Home / New Hampshire / Goffstown
Hillsborough County Nursing Home
400 Mast Road, Goffstown, NH 03045 · Hillsborough County · (603) 627-5540
300 certified beds, about 239 residents a day · Government - County · Medicare and Medicaid since 1995
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305048 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 3 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 9 health citations since May 2024 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 3.74 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.
30.1% 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.
405/24
204/25
305/26
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
1F
Potential for minimal harm
0A
0B
0C
May 7, 2026Standard inspection · 3 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that Enhanced Barrier Precautions (EBP) were implemented for 1 of 2 residents reviewed for urinary catheters (Resident identifier is #77) and failed to have a water management plan that included all the necessary elements to prevent the growth and spread of Legionella and other opportunistic waterborne pathogens in a facility with a census of 243 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly prepare insulin per manufacturer's instructions for 1 of 1 residents receiving insulin in 7 residents observed for medication administration. (Resident identifier is #218.)
- 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, the facility failed to ensure medications were labeled with open expiration dates for 1 of 6 medication carts observed and failed to ensure that medications were stored at appropriate temperatures for 1 of 3 medication rooms observed. (Resident identifier is #78).
April 3, 2025Standard inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to follow medication administration instructions for and failed to handle medication according to professional standards for 1 of 5 residents observed for medication administration. (Resident identifier is #136.)
- 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 1 of 1 resident reviewed for Transmission Based Precaution (Resident identifier is #173).
May 1, 2024Standard inspection · 4 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and policy review, it was determined that the facility failed to ensure that residents were assessed for the ability to self-administer medication for 1 out of 4 residents reviewed for choices in a final sample of 35 residents (Resident Identifier #116).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview, observation, and record review, it was determined that the facility failed to ensure that residents with pressure ulcers had documentation of weekly assessments that contained measurements and descriptions of the pressure ulcer for 1 out of 3 residents reviewed for pressure ulcers in a final sample of 35 residents (Resident Identifier #114).
- 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, interview, and observation, it was determined that the facility failed to ensure licensed nurses had the competencies and skill sets in accordance with the facility assessment for 1 of 2 nurses reviewed for competencies.
- D 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 policy review it was determined that the facility failed to maintain a clean environment for proper washing and sanitizing of dishes and utensils in the main kitchen and failed to ensure food was kept at the proper temperature in 6 of 6 kitchettes observed.
Fire safety inspections
11 fire safety citations on file: 2 on May 7, 2026, 7 on April 3, 2025, 2 on May 1, 2024.
Every fire safety citation11 citations
- E Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have generator or other power source capable of supplying service within 10 seconds.
- C Meet requirements for the use of electrical equipment.
- C Install a fire alarm system that can be heard throughout the facility.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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) | 3.74 | 3.90 | 3.86 |
| Registered nurses | 0.73 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.32 | 3.47 | 3.42 |
| Nurse aides | 2.27 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 30.1% | 44.1% | 45.8% |
| Registered nurse turnover | 10.3% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.12 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 3.91 on weekdays and 3.32 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.86 in April to June 2025 to 3.74 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 | 3.74 | 0.73 | 3.91 | 3.32 | 15.8% | 0 of 90 | 239 |
| Oct to Dec 2025 | 3.77 | 0.69 | 3.94 | 3.34 | 14.5% | 0 of 92 | 240 |
| Jul to Sep 2025 | 3.76 | 0.69 | 3.97 | 3.25 | 14.0% | 0 of 92 | 238 |
| Apr to Jun 2025 | 3.86 | 0.72 | 4.09 | 3.29 | 13.0% | 0 of 91 | 239 |
| 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 | 21.4 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 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 | 7.1 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.5 | 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 | 31.0 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.6 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.9 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.9 | 1.8 |
Owners and operators
Legal business name: COUNTY OF HILLSBOROUGH.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| County of Hillsborough | 5% or greater direct ownership interest | Organization | 100% | 01/01/1966 |
| County of Hillsborough | 5% or greater security interest | Organization | 04/01/1977 | |
| Pappas, Antonie | Managing control - governing body | Individual | 01/03/2001 | |
| Rowe, Robert | Managing control - governing body | Individual | 06/02/2016 | |
| Soucy, Michael | Managing control - governing body | Individual | 01/06/2021 | |
| County of Hillsborough | Operational/managerial control | Organization | 04/01/1977 | |
| Vachon & Clukay & Co, PC | Operational/managerial control | Organization | 07/01/2018 | |
| Adams, Paula | Operational/managerial control | Individual | 02/28/2016 | |
| Batlivala, Zubin | Operational/managerial control | Individual | 08/04/2009 | |
| Bennett, Christopher | Operational/managerial control | Individual | 07/19/2006 | |
| Burt, Phyllis | Operational/managerial control | Individual | 10/22/2006 | |
| Ciminesi, Steven | Operational/managerial control | Individual | 12/30/2019 | |
| Dubois, Tonya | Operational/managerial control | Individual | 03/10/2011 | |
| Grady, Patrick | Operational/managerial control | Individual | 06/01/2023 | |
| Holt, Kathy | Operational/managerial control | Individual | 05/26/2019 | |
| Lazzar, Linda | Operational/managerial control | Individual | 05/12/2019 | |
| Locke, Rachel | Operational/managerial control | Individual | 01/12/2025 | |
| McAllister, Geoffrey | Operational/managerial control | Individual | 04/04/2022 | |
| Ramsay, Sheryl | Operational/managerial control | Individual | 11/29/2005 | |
| Richardson, Ronda | Operational/managerial control | Individual | 11/16/2020 | |
| Ross, David | Operational/managerial control | Individual | 10/30/2017 | |
| Rowe, Robert | Operational/managerial control | Individual | 06/02/2016 | |
| Snook, Heidi | Operational/managerial control | Individual | 07/29/2024 | |
| Soucy, Michael | Operational/managerial control | Individual | 01/06/2021 | |
| Tash, Lisa | Operational/managerial control | Individual | 10/17/2016 | |
| Amergis Healthcare Staffing, Inc | Adp of the SNF | Organization | 07/01/2024 | |
| County of Hillsborough | Adp of the SNF | Organization | 04/01/1977 | |
| Fusion Medical Staffing LLC | Adp of the SNF | Organization | 07/01/2024 | |
| Mas Medical Staffing LLC | Adp of the SNF | Organization | 12/12/2006 | |
| Mecare Staffing | Adp of the SNF | Organization | 07/01/2025 | |
| Vachon & Clukay & Co, PC | Adp of the SNF | Organization | 06/26/2025 | |
| Adams, Paula | Adp of the SNF | Individual | 02/28/2016 | |
| Batlivala, Zubin | Adp of the SNF | Individual | 08/04/2009 | |
| Bennett, Christopher | Adp of the SNF | Individual | 07/19/2006 | |
| Burt, Phyllis | Adp of the SNF | Individual | 10/22/2006 | |
| Ciminesi, Steven | Adp of the SNF | Individual | 12/30/2019 | |
| Dubois, Tonya | Adp of the SNF | Individual | 03/10/2011 | |
| Grady, Patrick | Adp of the SNF | Individual | 06/01/2023 | |
| Holt, Kathy | Adp of the SNF | Individual | 05/26/2019 | |
| Lazzar, Linda | Adp of the SNF | Individual | 05/12/2019 | |
| Locke, Rachel | Adp of the SNF | Individual | 01/12/2025 | |
| McAllister, Geoffrey | Adp of the SNF | Individual | 04/04/2022 | |
| Pappas, Antonie | Adp of the SNF | Individual | 01/03/2001 | |
| Ramsay, Sheryl | Adp of the SNF | Individual | 11/29/2005 | |
| Richardson, Ronda | Adp of the SNF | Individual | 11/16/2020 | |
| Ross, David | Adp of the SNF | Individual | 10/30/2017 | |
| Rowe, Robert | Adp of the SNF | Individual | 06/02/2016 | |
| Snook, Heidi | Adp of the SNF | Individual | 07/29/2024 | |
| Soucy, Michael | Adp of the SNF | Individual | 01/06/2021 | |
| Tash, Lisa | Adp of the SNF | Individual | 10/17/2016 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 7, 2026: "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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 1, 2024: "Allow residents to self-administer drugs if determined clinically appropriate."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.32 hours per resident per day, below the New Hampshire average of 3.47.
Other nursing homes nearby
- Goffstown Nursing and Rehab Center Goffstown, 1.2 mi · 1 of 5 stars · 34 citations
- Bedford Nursing & Rehabilitation Center Bedford, 3.3 mi · 1 of 5 stars · 15 citations
- Hackett Hill Healthcare Center Manchester, 3.4 mi · 2 of 5 stars · 15 citations
- Courville at Manchester Manchester, 3.6 mi · 2 of 5 stars · 20 citations
- Bedford Hills Center Bedford, 4.2 mi · 4 of 5 stars · 8 citations
- Maple Leaf Health Care Center Manchester, 4.3 mi · 5 of 5 stars · 7 citations
- Mount Carmel Rehabilitation and Nursing Center Manchester, 4.4 mi · 3 of 5 stars · 11 citations
- Ridgewood Center, Genesis Healthcare Bedford, 4.5 mi · 2 of 5 stars · 14 citations
Common questions
- What is Hillsborough County Nursing Home's Medicare star rating?
- CMS rates Hillsborough County Nursing Home 5 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hillsborough County Nursing Home get at its last inspection?
- 3 health deficiencies at the standard inspection on May 7, 2026. The New Hampshire average is 4.
- Has Hillsborough County Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Hillsborough County 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 Hillsborough County Nursing Home?
- CMS lists 50 owners and managers. Legal business name: COUNTY OF HILLSBOROUGH.
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.