Belknap County Nursing Home
30 County Drive, Laconia, NH 03246 · Belknap County · 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 →
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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.
All citations in the current public record (4)
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 |
|---|---|---|
| Sep 4, 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. |
| Sep 4, 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. |
| Sep 19, 2024 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Sep 19, 2024 | B · Minimal risk, repeated | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| 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)
No fines or payment denials in the published 3-year window.
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) | 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, 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. Staffing rating: 5/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
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 |
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?"
- "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 |
|---|---|---|---|---|---|
| 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 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 305101.