New Hampshire ›West Stewartstown
Coos County Nursing Hospital
136 County Farm Road, West Stewartstown, NH 03597 · Coos County · 97 certified beds · avg 56 residents/day · certified since Jan 1, 1979 · Medicaid only — not Medicare certified
Certified for Medicaid only. It cannot bill Medicare, so a short post-hospital rehabilitation stay would not be covered the usual way here. Who pays for nursing home care →
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (3)
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 |
|---|---|---|
| Nov 17, 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. |
| Nov 17, 2023 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 17, 2023 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 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) | 6.12 | 4.11 | 3.95 | top 7% in New Hampshire; top 4% in the U.S. |
| Registered Nurse hours | 0.97 | 0.82 | 0.69 | top 22% in New Hampshire; top 17% in the U.S. |
| Weekend total nurse staffing | 5.20 | 3.67 | 3.50 | top 13% in New Hampshire; top 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.55 | 0.48 | bottom 11% in New Hampshire; bottom 40% in the U.S. |
| Total nursing staff turnover (%) | 45.3 | 44.1 | 45.8 | bottom 44% in New Hampshire; bottom 49% in the U.S. |
| RN turnover (%) | 43.8 | 40.9 | 42.9 | bottom 39% in New Hampshire; bottom 46% 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 4.74, RN 0.75, weekend 4.03. 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: 2/5 · short-stay residents: —/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ownership Data Not Available |
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 show me how medications are stored and secured on the units, including controlled drugs?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "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 |
|---|---|---|---|---|---|
| Bel Aire Center | 32.9 mi | Newport, VT | ★★☆☆☆ | 2/5 | |
| Country Village Center, Genesis Healthcare | 33.9 mi | Lancaster, NH | ★★★★☆ | 4/5 | |
| Maple Lane Nursing Home | 35.0 mi | Barton, VT | ★★★★★ | 5/5 | |
| Saint Vincent Rehabilitation & Nursing Center | 38.7 mi | Berlin, NH | ★☆☆☆☆ | 1/5 | |
| Coos County Nursing Home | 39.5 mi | Berlin, NH | ★★☆☆☆ | 2/5 | |
| Pines Rehab & Health Center | 39.9 mi | Lyndonville, VT | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
All facilities in West Stewartstown →
Facility data as of CMS processing date 2026-08-01. CCN 30E076.