Wolfeboro Bay Center
39 Clipper Drive, Wolfeboro, NH 03894 · Carroll County · 104 certified beds · avg 73 residents/day · certified since Feb 12, 1997
Part of chain: 603 HEALTHCARE (7 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (16)
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 16, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Apr 16, 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. |
| Feb 21, 2025 | E · Potential for harm, repeated | 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. |
| Feb 21, 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. |
| Jan 19, 2024 | E · Potential for harm, repeated | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Jan 19, 2024 | E · Potential for harm, repeated | 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 |
| Jan 19, 2024 | E · Potential for harm, repeated | 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. |
| Jan 19, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Jan 19, 2024 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jan 19, 2024 | B · Minimal risk, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Nov 1, 2023 | B · Minimal risk, repeated | The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint |
| Nov 1, 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. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | B |
| 2024 | 10 | 0 | E |
| 2025 | 2 | 0 | E |
| 2026 | 2 | 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) | 3.70 | 4.11 | 3.95 | bottom 49% in New Hampshire; bottom 47% in the U.S. |
| Registered Nurse hours | 0.78 | 0.82 | 0.69 | top 49% in New Hampshire; top 29% in the U.S. |
| Weekend total nurse staffing | 3.45 | 3.67 | 3.50 | top 43% in New Hampshire; top 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.66 | 0.55 | 0.48 | top 25% in New Hampshire; top 18% in the U.S. |
| Total nursing staff turnover (%) | 45.1 | 44.1 | 45.8 | bottom 45% in New Hampshire; bottom 50% in the U.S. |
| RN turnover (%) | 20.0 | 40.9 | 42.9 | top 10% in New Hampshire; top 13% 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 3.55, RN 0.75, weekend 3.31. 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: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Black Mountain Peak Healthcare, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/25/2024 |
| PR NH Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 48% | 02/19/2024 |
| RR NH Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 48% | 02/19/2024 |
| 603 Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/29/2024 |
| 603 Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/29/2024 |
| Aweh, Nelson | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Aweh, Nelson | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Slattery, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2024 |
| Slattery, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Stevenson, Sean | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/29/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How often does the attending doctor physically see each resident, and how is that documented?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Mountain View Community | 8.2 mi | Ossipee, NH | ★★★★☆ | 4/5 | |
| Belknap County Nursing Home | 14.2 mi | Laconia, NH | ★★★★☆ | 4/5 | |
| Golden View Health Care Center | 14.2 mi | Meredith, NH | ★★★★☆ | 3/5 | |
| Laconia Rehabilitation Center | 14.4 mi | Laconia, NH | ★★★☆☆ | 3/5 | |
| Saint Francis Rehabilitation and Nursing Center | 14.5 mi | Laconia, NH | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 305083.