Goffstown Nursing and Rehab Center
Goffstown, New Hampshire · CCN 305096
16 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 78
- Surveys
- 16
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 41
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Hillsborough
- Medicare-certified since
- 2003
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 18 facilities with fewer than 66 beds in New Hampshire.
Last survey on record
Dec 3, 2025
341 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 | 3.36 | 4.01 |
| Registered-nurse hours per resident day | 0.41 | — |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2779.4% | E38.8% | F12.9% |
| No harm, potential for minimal | A— | B25.9% | C12.9% |
Most frequently cited here
In CMS’s current monthly file.
- F6583×
Ensure services provided by the nursing facility meet professional standards of quality.
- F7272×
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F7582×
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- F7612×
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.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at Goffstown Nursing and Rehab Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF851Oct 22, 2024
Based on interview and record review, it was determined that the facility failed to submit to the Centers for Medicare & Medicaid Services (CMS) complete and accurate direct care staffing information based on payroll data for Fiscal Quarter 3 (April 1, 2024 - June 30, 2024). Review on 10/20/24 of the facility's Payroll Based Journal Staffing Data Report for Quarter 3 2024 (April 1, 2024 - June 30, 2024) revealed that the facility failed to submit data for the quarter. Interview on 10/22/24 at 1:00 p.m. with Staff F (Business Office Manager) confirmed the above findings.
- No harm, potential for more than minimal, patternF727Oct 22, 2024
Based on interview and record review, it was determined that the facility failed to ensure that a Registered Nurse (RN) was on duty for 8 consecutive hours a day, 7 days a week, for 3 of 30 days reviewed between September 15, 2024 - October 20, 2024. Findings include: Review on 10/21/24 of the facility's daily nursing time sheets for September 15, 2024 - October 19, 2024, revealed the following: On 9/15/24 there were no RN hours documented as worked; On 9/28/24 there were no RN hours documented as worked; On 10/13/24 there were no RN hours documented as worked. Interview on 10/21/24 at 9:00 a.m. with Staff E (Scheduler) confirmed that there was no RN on duty on 9/15/24, 9/28/24, and 10/13/24. Interview on 10/21/24 at 10:00 a.m. […]
- No harm, potential for more than minimal, patternF881Oct 22, 2024
Based on interview and record review, it was determined that the facility failed to follow antibiotic use protocols related to the appropriate use of antibiotic monitoring, tracking, and reviewing antibiotic use for 9 of 12 months reviewed for antibiotic use. Findings include: Review on 10/21/24 of the facility's line listing for antibiotic use from November 2023 through October 2024 revealed that the facility did not have documentation of a system to track antibiotic use within the facility from November 2023 through May 2024 and September 2024 to present. Interview on 10/21/24 at 12:00 p.m. with Staff C (Infection Prevention) confirmed the above findings. […]
- No harm, potential for more than minimal, patternF908Oct 22, 2024
Based on interview and record review, it was determined that the facility failed to maintain resident care equipment according to manufacturer's instructions for the hoyer lift. Findings include: Interview on 10/22/24 at approximately 9:57 a.m. with Staff J (Maintenance Director) revealed that the legs on the hoyer lift were difficult to open. Staff J stated that they had not performed routine inspections on the hoyer lift to determine any wear since he/she became employed at the facility approximately four months ago. Staff J revealed they had never performed routine maintenance on the hoyer lift, and did not have any documentation that the hoyer lift had been maintained, inspected or repaired at any time. […]
- No harm, potential for more than minimal, patternF607Jun 6, 2023
Based on interview and record review, it was determined that the facility failed to update and implement policies and procedures to ensure that screening of contracted agency staff was conducted prior to working for 3 out of 3 contracted agency staff reviewed (Staff Identifiers are Staff B, D, and E). Findings include: Review on [DATE] of the facility's monthly schedules revealed the following; Staff B (Licensed Nursing Assistant (LNA)) worked 22 shifts in February 2023; 9 shifts in [DATE]; 32 shifts in [DATE]; and 24 shifts in [DATE]. Staff D (Licensed Practical Nurse (LPN)) worked 9 shifts in [DATE] and 4 shifts in [DATE]. Staff E (LNA) worked 20 shifts in February 2023; 8 shifts in [DATE]; 15 shifts in [DATE]; 17 shifts in [DATE], and 3 shifts in [DATE]. […]
Read 20 findings in full →The most serious and the most recent: 20 of 78 on record.
Every survey on record
FindingsAt actual harm or above
- Dec 3, 2025Standard and complaint10 findings
- Oct 22, 2024Standard11 findings
- Oct 26, 2023Standard13 findings
- Jun 6, 2023Complaint7 findings
- Oct 18, 2022Standard10 findings
- Aug 26, 2022Complaint2 findings
- Aug 4, 2021Standard2 findings
- Mar 12, 2021Complaint4 findings
Show the 8 earlier surveys
- Jun 6, 2018Standard2 findings
- May 23, 2017Standard6 findings
- Dec 1, 2015Complaint1 finding
- May 22, 2015Standard2 findings
- Apr 18, 2013—1 finding
- Feb 24, 2012—2 findings
- Jun 23, 2011—2 findings
- Mar 7, 2011—3 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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