Wolfeboro Bay Center
Wolfeboro, New Hampshire · CCN 305083
19 surveys since 2010, 4 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
- 67
- Surveys
- 19
- Harm or worse
- 4
- Immediate jeopardy
- 4
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
- 104
- Ownership
- For profit - Limited Liability company
- Chain
- 603 HEALTHCARE
- County
- Carroll · rural
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 4
- 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 100–127 beds in New Hampshire.
Last survey on record
Apr 16, 2026
207 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 | 3.55 | 3.35 |
| Registered-nurse hours per resident day | 0.75 | — |
| Annual nurse turnover | 45.1% | 41.0% |
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 | D1155.0% | E525.0% | F— |
| No harm, potential for minimal | A— | B420.0% | C— |
Most frequently cited here
In CMS’s current monthly file.
- 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.
- F5671×
Honor the resident's right to manage his or her financial affairs.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6051×
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
In the surveyor’s words
From the most serious findings on record at Wolfeboro Bay Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF759Feb 21, 2025
Based on observation, interview, and record review, it was determined that the facility failed to ensure a medication error rate was less than 5 percent (%) for 11 of 35 medication administrations observed. (Resident identifiers are #38) Findings include: Resident #38 Observation on 2/21/25 at approximately 8:45 a.m. of Staff B (Licensed Practical Nurse) revealed Staff B prepared the following 11 medications for Resident #1: Aspirin 81 mg (milligram) enteric coated, Magnesium Oxide 400 mg, Vitamin D3 1000 iu (units), Senna 8.6 mg, Miralax 17gm (grams), Buspirone 15 mg, Olanzapine 15 mg (3), Paroxetine 50 mg, Metformin 1000 mg, Carvedolil 25 mg, and Lisinopril 20 mg. Further observation revealed Staff B entered the wrong residents room. […]
- No harm, potential for more than minimal, patternF712Jan 19, 2024
Based on interview and record review, it was determined that the facility failed to ensure that long term care residents were seen face to face by a physician at least once every 60 days for 2 out of 2 residents reviewed for physician visits in a final sample of 22 residents (Resident Identifiers are #22 and #42). Finding include: Resident #22 Interview on 1/17/24 at 1:13 p.m. with Resident #22 revealed that he/she has seen the nurse practitioner but has not seen the physician. Review on 1/18/24 of Resident #22's medical record revealed he/she was initially admitted to the facility for long term care on 1/23. […]
- No harm, potential for more than minimal, patternF725Jan 19, 2024
Based on interview and record review, it was determined that the facility failed to provide sufficient staff to meet residents' needs for 12 of 30 days reviewed (Resident Identifiers are #3, #10, #13, #15, #19, #21, #22, #29 #43, #46, and #211). Findings include: Review on 1/17/24 of the facility assessment staffing ratios revealed: Solona Unit Licensed Nursing Assistant (LNA) ratios = 1:12 for 7:00 a.m. - 3:00 p.m., 2:16 for 3:00 p.m. - 11:00 p.m. and 1:24 for 11:00 p.m. - 7:00 a.m. Granite Unit LNA ratios = 1:13 for the 7:00 a.m. - 3:00 p.m., 1:13 3:00 p.m. - 11:00 p.m. and 1:19 for 11:00 p.m. - 7:00 a.m. Review on 1/16/24 at 11:00 a.m. […]
- No harm, potential for more than minimal, patternF761Jan 19, 2024
Based on observation, interview, and record review, it was determined that the facility failed to monitor medication temperatures to ensure safe temperature controls in 3 out of 4 medication room refrigerators observed. Findings include: Review on 1/16/24 of the Temperature Refrigerator Log in the Bay Unit medication room for January 2024 revealed missing temperatures on 3 of 15 days (1/2/24, 1/4/24, and 1/5/24). Interview on 1/16/24 at 10:59 a.m. with Staff E (Licensed Practical Nurse, Unit Manager) confirmed above findings. Interview on 1/16/24 at 10:43 a.m. […]
- No harm, potential for more than minimal, patternF812Jan 19, 2024
Based on observation, interview, and record review, it was determined that the facility failed to monitor food temperatures to ensure proper preparation. Findings include: Interview on 1/16/24 at 1:00 p.m. with Staff I (Food Service Director) revealed that food temperatures had not been taken for the morning breakfast food service or during the lunch meal service and that he/she was unable to provide any documentation of meal temperature monitoring. Observation on 1/16/24 at 1:30 p.m. of the Meal Temperature Logs revealed the most current log with temperatures were from August of 2023. Interview on 1/16/24 at 1:32 p.m. with Staff I (Food Service Director) confirmed that they had not been taking the temperature of the food prior to service.
Read 24 findings in full →The most serious and the most recent: 24 of 67 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 16, 2026Standard2 findings
- Feb 21, 2025Standard2 findings
- Jan 19, 2024Standard and complaint10 findings
- Nov 1, 2023Complaint2 findings
- Jul 18, 2023Complaint4 findings
- Jan 9, 2023Standard9 findings
- Jun 22, 2022Complaint2 findings
- Jan 12, 2022Standard and complaint8 findings
Show the 11 earlier surveys
- Oct 9, 2020Standard1 finding
- Aug 7, 2020Complaint2 findings
- Dec 13, 2019Complaint1 finding
- Apr 10, 2019Complaint1 finding
- Jan 17, 2019Standard3 findings
- Feb 6, 2018Standard4 findings
- Nov 30, 2017Complaint2 findings
- Feb 17, 2017Standard2 findings
- Nov 7, 2014Standard3 findings
- Sep 7, 2012—3 findings
- Dec 7, 2010—6 findings · 4 harm
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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