Havenwood-Heritage Heights
Concord, New Hampshire · CCN 305016
10 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
- 30
- Surveys
- 10
- 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
- 70
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Merrimack · rural
- Medicare-certified since
- 1969
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 4
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=12, floor 20).
Last survey on record
Apr 22, 2026
201 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 | 5.23 | 4.74 |
| Registered-nurse hours per resident day | 1.03 | — |
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 | D228.6% | E228.6% | F228.6% |
| No harm, potential for minimal | A— | B114.3% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8802×
Provide and implement an infection prevention and control program.
- F6371×
Assess the resident when there is a significant change in condition
- F7581×
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.
- F7611×
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.
- F8511×
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
In the surveyor’s words
From the most serious findings on record at Havenwood-Heritage Heights, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF851Apr 22, 2026
Based on interview and record review, 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 Year Quarter 1 2026 (October 1 - December 31).Findings include:Review on 4/20/26 of the facility's Payroll Based Journal Staffing Data Report for Fiscal Year Quarter 1 2026 (October 1 - December 31) revealed that the facility failed to submit data for the quarter.Interview on 4/21/26 at 8:45 a.m. with Staff B (Administrator) confirmed the above and stated that the facilities Payroll Based Journal Staffing Data for Fiscal Year Quarter 1 2026 had been rejected.
- No harm, potential for more than minimal, widespreadF880Apr 22, 2026
Based on interview and record review, it was determined that the facility failed to have a water management plan that included all the necessary elements to prevent the growth and spread of Legionella and other opportunistic waterborne pathogens in a facility with a census of 64 residents.Findings include:Review on 4/21/26 of the facility's Water Management Plan, dated 1/1/26, revealed the facility used guideline materials from the Center for Disease Control for Legionella and other opportunistic pathogens to establish the facility plan. […]
- No harm, potential for more than minimal, patternF883Mar 13, 2025
Based on interview and record review, it was determined that the facility failed to ensure that residents were offered or provided education on the risks and benefits of the pneumococcal vaccination for 4 of 5 residents reviewed for immunizations (Resident identifiers are #12, #18, #30, and #67). Findings include: Resident #12 Review on 3/12/25 of Resident #12's medical record revealed that Resident #12 was [AGE] years old and was admitted to the facility in 9/2023. Resident #12's immunization record revealed that pneumovax 23 was given on 9/25/12 and prevnar 13 was given on 9/3/15. […]
- No harm, potential for more than minimal, patternF880Feb 22, 2024
Based on record review, observation, interview, and policy review, it was determined that the facility failed to follow policies for managing healthcare personnel with symptoms of SARS-CoV-2 (COVID-19) working in the facility (Staff identifiers are F, G, H, I, J, K, L, and M) and to sanitize a dining utility cart between uses on 1 of 2 units observed (second floor dining room). Findings include: Observation on 2/21/24 at 8:00 a.m. of the facility's staff entrance revealed COVID-19 screening for staff to attest every time a staff member enters the facility. […]
- No harm, potential for more than minimal, patternF842Feb 24, 2022
Based on interview and record review, it was determined that the facility failed to assure that medical records were complete and accurate for 1 resident in a final sample of 16 with records reviewed. (Resident identifier is #21.) Findings include: Review on 2/24/22 at approximately 11:54 a.m. of Resident #21's February 2022 Medication Administration Record [MEDICAL RECORD OR PHYSICIAN ORDER] . Further review of February 2022 MAR indicated [MEDICAL RECORD OR PHYSICIAN ORDER] . Interview on 02/24/22 at approximately 2:20 p.m. with Staff D Registered Nurse confirmed no documentation of removal of [MEDICATION(S)] on February 2022 MAR for Resident #21 on 2/1/22,2/5/22, and 2/9/22. Staff D stated that there is no system in place to assure that patch removal is documented.
Read 20 findings in full →The most serious and the most recent: 20 of 30 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 22, 2026Standard2 findings
- Mar 13, 2025Standard2 findings
- Feb 22, 2024Standard3 findings
- Feb 2, 2023Standard1 finding
- Feb 24, 2022Standard4 findings
- May 23, 2019Standard1 finding
- Sep 22, 2017Standard4 findings
- Jun 13, 2013—6 findings
Show the 2 earlier surveys
- Apr 5, 2012—2 findings
- Jun 23, 2011—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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