COOS COUNTY NURSING HOME in Berlin, NH has a 2 out of 5 star overall rating, with 2-star health inspections and quality measures, and 3-star staffing. Reported nurse staffing is 4.81 hours per resident per day, above the federal benchmark of 4.1; there were no fines in the last 24 months, but recent inspection citations included infection control, medication errors, and physical restraints.
Last inspection: February 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8123.
Staffing detail
Registered nurses
0.82
Licensed practical nurses
0.77
Nurse aides
3.23
Weekend nursing
4.15
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 69%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
21%24.6%Worsening
Residents with a fall causing major injury
10.4%2.7%Improving
Residents with pressure ulcers (bedsores)
8.2%8.5%No change
Residents with a urinary tract infection
4.2%10.7%Worsening
Residents who lost too much weight
8.5%10.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
38.1%21.3%Improving
Residents whose ability to walk got worse
22.5%17.7%Improving
Long-stay residents on antianxiety or sleep medication
26.3%35.1%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.5%2.1%Worsening
Residents with new or worsening incontinence
21.8%28.1%Worsening
Residents with depressive symptoms
0%1.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to keep medication mistakes below the allowed level. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: D
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited December 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited December 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited December 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Government - County
Occupancy
76.4 residents on an average day (76% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 9 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.