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B
Good

Coos County Nursing Hospital

136 COUNTY FARM ROAD · WEST STEWARTSTOWN, NH 03597

6032463321 · Government - County

97 beds60 residents99 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
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 Hospital receives an overall staffing grade of B (Good). With 4.3314 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6572 HPRD, below the recommended 0.75. It is 0.44 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.69% compared to weekdays. The facility relies heavily on temporary agency staff (26.31% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️RN staffing (0.6572 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️26.31% 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 (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.3314hrs/resident/day▲ 0.44
CMS benchmark: 3.48
RN HPRD
0.6572hrs/resident/day▼ 0.03
Recommended: 0.75
Weekend Drop-off
20.69%
4.6003 weekday → 3.6487 weekend
⚠ Significant weekend reduction
Agency Staff
26.31%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.7167hrs/resident/day
Direct care aides
LPN HPRD
0.502hrs/resident/day
Licensed practical nurses
Consistency
0.5528std 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+0.52 HPRD
3.81
04.33 HPRD
vs. New Hampshire State Average+0.37 HPRD
3.96
04.33 HPRD
vs. National Average+0.44 HPRD
3.90
04.33 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 Hospital ★
WEST STEWARTSTOWN · This facility
—
B
4.33140.6572★★★★★
COUNTRY VILLAGE CENTER, GENESIS HEALTHCARE
LANCASTER
33.8 mi
C
3.17080.6933★★★☆☆
SAINT VINCENT REHABILITATION & NURSING CENTER
BERLIN
38.6 mi
B
3.60360.5725★☆☆☆☆
COOS COUNTY NURSING HOME
BERLIN
39.4 mi
A
4.55360.8788★★☆☆☆
MORRISON NURSING HOME
WHITEFIELD
42.5 mi
C
3.38220.7198★☆☆☆☆
LAFAYETTE CENTER
FRANCONIA
53.4 mi
C
3.43790.7065★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

1
Inspections
3
Total Deficiencies
$0
Fines Assessed
Nov 17, 2023Health
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.