Mountain Ridge Center, Genesis Healthcare
7 Baldwin Street, Franklin, NH 03235 · Merrimack County · 86 certified beds · avg 60 residents/day · certified since May 1, 1996
SFF Candidate
Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 29, 2026 · F-0880
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 20, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| May 29, 2026 | ▲ J · Immediate jeopardy, one-off | 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. |
| May 29, 2026 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| May 29, 2026 | 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. |
| May 29, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| May 29, 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. |
| May 29, 2026 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jun 20, 2025 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Jun 20, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jun 20, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Jun 20, 2025 | 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. · from a complaint |
| Jun 20, 2025 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint |
| Jun 20, 2025 | C · Minimal risk, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Apr 17, 2025 | 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. |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Apr 17, 2025 | 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 17, 2025 | 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. |
| Jun 27, 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. |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | D |
| 2025 | 11 | 0 | F |
| 2026 | 6 | 1 | J ▲ |
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)
1 fine totaling $38,842.
| Date | Type | Amount / length |
|---|---|---|
| May 29, 2026 | Fine | $38,842 |
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) | 3.20 | 4.11 | 3.95 | bottom 24% in New Hampshire; bottom 22% in the U.S. |
| Registered Nurse hours | 0.68 | 0.82 | 0.69 | bottom 38% in New Hampshire; top 38% in the U.S. |
| Weekend total nurse staffing | 2.73 | 3.67 | 3.50 | bottom 14% in New Hampshire; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.55 | 0.48 | bottom 8% in New Hampshire; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 67.5 | 44.1 | 45.8 | bottom 6% in New Hampshire; bottom 8% in the U.S. |
| RN turnover (%) | 61.5 | 40.9 | 42.9 | bottom 15% in New Hampshire; bottom 20% 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 3.40, RN 0.72, weekend 2.91. Staffing rating: 1/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fc-Gen Operations Investment LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Gen Operations I LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Gen Operations II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis NH Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2011 |
| Genesis Operations LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| GHC Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Sun Healthcare Group INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Whitman, Arnold | Individual | 5% or Greater Indirect Ownership Interest | — | 12/31/2011 |
| Berg, Michael | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2012 |
| Bridgeford, Laura | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Ephrem, Vercin | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2011 |
| Ephrem, Vercin | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Genesis Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2011 |
| Haidemenos, Nicholas | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Haidemenos, Nicholas | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Mendelson, Avi | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
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?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Merrimack County Nursing Home | 5.6 mi | Boscawen, NH | ★★★☆☆ | 2/5 | |
| Saint Francis Rehabilitation and Nursing Center | 9.3 mi | Laconia, NH | ★★★★★ | 5/5 | |
| Laconia Rehabilitation Center | 10.0 mi | Laconia, NH | ★★★☆☆ | 3/5 | |
| Belknap County Nursing Home | 10.3 mi | Laconia, NH | ★★★★☆ | 4/5 | |
| Golden View Health Care Center | 13.3 mi | Meredith, NH | ★★★★☆ | 3/5 | |
| Havenwood-Heritage Heights | 16.4 mi | Concord, NH | ★★☆☆☆ | 2/5 | |
| Presidential Oaks | 17.1 mi | Concord, NH | ★★★☆☆ | 2/5 | |
| Pleasant View Center | 17.1 mi | Concord, NH | —/5 | SFF | |
| Harris Hill Center, Genesis Healthcare | 17.8 mi | Concord, NH | ★★☆☆☆ | 2/5 | |
| Epsom Healthcare Center | 19.7 mi | Epsom, NH | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 305075.