Map showing the location of BEDFORD HILLS CENTER in BEDFORD, New Hampshire
30 COLBY COURT, BEDFORD, NH, 03110

Overall Score

CMS Five-Star Quality Rating
3/5AverageCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

  • New HampshireAbove 50% of peers73 rated homes · average 2.9★
  • Hillsborough CountyAbove 50% of peers21 rated homes · average 3.0★
  • United StatesAbove only 41% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point4★+1.2 vs NH avg
  • StaffingCan add or remove a star3★+0.1 vs NH avg
  • Quality measuresCan add or remove a star1★−2.1 vs NH avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles4★Above 67% of peersNH avg2.8★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover3★Above only 40% of peersNH avg2.9★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments1★Lowest tier among peersNH avg3.1★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff3.35hrsAbove only 28% of peersNH avg3.89Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only0.70hrsAbove 50% of peersNH avg0.75Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better38%Above 78% of peersNH avg49%RN turnover40%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$16,452Above only 12% of peersNH avg$9,874Fines · denials1 · 0
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
8citations
4inspection dates
0actual harm (G–I)
1immediate jeopardy (J–L)
Oct 3, 2024most recent

Citations by monthJun 2023 – Oct 2024

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Oct 3, 20241 citationCycle 2worst D · no actual harm
  1. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceD · isolatedCorrected Sep 9, 2024
Jul 31, 20244 citationsCycle 2worst D · no actual harm
  1. F552Ensure that residents are fully informed and understand their health status, care and treatments.Resident RightsD · isolatedCorrected Jul 31, 2024
  2. F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Resident RightsB · patternCorrected Aug 16, 2024
  3. F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningB · patternCorrected Aug 21, 2024
  4. F761Ensure 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.Pharmacy ServiceD · isolatedCorrected Aug 28, 2024
May 22, 20241 citationCycle 2worst J · immediate jeopardy$16,452
  1. F760Ensure that residents are free from significant medication errors.Pharmacy ServiceJ · isolatedCorrected Apr 2, 2024
Jun 29, 20232 citationsCycle 3worst D · no actual harm
  1. F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and CareD · isolatedCorrected Jul 26, 2023
  2. F658Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care PlanningD · isolatedCorrected Aug 18, 2023

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined3.35hrsAbove only 28% of peers−0.54 vs NH avg
  • Registered nursesRN hours only0.70hrsAbove 50% of peers−0.05 vs NH avg
  • Licensed practical nursesLPN hours0.89hrs
  • Nurse aidesCNA hours1.76hrs
  • Weekend nursingAll staff on Saturdays and Sundays3.00hrs
  • New Hampshire average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better38%Above 78% of peersNH avg 49%
  • RN turnoverRegistered nurses only40%Not ranked by CMS
  • Administrators who leftIn the past year0Stable leadership
  • Occupancy147 certified beds · ~137 residents a day93%Above 82% of peersNH avg 82%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $16,452In fines
  • 1Fine
  • 0Payment denials
  • $9,874NH avg in fines
Above only 12% of peersFewer fines than 12% of rated homes in New Hampshire

Actions on record

  1. May 22, 2024Civil money penalty$16,452

Ownership

As filed with CMS

Structure

Ownership type
For profit - Limited Liability company
Chain
603 Healthcare7 facilities in the chain2.0★ chain average
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Black Mountain Peak Healthcare, LLC
Indirect owners (5%+)
  • Pr Nh Holdings LLC
  • Rr Nh Holdings LLC
  • Philip Rausman
  • Robert Rausman
  • Sean Stevenson
Operational or managerial control
  • 603 Healthcare LLC
  • Heidi Forrence
  • Ayobami Ojutalayo
  • Sean Stevenson

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 305060 · 30 COLBY COURT, BEDFORD, NH, 03110.
  • Percentiles compare this facility with every rated nursing home in New Hampshire and Hillsborough County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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