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
5 of 5 overall
Coos County Nursing Hospital has an overall 5-star rating, with 5 stars for health inspections, 4 stars for staffing, and 2 stars for quality measures. It reports 4.72 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection citations included drug labeling/storage, accurate resident assessment, and posting nurse staffing information.
Facility ratings
Health inspections
Staffing
4.7179 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 4.7179.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 0.53
- Nurse aides
- 3.49
- Weekend nursing
- 4.04
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 75%
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
19.5%32.5%Worsening
Residents with a fall causing major injury
9.4%5.1%Improving
Residents with pressure ulcers (bedsores)
2.2%4.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.4%6.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.4%20.5%Worsening
Residents whose ability to walk got worse
7.8%10.6%Worsening
Long-stay residents on antianxiety or sleep medication
35.7%38.3%Worsening
Residents with a long-term catheter
1.7%3.3%Worsening
Residents with new or worsening incontinence
15.7%15.7%No change
Residents with depressive symptoms
0%7%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%100%No change
Short-stay residents given the pneumonia vaccine
—65%—
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
- 54.4 residents on an average day (56% 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.