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Warde Health Center

21 Searles Road, Windham, NH 03087 · Rockingham County · (603) 890-1290

32 certified beds, about 32 residents a day · Non profit - Corporation · Medicare and Medicaid since 1993

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 305043 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 4, 2026, inspectors cited 1 health deficiency (the New Hampshire average is 4, the national average 9.2).

None of its 3 health citations since March 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 4.42 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.

46.7% 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 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
0E
0F
Potential for minimal harm
0A
0B
0C
March 4, 2026Standard inspection · 1 citation
  1. 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) March 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were stored safely by removing expired medications and properly labeling medications with a shortened shelf-life (such as multi-dose vials) for 1 of 1 medication carts (Resident identifiers are #3, #6, and #19.)
March 27, 2025Standard inspection · 0 citations
March 27, 2024Standard 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) May 21, 2024
    Inspectors wroteBased on interview and record review, it was determined that the facility failed to develop a care plan for psychotropic medications in 1 out of 5 residents reviewed for unnecessary medications in a final sample of 12 residents (Resident Identifier #2).
  2. 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) May 15, 2024
    Inspectors wroteBased on interview and record review, it was determined that the facility failed to follow physician orders for 1 of 1 resident reviewed for constipation/diarrhea and 1 of 5 residents reviewed for unnecessary medications in a final sample of 12 residents (Resident Identifiers #7 and #24).

Fire safety inspections

1 fire safety citation on file: 1 on March 4, 2026.

Every fire safety citation1 citation
  1. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 4, 2026 · Corrected (the home has a date of correction)

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)4.423.903.86
Registered nurses0.550.780.69
All nursing staff on weekends4.083.473.42
Nurse aides2.50
Licensed practical nurses1.37
Nursing staff turnover (share who left in a year)46.7%44.1%45.8%
Registered nurse turnover75.0%40.9%42.9%
Administrators who left0

CMS expects 3.26 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 4.55 on weekdays and 4.08 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.39 in April to June 2025 to 4.42 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.420.554.554.08 8.6%0 of 9032
Oct to Dec 20254.380.494.494.09 6.2%0 of 9232
Jul to Sep 20254.210.514.373.78 7.7%0 of 9231
Apr to Jun 20254.390.734.544.03 7.9%0 of 9131
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.

Staff pay reports

Staff pay at this home

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.

Official wage estimates for New Hampshire

JobMedianMiddle halfEmployed
New Hampshire, all employers
CNAs (nursing assistants)$23.02$21.58 to $26.167,810
LPNs and LVNs$37.07$32.53 to $39.792,220
Registered nurses$47.93$39.85 to $52.1215,390
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

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
23.122.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
6.52.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.04.43.2
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
12.117.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.24.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.517.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
14.322.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
19.313.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.81.91.8

Owners and operators

Legal business name: WARDE REHABILITATION AND 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 interestOrganization100%04/01/2015
Bernard, AlainW-2 managing employeeIndividual10/01/2018
Blonski, ThomasW-2 managing employeeIndividual04/01/2015
Laroche, ShariW-2 managing employeeIndividual09/06/2022
Richardson, SarahW-2 managing employeeIndividual10/18/2018
Zirkle, KarenW-2 managing employeeIndividual10/18/2018
Barrett, KevinCorporate directorIndividual09/01/2016
Christon, DeanCorporate directorIndividual09/01/2022
Coughlin, AdamCorporate directorIndividual09/01/2020
Demers, KateCorporate directorIndividual09/01/2020
Desrosiers, KevinCorporate directorIndividual09/01/2020
Ford, PatrickCorporate directorIndividual09/01/2019
Huard, SusanCorporate directorIndividual09/01/2020
Jalbert, JasonCorporate directorIndividual09/01/2017
Legere, TinaCorporate directorIndividual09/01/2018
Libasci, PeterCorporate directorIndividual12/01/2011
McLean, JeffreyCorporate directorIndividual09/01/2022
Mirable, CatherineCorporate directorIndividual09/01/2019
Ouellette, RussCorporate directorIndividual09/01/2017
Powers, EdwardCorporate directorIndividual09/01/2018
Senus, KenCorporate directorIndividual09/01/2022
Blonski, ThomasCorporate officerIndividual04/01/2015
Hildenbrand, DavidCorporate officerIndividual04/12/2017

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 March 27, 2024: "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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 4, 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."

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Common questions

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

Sources

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