Based on interview and record review, the facility failed to maintain evidence demonstrating the result of all grievances and ensure that all written decisions include the necessary elements for 2 out of 2 grievances reviewed.Findings include: Review on 5/21/26 of the facility 2026 Grievance Log revealed the following grievances:Resident #3, dated 4/1/26 and 4/15/26, Issue: [sic] LNA (Licensed Nursing Assistant) put cream on was burning and washed it off and did not come back after placing him/her in front of the sink to brush teeth. Ombudsman reported there was a concerned of nepotism re: LNA. Outcome: No abuse, neglect. Communication/technique. …
F585 citations in New Hampshire
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New Hampshire cites F585 more often than its own record predicts
1.12 times the share F585 takes of citations nationally.
Of every deficiency written in New Hampshire in 2025, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New Hampshire surveyors wrote
F585 findings written in New Hampshire, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review it was determined that the facility failed to follow their policy for a prompt resolution for 1 out of 1 residents reviewed for missing items in a final sample of 35 residents. (Resident identifier is #58.) Findings include: Interview on 5/9/23 at approximately 9:30 a.m. with Resident #58 revealed that they had lost an outfit that was sent to the laundry for labeling on 4/26/23. I have told so many people here about this and all they ever say is that they are going to look for it. Interview on 5/11/23 at approximately 10:00 a.m. with Staff A (Unit Manager) revealed that Staff A was aware that Resident #58's outfit was missing. We are looking for it. Staff A also revealed that the Social Worker and Administrator were aware of the missing outfit. …
The short window
Recent years
| Year | Share of New Hampshire citations | vs expected |
|---|---|---|
| 2023 | 0.41% | 0.67× |
| 2024 | 0.30% | 0.47× |
| 2025 | 0.72% | 1.12× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Hampshire surveyors cite →
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