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A
Very Good

COOS COUNTY NURSING HOME

364 CATES HILL RD PO BOX 416 · BERLIN, NH 03570

6037522343 · Government - County

100 beds77.2 residents144 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

COOS COUNTY NURSING HOME receives an overall staffing grade of A (Very Good). With 4.5536 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.66 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 18.14% compared to weekdays. The facility relies heavily on temporary agency staff (33.8% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️33.8% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.5536hrs/resident/day▲ 0.66
CMS benchmark: 3.48
RN HPRD
0.8788hrs/resident/day▲ 0.20
Recommended: 0.75
Weekend Drop-off
18.14%
4.7998 weekday → 3.9289 weekend
Agency Staff
33.8%
24.63% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.6293hrs/resident/day
Direct care aides
LPN HPRD
0.6004hrs/resident/day
Licensed practical nurses
Consistency
0.4986std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Coos County Average+0.75 HPRD
3.81
04.55 HPRD
vs. New Hampshire State Average+0.59 HPRD
3.96
04.55 HPRD
vs. National Average+0.66 HPRD
3.90
04.55 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
COOS COUNTY NURSING HOME ★
BERLIN · This facility
—
A
4.55360.8788★★☆☆☆
SAINT VINCENT REHABILITATION & NURSING CENTER
BERLIN
1.4 mi
B
3.60360.5725★☆☆☆☆
COUNTRY VILLAGE CENTER, GENESIS HEALTHCARE
LANCASTER
19.8 mi
C
3.17080.6933★★★☆☆
MORRISON NURSING HOME
WHITEFIELD
22.7 mi
C
3.38220.7198★☆☆☆☆
MERRIMAN HOUSE
NORTH CONWAY
28.7 mi
A+
6.72311.6709★★★★★
MINERAL SPRINGS
NORTH CONWAY
32.1 mi
A
4.35621.1268★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
12
Total Deficiencies
$0
Fines Assessed
Dec 18, 2024Health
7 deficiencies cited
▼
Dec 8, 2023Health
2 deficiencies cited
▼
Nov 3, 2022Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.