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Saint Francis Rehabilitation and Nursing Center

406 Court Street, Laconia, NH 03246 · Belknap County · (603) 524-0466

51 certified beds, about 46 residents a day · Non profit - Church related · Medicare and Medicaid since 1996

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 305070 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 31, 2025, inspectors cited 0 health deficiencies (the New Hampshire average is 4, the national average 9.2).

None of its 4 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 3.75 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.

40.4% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).

CMS links it to Catholic Charities New Hampshire, an affiliated group of 6 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.

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 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
0E
0F
Potential for minimal harm
0A
0B
0C
December 31, 2025Standard inspection · 0 citations
October 22, 2024Standard inspection · 0 citations
October 12, 2023Standard inspection · 4 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2023
    Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to ensure physician orders were followed for 2 residents in a final sample of 12 residents and 1 of 27 medications observed during medication administration (Resident identifiers are #20, #3, and #13).
  2. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 30, 2023
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to provide the necessary care to ensure that a resident's ability to hear was maintained with a communication device for 1 of 1 resident reviewed for communication in a final sample of 12 residents (Resident Identifier is #18).
  3. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2023
    Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to ensure that medications were labeled and stored appropriately for 1 of 1 medication carts observed.
  4. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure that physician orders were accurately transferred from the previous Electronic Health Record (EHR) to the current EHR for 2 out of 27 medications reviewed during medication administration (Resident Identifiers are #9 and #7).

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.

MeasureThis homeNew HampshireUnited States
All nursing staff (RN, LPN and aides)3.753.903.86
Registered nurses0.800.780.69
All nursing staff on weekends3.283.473.42
Nurse aides2.18
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)40.4%44.1%45.8%
Registered nurse turnover40.0%40.9%42.9%
Administrators who left0

CMS expects 3.19 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 3.93 on weekdays and 3.28 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.77 in April to June 2025 to 3.75 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.750.803.933.28 8.7%0 of 9046
Oct to Dec 20253.650.773.853.12 8.4%0 of 9247
Jul to Sep 20253.710.823.903.23 0.0%0 of 9248
Apr to Jun 20253.770.613.923.40 0.0%0 of 9148
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New Hampshire, Jan to Mar 20263.850.744.013.4513.1%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.

MeasureThis homeNew HampshireUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
31.322.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.61.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.82.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.94.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.717.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.04.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.017.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.122.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.413.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.91.8

Owners and operators

Legal business name: ST FRANCIS REHABILITATION & NURSING CENTER. CMS links this home to Catholic Charities New Hampshire, a group of 6 nursing homes averaging 3.5 stars overall.

NameRoleTypeShareSince
Nh Catholic Charities Inc5% or greater direct ownership interestOrganization01/01/1990
Richardson, SarahW-2 managing employeeIndividual10/18/2018
Zirkle, KarenW-2 managing employeeIndividual10/18/2018
Barrett, KevinCorporate directorIndividual10/01/2018
Bernard, AlainCorporate directorIndividual10/01/2018
Blonski, ThomasCorporate directorIndividual07/01/2006
Coughlin, JamieCorporate directorIndividual10/01/2018
Gilbert, MichaelCorporate directorIndividual10/01/2018
Gossett, RobertCorporate directorIndividual10/01/2018
Grip, BrianCorporate directorIndividual10/01/2018
Hilton, RichardCorporate directorIndividual10/01/2018
Legere, TinaCorporate directorIndividual10/01/2018
Libasci, PeterCorporate directorIndividual10/01/2018
Mullikin, AnuCorporate directorIndividual10/01/2018
Ouellette, RussCorporate directorIndividual10/01/2018
Patenaude, JohnCorporate directorIndividual10/01/2018
Powers, EdwardCorporate directorIndividual10/01/2018
Raczka, JosephCorporate directorIndividual10/01/2018
Ryan, MariaCorporate directorIndividual10/01/2018
Shuster, PatriciaCorporate directorIndividual10/01/2018
Steinmetz, ThomasCorporate directorIndividual10/01/2018
Hildenbrand, DavidCorporate officerIndividual04/12/2018
Nh Catholic Charities IncOperational/managerial controlOrganization01/01/1990

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on October 12, 2023: "Ensure services provided by the nursing facility meet professional standards of quality."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on October 12, 2023: "Assist a resident in gaining access to vision and hearing services."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on October 12, 2023: "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."
  4. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.28 hours per resident per day, below the New Hampshire average of 3.47.

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Common questions

What is Saint Francis Rehabilitation and Nursing Center's Medicare star rating?
CMS rates Saint Francis Rehabilitation and Nursing Center 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Saint Francis Rehabilitation and Nursing Center get at its last inspection?
0 health deficiencies at the standard inspection on December 31, 2025. The New Hampshire average is 4.
Has Saint Francis Rehabilitation and Nursing Center been fined?
CMS lists no fines in the last three years.
Does Saint Francis Rehabilitation and Nursing Center 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 Saint Francis Rehabilitation and Nursing Center?
CMS lists 23 owners and managers, and links the home to Catholic Charities New Hampshire. Legal business name: ST FRANCIS REHABILITATION & NURSING CENTER.

Sources

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