D

COOS COUNTY NURSING HOME

364 CATES HILL RD PO BOX 416, BERLIN, NH 03570
Score: 47 / 100

CMS data shows Coos County Nursing Home earning a D grade with a score of 47/100, placing it below most facilities in New Hampshire. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels at Coos County Nursing Home exceed national averages, with 4.55 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.88 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 12 deficiencies at Coos County Nursing Home. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.55 3.8 Above Average
Registered Nurses (RN) 0.88 0.7 Above Average
Licensed Practical Nurses (LPN) 0.60 0.7 Below Average
Certified Nursing Assistants (CNA) 3.07 2.4 Above Average
Weekend Total Nursing 3.93 3.8 Average
Weekend RN Hours 0.49 0.7 Below Average

🔍 Inspection & Deficiency History

12
Total Deficiencies
Dec 17, 2024
Most Recent Inspection
🟠 12 Moderate
View recent deficiencies (5 shown)
  • Tag 0604 Severity D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    Dec 17, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Dec 17, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Dec 17, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Dec 17, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Dec 17, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.5% 4.5% Worse
Falls with major injury 8.2% 3.0% Worse
On antipsychotic medication 25.3% 14.5% Worse
Urinary tract infections 6.0% 2.5% Worse
ADL decline (daily activities) 25.0% 14.0% Worse
Excessive weight loss 9.5% 7.5% Worse
New/worsened incontinence 21.8% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - County
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 17, 2024
Deficiencies (Cycle 1)
7