Bedford Nursing & Rehabilitation Center
480 Donald Street, Bedford, NH 03110 · Hillsborough County · 102 certified beds · avg 94 residents/day · certified since Mar 1, 1997
SFF Candidate
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Dec 17, 2025 · F-0678
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 9, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 17, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 3, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 3, 2024 | B · Minimal risk, repeated | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 15, 2023 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | D |
| 2024 | 3 | 0 | D |
| 2025 | 6 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $16,153.
| Date | Type | Amount / length |
|---|---|---|
| Dec 17, 2025 | Fine | $16,153 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.71 | 4.11 | 3.95 | bottom 4% in New Hampshire; bottom 6% in the U.S. |
| Registered Nurse hours | 0.55 | 0.82 | 0.69 | bottom 19% in New Hampshire; bottom 45% in the U.S. |
| Weekend total nurse staffing | 2.44 | 3.67 | 3.50 | bottom 3% in New Hampshire; bottom 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.55 | 0.48 | bottom 15% in New Hampshire; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 39.5 | 44.1 | 45.8 | top 30% in New Hampshire; top 35% in the U.S. |
| RN turnover (%) | 33.3 | 40.9 | 42.9 | top 28% in New Hampshire; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.93, RN 0.59, weekend 2.65. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Black Mountain II LLC | Organization | 5% or Greater Indirect Ownership Interest | 15% | 08/15/2025 |
| Margulies, Zisha | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| PR NH Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 7% | 08/15/2025 |
| RR NH Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 7% | 08/15/2025 |
| Woh LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2023 |
| Yarmove, Rivka | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/15/2025 |
| Zmry LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 08/15/2025 |
| 603 Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/15/2025 |
| 603 Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/10/2025 |
| Auletto, Amy | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/27/2025 |
| Auletto, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 12/10/2025 |
| Bedford SNF Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| Mad Family Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
| Natr Trust | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2023 |
| Pasha, Muhammad | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Pasha, Muhammad | Individual | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| PR NH Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/15/2025 |
| Rausman, Philip | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2025 |
| Rausman, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2025 |
| RR NH Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/15/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is your infection preventionist, and what training do they have?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bedford Hills Center | 1.0 mi | Bedford, NH | ★★★★☆ | 4/5 | |
| Ridgewood Center, Genesis Healthcare | 1.2 mi | Bedford, NH | ★★☆☆☆ | 2/5 | |
| Maple Leaf Health Care Center | 3.0 mi | Manchester, NH | ★★★★★ | 5/5 | |
| Courville at Manchester | 3.1 mi | Manchester, NH | ★★☆☆☆ | 1/5 | SFF |
| Mount Carmel Rehabilitation and Nursing Center | 3.1 mi | Manchester, NH | ★★★★☆ | 4/5 | |
| Hillsborough County Nursing Home | 3.3 mi | Goffstown, NH | ★★★★★ | 3/5 | |
| Hanover Hill Health Care Center | 3.6 mi | Manchester, NH | ★★★☆☆ | 3/5 | |
| Saint Teresa Rehabilitation & Nursing Center | 3.7 mi | Manchester, NH | ★★☆☆☆ | 2/5 | |
| St Joseph Residence | 3.7 mi | Manchester, NH | ★★★★☆ | 3/5 | |
| Holy Cross Health Center | 4.3 mi | Manchester, NH | ★★★★★ | 4/5 | |
| Goffstown Nursing and Rehab Center | 4.5 mi | Goffstown, NH | ★☆☆☆☆ | 1/5 | |
| Hackett Hill Healthcare Center | 4.8 mi | Manchester, NH | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 305086.