Coos County Nursing Home

Name: Coos County Nursing Home
Address: 364 CATES HILL RD PO BOX 416, Berlin, NH, 03570, US
Telephone: 6037522343

364 Cates Hill Rd Po Box 416, Berlin, NH 03570 · Coos County · 100 certified beds · avg 77 residents/day · certified since Apr 30, 2017

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.19

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (11)

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
Feb 26, 2026	F · Potential for harm, facility-wide	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.
Feb 26, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 18, 2024	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Dec 18, 2024	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 18, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Dec 18, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Dec 8, 2023	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Dec 8, 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 2).

Year	Citations	Worst severity that year
2023	2	D
2024	7	D
2026	2	F

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)	5.19	4.11	3.95	top 22% in New Hampshire; top 11% in the U.S.
Registered Nurse hours	0.84	0.82	0.69	top 38% in New Hampshire; top 24% in the U.S.
Weekend total nurse staffing	4.45	3.67	3.50	top 26% in New Hampshire; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.55	0.48	bottom 19% in New Hampshire; bottom 49% in the U.S.
Total nursing staff turnover (%)	50.9	44.1	45.8	bottom 20% in New Hampshire; bottom 35% in the U.S.
RN turnover (%)	45.5	40.9	42.9	bottom 33% in New Hampshire; bottom 43% 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 4.93, RN 0.80, weekend 4.23. Staffing rating: 4/5.

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: 2/5 · long-stay residents: 1/5 · short-stay residents: 4/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
Brady, Mark	Individual	Indirect Ownership Interest	NOT APPLICABLE	05/11/2023
Coos County	Organization	Direct Ownership Interest	NOT APPLICABLE	05/17/1976
Belanger, Louise	Individual	Operational/Managerial Control	NOT APPLICABLE	11/28/2023
Belanger, Louise	Individual	ADP of the SNF	NOT APPLICABLE	11/28/2023
Berry Dunn McNeil & Parker LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Berry Dunn McNeil & Parker LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/24/2025
Brady, Mark	Individual	Corporate Director	NOT APPLICABLE	05/15/2023
Brady, Mark	Individual	ADP of the SNF	NOT APPLICABLE	05/11/2023
Brady, Thomas	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Brady, Thomas	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Camden National Cooperation	Organization	Operational/Managerial Control	NOT APPLICABLE	03/17/2025
Camden National Cooperation	Organization	ADP of the SNF	NOT APPLICABLE	07/31/2025
Cardenas, Javier	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2020
Cardenas, Javier	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2020
Gorman, Raymond	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2022
Mudgett, Alicia	Individual	ADP of the SNF	NOT APPLICABLE	01/03/2023
Pharmacy Corporation of America	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Theberge, Robert	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2022
Vachon & Clukay & Co, PC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/14/2020
Vachon & Clukay & Co, PC	Organization	ADP of the SNF	NOT APPLICABLE	03/04/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
Saint Vincent Rehabilitation & Nursing Center	1.4 mi	Berlin, NH	★☆☆☆☆	1/5
Country Village Center, Genesis Healthcare	19.8 mi	Lancaster, NH	★★★★☆	4/5

Compare this facility with the 2 closest →

All facilities in Berlin →

Facility data as of CMS processing date 2026-08-01. CCN 305102.

The Care File

Visit checklist — Coos County Nursing Home

364 Cates Hill Rd Po Box 416, Berlin, NH 03570 · 6037522343

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 305102 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)