboro House Nursing Home?
- CMS lists 4 owners and managers. Legal business name: SCHOOL STREET ASSOCIATES.
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.