Deficiency Index

Jaffrey Rehabilitation and Nursing Center

Jaffrey, New Hampshire · CCN 305072

13 surveys since 2012, 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
44
Surveys
13
Harm or worse
0
Immediate jeopardy
0
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file10/13

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
83
Ownership
For profit - Individual
Chain
EPHRAM LAHASKY
County
Cheshire · rural
Medicare-certified since
1996

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 16 for-profit facilities of 66–99 beds in New Hampshire.

Last survey on record

May 21, 2026

172 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.413.41
Registered-nurse hours per resident day0.81—
Annual nurse turnover39.7%45.6%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1257.1%E523.8%F29.5%
No harm, potential for minimalA—B29.5%C—
CMS’s current file: 21 of the 44 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6582×

    Ensure services provided by the nursing facility meet professional standards of quality.

  • 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.

  • F5521×

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

In the surveyor’s words

From the most serious findings on record at Jaffrey Rehabilitation and Nursing Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF880May 21, 2026

    Based on interview and record review it was determined that the facility failed to implement control measures from their water management plan to prevent the growth and spread of Legionella and other water borne pathogens in a facility with a census of 72 residents. Findings Include: Review on 5/20/26 of facility's Legionella Water Management Plan revealed: Control Measures and Corrective Actions 4. Flush hot water tank sediment at least annually. 7. Remove and clean shower heads (including handheld wands) used for resident bathing. Clear strainers and pressure restrictors of sediment and potential biofilm, at least annually. Interview on 5/20/2026 at 9:28 a.m. with Staff B (Director of Maintenance) confirmed that there was no documentation the above control measures were performed. […]

  • No harm, potential for more than minimal, widespreadF727Apr 16, 2025

    Based on interview and record review, it was determined that the facility failed to ensure that a Registered Nurse (RN) was on duty for at least eight (8) consective hours a day, 7 days a week, for 2 days in Fiscal Year Quarter 1 2025. Findings include: Review on 4/14/25 of the Payroll Based Journal Staffing Data [NAME] Report for Fiscal Year Quarter 1 2025 revealed that the facility triggered for failing to have Registered Nurse (RN) hours for 8 consecutive hours a day for 78 days during October 2025, November 2025, and December 2025. Review on 4/16/25 of the facility's Payroll Detail and Daily Attendance Report revealed that there was no RN coverage on 10/7/24 and 11/24/24. Interview on 4/16/25 at 2:37 p.m. […]

  • No harm, potential for more than minimal, patternF759Apr 16, 2025

    Based on observation, interview, and record review, it was determined that the facility failed to ensure a medication error rate less than 5 percent (%) for 2 of 28 medication administrations observed. (Resident Identifiers are #38 and #224). Findings include: Resident #38 Observation on 4/14/25 at 9:02 a.m. of the morning medication administration for Resident #38 with Staff L (Licensed Practical Nurse (LPN)) revealed Staff L prepared one tablet of Calcium Carbonate 600 milligrams (mg) and one tablet of Vitamin D 1000 units and attempted to administer the medications to Resident #38. […]

  • No harm, potential for more than minimal, patternF851Apr 16, 2025

    Based on interview and record review it was determined that the facility failed to submit complete and accurate data for Payroll Based Journal (PBJ) for Fiscal Year Quarter 1 2025 (October 1, 2025 to December 31, 2025). Findings include: Review on 4/14/25 of the Payroll Based Journal Staffing Data [NAME] Report for Fiscal Year Quarter 1 2025 revealed that the facility failed to have Registered Nurse (RN) hours and failed to have Licensed Nursing Coverage 24 hours a day on the following dates: 10/1/24 to 10/31/24; 11/1/24 to 11/30/24; and 12/15/25 to 12/31/25. Review on 4/16/25 of the facility's Payroll Detail and Daily Attendance Report revealed that there was 24 hour of Licensed Nurse coverage on the above days. […]

  • No harm, potential for more than minimal, patternF812Apr 26, 2024

    Based on observation, interview, and policy review, it was determined that the facility failed to store and serve food in accordance with professional standards for food safety to prevent foodborne illness and failed to monitor the high dishwasher temperatures to ensure proper sanitization. Food Storage: Findings include: Review on 4/23/24 of the U.S. Food and Drug Administration Food Code, dated 2017, retrieved from https://www.fda.gov/food/FDA-food-code/food-code-2017 revealed the following: .Annex 3, Public Health Reasons/Administrative Guidelines . Chapter 3 Food .3-305.11 Food Storage .FOOD shall be protected from contamination by storing the FOOD: . […]

Read 20 findings in full →The most serious and the most recent: 20 of 44 on record.

Every survey on record

FindingsAt actual harm or above

  • May 21, 2026Standard7 findings
  • Apr 16, 2025Standard9 findings
  • Apr 26, 2024Standard5 findings
  • Apr 13, 2023Standard5 findings
  • Jun 1, 2022Standard2 findings
  • May 20, 2021Standard4 findings
  • May 21, 2020Infection control1 finding
  • Sep 19, 2018Standard1 finding
Show the 5 earlier surveys
  • Aug 24, 2017Standard and complaint3 findings
  • Aug 19, 2016Standard2 findings
  • Aug 27, 2015Standard1 finding
  • Sep 5, 2014Standard2 findings
  • May 31, 2012—2 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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