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Sullivan County Health Care

5 Nursing Home Drive, Unity, NH 03743 · Sullivan County · (603) 542-9511

156 certified beds, about 114 residents a day · Government - County · Medicare and Medicaid since 2002

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 305093 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 11, 2025, inspectors cited 2 health deficiencies (the New Hampshire average is 4, the national average 9.2).

Of 10 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $16,153 in the last three years; the largest was $16,153, and the latest is dated June 6, 2025.

Nurses and nurse aides worked 5.56 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.

48.1% 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.

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 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
1B
0C
December 11, 2025Standard inspection · 2 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2026
    Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure resident care plans were revised for 2 residents in a final sample of 24 residents. (Resident Identifiers are #34 and #121).
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 9, 2026
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that a resident was assisted with meals in accordance with the resident's care plan for 2 of 2 dining observations. (Resident identifier is #31.)
June 6, 2025Complaint inspection · 1 citation
  1. J
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure residents were free from exposure to bloodborne pathogen transmission when staff used a resident's insulin pen to administer insulin to another resident (Resident identifiers are #1 and #2.)
October 16, 2024Standard inspection · 2 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 25, 2024
    Inspectors wroteBased on interview and record review it was determined that the facility failed to follow professional standards after a fall with identified hip pain for 1 of 1 resident reviewed for falls (Resident Identifier #120)
  2. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) November 5, 2024
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to accurately code Minimum Data Set (MDS) assessments for 3 residents reviewed for MDS in a final sample of 25 residents (Resident identifiers are #8, #29, and #118).
January 4, 2024Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that staff reported allegations of abuse to the administrator, or designee, within 2 hours after the allegation, to prevent further abuse for 1 of 3 residents reviewed for abuse (Resident Identifier is #2).
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that staff reported allegations of abuse to the administrator, or designee, within 2 hours after the allegation for 1 of 3 residents reviewed for abuse (Resident Identifier is #2)
October 19, 2023Standard inspection, Complaint inspection · 3 citations
  1. E
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 23, 2024
    Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that the residents were seen face-to-face by a physician, at least once every 30 days, for the first 90 days after admission, and at least every 60 days thereafter for 7 out of 7 residents reviewed for physician visits in a final sample of 25 residents (Resident Identifiers are #1, #40, #62, #73, #113 and #117).
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on observation, interview, and policy review it was determined that the facility failed to ensure that the residents' environment remained as free of accident hazards as possible on 1 of 4 units (Stern 3 Unit).
  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 · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that expired medications and biologicals were removed from supply and were not given for 1 of 2 medication rooms and 1 of 4 medication carts observed.

Fire safety inspections

1 fire safety citation on file: 1 on December 11, 2025.

Every fire safety citation1 citation
  1. C
    Have simulated fire drills held at unexpected times.
    K 712 · December 11, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 6, 2025Fine $16,153
October 19, 2023Payment Denial 35 days from January 19, 2024

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.

MeasureThis homeNew HampshireUnited States
All nursing staff (RN, LPN and aides)5.563.903.86
Registered nurses0.560.780.69
All nursing staff on weekends5.213.473.42
Nurse aides4.02
Licensed practical nurses0.98
Nursing staff turnover (share who left in a year)48.1%44.1%45.8%
Registered nurse turnover33.3%40.9%42.9%
Administrators who leftnot reported

CMS expects 3.07 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 5.70 on weekdays and 5.21 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 26.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.35 in April to June 2025 to 5.56 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.560.565.705.21 26.5%0 of 90114
Oct to Dec 20255.330.645.484.94 32.2%0 of 92122
Jul to Sep 20255.570.665.804.97 31.2%0 of 92125
Apr to Jun 20255.350.745.594.77 29.3%0 of 91123
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
30.922.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.51.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.92.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.44.43.2
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
18.117.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.74.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
26.117.815.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.51.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.91.8

Owners and operators

Legal business name: SULLIVAN COUNTY COMMISSIONERS.

NameRoleTypeShareSince
Lagos, MatthewW-2 managing employeeIndividual12/19/2022
Lagos, MatthewCorporate directorIndividual12/19/2022

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.

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 3 problems in this area, most recently on December 11, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 11, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 4, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 6, 2025: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Common questions

What is Sullivan County Health Care's Medicare star rating?
CMS rates Sullivan County Health Care 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sullivan County Health Care get at its last inspection?
2 health deficiencies at the standard inspection on December 11, 2025. The New Hampshire average is 4.
Has Sullivan County Health Care been fined?
Yes. CMS lists 1 fine totaling $16,153 in the last three years.
Does Sullivan County Health Care 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 Sullivan County Health Care?
CMS lists 2 owners and managers. Legal business name: SULLIVAN COUNTY COMMISSIONERS.

Sources

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