How to file a complaint about care →
No fines or payment denials in the published 3-year window.
49 Lyme Road, Hanover, NH 03755 (opens Google Maps) · Grafton County · (603) 643-2854· 100 certified beds · avg 49 residents/day · certified since Oct 16, 1970 · 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 →
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · 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.
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 |
|---|---|---|
| Dec 4, 2025 | E · Potential for more than minimal harm, pattern | 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 |
| Dec 4, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881 |
| Dec 4, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0645 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 3 | 0 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
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) | 3.34 | 4.11 | 3.95 | bottom 32% in New Hampshire; bottom 28% in the U.S. |
| Registered Nurse hours | 0.68 | 0.82 | 0.69 | bottom 39% in New Hampshire; top 38% in the U.S. |
| Weekend total nurse staffing | 2.96 | 3.67 | 3.50 | bottom 35% in New Hampshire; bottom 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.55 | 0.48 | bottom 32% in New Hampshire; top 43% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 44.1 | 45.8 | bottom 23% in New Hampshire; bottom 38% in the U.S. |
| RN turnover (%) | 66.7 | 40.9 | 42.9 | bottom 7% in New Hampshire; bottom 15% 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 3.36, RN 0.69, weekend 2.98.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.36 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Hanover Terrace Health and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 →
For profit - Limited Liability company · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mamary, Jonathan | Individual | Direct Ownership Interest | NOT APPLICABLE | 11/01/2025 |
| Mamary, Joshua | Individual | Direct Ownership Interest | NOT APPLICABLE | 11/01/2025 |
| Lyons, Patrick | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Lyons, Patrick | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Sennour, Youcef | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Sennour, Youcef | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
All 6 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lebanon Center, Genesis Healthcare | 4.5 mi | Lebanon, NH | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 1 closest →
CMS records place this facility in Grafton, NH — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 305020.
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