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Belknap County Nursing Home
30 County Drive, Laconia, NH 03246 (opens Google Maps) · Belknap County · (603) 527-5410· 94 certified beds · avg 58 residents/day · certified since Sep 1, 2008 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Sep 4, 2025
0
Serious findings on record
$0
Fines, last 3 years
5.34
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 4 inspection findings. Open the full record below to read every finding.
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
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. F-0880
The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. F-0908
View all 4 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 4, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Sep 4, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Sep 19, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Sep 19, 2024 | B · Potential for minimal harm, pattern | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
All citationsSerious citations (G–L)
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | D |
| 2025 | 2 | 0 | D |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNew Hampshire averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.34
New Hampshire average: 4.11
U.S. average: 3.95
Registered Nurse hours
This facility: 0.86
New Hampshire average: 0.82
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.78
New Hampshire average: 3.67
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.34 | 4.11 | 3.95 | top 19% in New Hampshire; top 9% in the U.S. |
| Registered Nurse hours | 0.86 | 0.82 | 0.69 | top 35% in New Hampshire; top 23% in the U.S. |
| Weekend total nurse staffing | 4.78 | 3.67 | 3.50 | top 21% in New Hampshire; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.55 | 0.48 | bottom 33% in New Hampshire; top 42% in the U.S. |
| Total nursing staff turnover (%) | 31.9 | 44.1 | 45.8 | top 12% in New Hampshire; top 18% in the U.S. |
| RN turnover (%) | 41.7 | 40.9 | 42.9 | bottom 45% in New Hampshire; top 50% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.96, RN 0.80, weekend 4.45.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.96 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Belknap County Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Belknap County | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2008 |
| Belknap County | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2008 |
| Belknap County | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2008 |
| Darst, Rose | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/13/2023 |
| Darst, Rose | Individual | ADP of the SNF | NOT APPLICABLE | 02/13/2023 |
| Ephrem, Vercin | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/18/2022 |
| Ephrem, Vercin | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2022 |
| Gallagher, Amanda | Individual | ADP of the SNF | NOT APPLICABLE | 05/16/2022 |
| O'Brien, Amy | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/24/2025 |
| O'Brien, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 11/24/2025 |
| Pauley, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/05/2023 |
| Pauley, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 09/05/2023 |
| Richardson, Shelley | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Richardson, Shelley | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
| Shiel, Alison | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/12/2019 |
| Shiel, Alison | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2019 |
| Twardosky, Brenda | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/17/2015 |
| Twardosky, Brenda | Individual | ADP of the SNF | NOT APPLICABLE | 08/17/2015 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 32% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Laconia Rehabilitation Center | 0.3 mi | Laconia, NH | ★★★☆☆ | 3/5 | |
| Saint Francis Rehabilitation and Nursing Center | 1.7 mi | Laconia, NH | ★★★★★ | 5/5 | |
| Golden View Health Care Center | 3.9 mi | Meredith, NH | ★★★★☆ | 3/5 | |
| Mountain Ridge Center, Genesis Healthcare | 10.3 mi | Franklin, NH | ★☆☆☆☆ | 1/5 | SFF |
| Wolfeboro Bay Center | 14.2 mi | Wolfeboro, NH | ★★★★☆ | 4/5 | |
| Merrimack County Nursing Home | 15.1 mi | Boscawen, NH | ★★★☆☆ | 2/5 | |
| Mountain View Community | 19.9 mi | Ossipee, NH | ★★★★☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 305101.