Coos County Nursing Home

364 Cates Hill Rd Po Box 416, Berlin, NH 03570 (opens Google Maps) · Coos County · (603) 752-2343· 100 certified beds · avg 77 residents/day · certified since Apr 30, 2017 · 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 →

2/5

Health inspection rating (on-site)

inspected Feb 26, 2026

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · 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 11 inspection findings. Open the full record below to read every finding.

Feb 26, 2026F · Potential for more than minimal harm, widespread
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
Feb 26, 2026D · Potential for more than minimal harm, isolated
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. F-0759
Dec 18, 2024D · Potential for more than minimal harm, isolated
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. F-0604

View all 11 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
Feb 26, 2026	F · Potential for more than minimal harm, widespread	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
Feb 26, 2026	D · Potential for more than minimal harm, isolated	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. · F-0759
Dec 18, 2024	D · Potential for more than minimal harm, isolated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604
Dec 18, 2024	D · Potential for more than minimal harm, isolated	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. · F-0609
Dec 18, 2024	D · Potential for more than minimal harm, isolated	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. · F-0644
Dec 18, 2024	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
Dec 18, 2024	D · Potential for more than minimal harm, isolated	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. · F-0686
Dec 18, 2024	D · Potential for more than minimal harm, isolated	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. · F-0695
Dec 18, 2024	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Dec 8, 2023	D · Potential for more than minimal harm, isolated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604
Dec 8, 2023	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

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityNew Hampshire averageU.S. average

Total nurse staffing (hours per resident per day)

5.19

4.11

3.95

Registered Nurse hours

0.84

0.82

0.69

Weekend total nurse staffing

4.45

3.67

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)	5.19	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 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 4.93, RN 0.80, weekend 4.23.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.93 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Coos 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
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

All 20 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

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 51% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 20 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
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 →

Other facilities in the same county

CMS records place this facility in Coos, NH — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Coos County Nursing Hospital — West Stewartstown, NH · overall 5/5
Morrison Nursing Home — Whitefield, NH · overall 4/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Berlin →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Coos County Nursing Home

364 Cates Hill Rd Po Box 416, Berlin, NH 03570 · (603) 752-2343

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 51% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)