The home failed to properly label and securely store medications and biologicals. Cited November 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
Nursing home report
Coos County Nursing Hospital
WEST STEWARTSTOWN, NH · Medicare-certified · 97 beds
In good standing
Government-run
Data as of July 1, 2026
5 of 5 overall
5-star facility overall, with a 5-star health inspection rating, 4-star staffing, and 2-star quality measures. Reported nurse staffing is 4.74 hours per resident per day, above the federal benchmark of 4.1, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.7425 hrs/resident/day
Quality measures
Last inspection: October 16, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7425.
Staffing detail
- Registered nurses
- 0.75
- Licensed practical nurses
- 0.70
- Nurse aides
- 3.29
- Weekend nursing
- 4.03
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 44%
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).
Long-stay residents on antipsychotic medication
28.3%37.8%Worsening
Residents with a fall causing major injury
5.3%3.9%Improving
Residents with pressure ulcers (bedsores)
0%2.7%Worsening
Residents with a urinary tract infection
3.5%0%Improving
Residents who lost too much weight
2.3%7.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.5%16.7%Improving
Residents whose ability to walk got worse
16.6%6.8%Improving
Long-stay residents on antianxiety or sleep medication
37.8%41%Worsening
Residents with a long-term catheter
1.5%3.1%Worsening
Residents with new or worsening incontinence
23.3%15.2%Improving
Residents with depressive symptoms
0%2.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98%Worsening
Short-stay residents given the pneumonia vaccine
—57.5%—
What the inspectors found
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited November 2023 — limited pattern, minimal harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: B
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited November 2023 — limited pattern, minimal harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: B
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 56.2 residents on an average day (58% of 97 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.