Grafton County Nursing Home

Name: Grafton County Nursing Home
Address: 3855 DARTMOUTH COLLEGE HIGHWAY, North Haverhill, NH, 03774, US
Telephone: 6037876971

3855 Dartmouth College Highway, North Haverhill, NH 03774 · Grafton County · 135 certified beds · avg 120 residents/day · certified since Jul 1, 1995

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.73

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 (20)

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
Apr 2, 2026	E · Potential for harm, repeated	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.
Apr 2, 2026	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.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Apr 2, 2026	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.
Apr 2, 2026	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.
Jan 31, 2025	E · Potential for harm, repeated	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times.
Jan 31, 2025	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.
Jan 31, 2025	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Jan 31, 2025	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Jan 31, 2025	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.
Jan 31, 2025	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.
Jan 31, 2025	B · Minimal risk, repeated	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 8, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Feb 8, 2024	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Feb 8, 2024	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Feb 8, 2024	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them.
Feb 8, 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.
Feb 8, 2024	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

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 6).

Year	Citations	Worst severity that year
2024	6	D
2025	8	E
2026	6	E

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)	5.73	4.11	3.95	top 14% in New Hampshire; top 6% in the U.S.
Registered Nurse hours	0.82	0.82	0.69	top 42% in New Hampshire; top 26% in the U.S.
Weekend total nurse staffing	5.45	3.67	3.50	top 6% in New Hampshire; top 4% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.52	0.55	0.48	top 50% in New Hampshire; top 30% in the U.S.
Total nursing staff turnover (%)	0.0	44.1	45.8	—
RN turnover (%)	0.0	40.9	42.9	—

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 4.67, RN 0.67, weekend 4.45. Staffing rating: 3/5.

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: 2/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
County of Grafton	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/1966
County of Grafton	Organization	ADP of the SNF	NOT APPLICABLE	01/01/1966
Doane, Peter	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2025
Doane, Peter	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2025
Fadden, Harvest	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2007
Fadden, Harvest	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2007
Gilding, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Gilding, Jennifer	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Jurentkuff, Dawn	Individual	Operational/Managerial Control	NOT APPLICABLE	12/04/2013
Jurentkuff, Dawn	Individual	ADP of the SNF	NOT APPLICABLE	12/03/2013
Labore, Craig	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2012
Labore, Craig	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2012
McKean, Troy	Individual	Operational/Managerial Control	NOT APPLICABLE	10/29/1986
McKean, Troy	Individual	ADP of the SNF	NOT APPLICABLE	10/29/1986
Palmer, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2024
Palmer, Michael	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2024
Porter, Merry	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Porter, Merry	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
Robbins, Tammy	Individual	Operational/Managerial Control	NOT APPLICABLE	08/29/2000
Robbins, Tammy	Individual	ADP of the SNF	NOT APPLICABLE	08/29/2000

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?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"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
Glencliff Home for the Elderly	11.2 mi	Glencliff, NH	★★☆☆☆	1/5
Lafayette Center	16.2 mi	Franconia, NH	★☆☆☆☆	1/5	SFF

Compare this facility with the 2 closest →

All facilities in North Haverhill →

Facility data as of CMS processing date 2026-08-01. CCN 305053.

The Care File

Visit checklist — Grafton County Nursing Home

3855 Dartmouth College Highway, North Haverhill, NH 03774 · 6037876971

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?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "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 305053 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)