Bedford Nursing & Rehabilitation Center
Bedford, New Hampshire · CCN 305086
21 surveys since 2012, 3 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 117
- Surveys
- 21
- Harm or worse
- 3
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 102
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Hillsborough
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 16 for-profit facilities of 100–127 beds in New Hampshire.
Last survey on record
Dec 17, 2025
327 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.93 | 3.35 |
| Registered-nurse hours per resident day | 0.59 | — |
| Annual nurse turnover | 39.5% | 41.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $16,153 across 1 penalty
- Special focus
- SFF Candidate
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J16.7% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1386.7% | E— | F— |
| No harm, potential for minimal | A— | B16.7% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7613×
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F6582×
Ensure services provided by the nursing facility meet professional standards of quality.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5781×
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
In the surveyor’s words
From the most serious findings on record at Bedford Nursing & Rehabilitation Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF678Dec 17, 2025
Based on interview and record review, it was determined that the facility failed to provide Cardiopulmonary Resuscitation (CPR) in accordance with the American Heart Association (AHA) guidelines and/or the facility's policy for 1 of 3 closed records reviewed. (Resident identifier is #119.)Findings include:Review on [DATE] of Resident #119's progress notes revealed the following nurse's note dated [DATE] at 6:43 a.m., written by Staff A (Registered Nurse), This writer told by 11-7 nurse [Staff B, Licensed Practical Nurse] that resident had passed away and needed to be pronounced. This writer found no bp [blood pressure], no apical [apical pulse], no respirations present, pupils fixed. Pronounced by this writer at 0640 [6:40 a.m.]. […]
- No harm, potential for more than minimal, patternF886Aug 26, 2021
Based on interview and record review, it was determined that the facility failed to ensure that COVID-19 testing of unvaccinated staff was done at required intervals for 18 out of 34 unvaccinated staff for COVID-19. (Staff identifiers are A, B, C, D, E, F, G, H, I , J, L, M, N, O, P, Q, R, and S.) Findings include: Review on 8/25/21 of the CMS memo QSO-20-38-NH titled, Interim Final Rule (IFC), CMS-340-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements and Revised COVID-19 Focused Survey Tool, revision date of 4/27/2021, revealed that: .Routine Testing of Staff Routine testing of unvaccinated staff should be based on the extent of the virus in the community .Facilities should use… […]
- No harm, potential for more than minimal, isolatedF578Dec 17, 2025
Based on interview and record review, it was determined that the facility failed to ensure that resident's advance directives were accurately reflected for 3 residents in a final sample of 32 residents. (Resident identifiers are #18, #70 and #92.)Findings include:Interview on [DATE] with Staff E (Regional Clinical Nurse) revealed that the facility places a green dot on the spine of paper charts to indicate a Full Code status (meaning perform CPR (Cardiopulmonary resuscitation)). Resident #70 Review on [DATE] of Resident #70's electronic medical record revealed a resident demographic banner that indicated a code status of Full Code. Further review revealed a physician's order dated [DATE] for a Full Code. […]
- No harm, potential for more than minimal, isolatedF645Dec 17, 2025
Based on interview and record review, it was determined that the facility failed to complete a Preadmission Screening and Resident Review (PASARR) for individuals who required greater than 30 days of facilities services for 2 of 3 residents reviewed for PASARR in a final survey sample of 24. (Resident identifiers are #20 and #48.)Findings include:Resident #48 Review on 12/15/25 of Resident #48's medical record revealed an admission date of 1/10/25 and a diagnosis of Traumatic Brain Injury. Review on 12/15/25 of Resident #48's PASARR Level 1 screen form, dated 1/8/25, revealed Section 6. Exemption/Exclusion, Hospital Discharge Exemption was signed by a provider on 1/24/25. […]
- No harm, potential for more than minimal, isolatedF658Dec 17, 2025
Based on interview and record review, it was determined that the facility failed to follow physician's orders for 1 of 3 closed records reviewed. (Resident identifier is #119.)Findings include:Standard: [NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 10th edition St. Louis, Missouri: Elsevier, 2021. Page 614 .It is essential to verify the accuracy of every medication you give to your patients with the patient's order. If the medication order is incomplete, incorrect, or inappropriate, or if there is a discrepancy between the original order and the information on the MAR [Medication Administration Record]. consult with the health care provider. Do not give a medication until you are certain that you can follow the seven rights of medication administration . […]
Read 22 findings in full →The most serious and the most recent: 22 of 117 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 17, 2025Standard6 findings · 1 harm
- Oct 3, 2024Standard3 findings
- Dec 15, 2023Standard and complaint6 findings
- Nov 3, 2022Standard6 findings
- Aug 26, 2021Standard1 finding
- Jul 17, 2017Complaint3 findings
- Mar 13, 2017Complaint1 finding
- Oct 19, 2016Standard5 findings
Show the 13 earlier surveys
- Nov 4, 2015Standard7 findings · 1 harm
- Jan 16, 2015Standard and complaint5 findings
- Jul 23, 2014Standard6 findings
- Apr 14, 2014Complaint5 findings
- Apr 10, 2014Standard2 findings
- Feb 7, 2014Standard and complaint22 findings · 1 harm
- Sep 12, 2013—5 findings
- Apr 5, 2013—2 findings
- Mar 11, 2013—1 finding
- Jan 4, 2013—16 findings
- Aug 23, 2012—2 findings
- Jun 12, 2012—8 findings
- Feb 9, 2012—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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