This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
01
The Essentials
Summary
Across 3 inspections from February 2024 to April 2026, state surveyors documented 20 findings at Grafton County Nursing Home; 20 have a recorded correction; CMS lists no enforcement action in the window.
Inspections
3
2024–2026, standard
Findings
20
Deficiencies cited by state inspectors
Corrected
20
Of 20 findings, with a recorded correction date
Penalties
0
No fines or payment denials in the window
Findings by Year
Findings
Of which, actual harm (level G or above)
* Partial year, through October 1, 2026.
Findings by year
Year
Inspections
Findings
Of which, actual harm (level G or above)
2024
1
6
0
2025
1
8
0
2026
1
6
0
What the Record Shows
20 of 20 findings have a recorded correction date.
CMS lists no fines or payment denials in this window.
No complaint investigation appears in this window. CMS publishes what a complaint investigation cited, not what the complaint alleged.
The latest standard inspection, April 2, 2026, recorded 6 findings (most serious: Level E).
3855 Dartmouth College Highway, North Haverhill, NH 03774
CMS Certification Number
305053
Provider Type
Skilled nursing facility and nursing facility
Certified Beds
135
Ownership
Government - County
Record Window
February 8, 2024 to October 1, 2026
02
Chronology
Inspection History
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
2026
Standard health inspection
6 findings
F880Provide and implement an infection prevention and control program.Level ENo actual harm, potential for moreCorrected May 11, 2026
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Level DNo actual harm, potential for moreCorrected May 14, 2026
F610Respond appropriately to all alleged violations.Level DNo actual harm, potential for moreCorrected May 8, 2026
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Level DNo actual harm, potential for moreCorrected May 14, 2026
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.Level DNo actual harm, potential for moreCorrected May 14, 2026
F908Keep all essential equipment working safely.Level DNo actual harm, potential for moreCorrected May 11, 2026
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2025
Standard health inspection
8 findings
F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.Level ENo actual harm, potential for moreCorrected Mar 10, 2025
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Level DNo actual harm, potential for moreCorrected Mar 7, 2025
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Level DNo actual harm, potential for moreCorrected Mar 10, 2025
F699Provide care or services that was trauma informed and/or culturally competent.Level DNo actual harm, potential for moreCorrected Mar 14, 2025
F791Provide or obtain dental services for each resident.Level DNo actual harm, potential for moreCorrected Mar 21, 2025
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Level DNo actual harm, potential for moreCorrected Mar 14, 2025
F641Ensure each resident receives an accurate assessment.Level BPotential for minimal harmCorrected Mar 21, 2025
F880Provide and implement an infection prevention and control program.Level BPotential for minimal harmCorrected Mar 10, 2025
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2024
Standard health inspection
6 findings
F645PASARR screening for Mental disorders or Intellectual DisabilitiesLevel DNo actual harm, potential for moreCorrected Mar 6, 2024
F679Provide activities to meet all resident's needs.Level DNo actual harm, potential for moreCorrected Mar 1, 2024
F687Provide appropriate foot care.Level DNo actual harm, potential for moreCorrected Mar 7, 2024
F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.Level DNo actual harm, potential for moreCorrected Mar 18, 2024
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Level BPotential for minimal harmCorrected Mar 8, 2024
F732Post nurse staffing information every day.Level BPotential for minimal harmCorrected Mar 10, 2024
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
03
Context
Patterns Worth Examining
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
1
Infection Control, Cited in Two Inspections
Inspectors cited F880 in January 2025 and April 2026. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
242526F880 across all 3 inspections, oldest to newest
04
For Your Next Visit
Questions to Ask on Your Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
01
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in two inspections, most seriously at level E.
02
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
03
Has the home been fined or had payments denied before this record begins?
CMS lists no fines or payment denials in this window. The record starts February 8, 2024; anything earlier is not in it.
05
The Evidence
Sources and Coverage
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the New Hampshire state survey agency.
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
New Hampshire state survey agency
Inspection Feb 8, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
New Hampshire state survey agency
Inspection Jan 31, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
New Hampshire state survey agency
Inspection Apr 2, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
CMS publishes about three inspection cycles; inspections before February 2024 are not in this release.
CMS refreshes these files monthly, after statements of deficiencies are processed, so an inspection from the last two months may not appear yet.
What This Report Cannot Tell You
Complaints not investigated onsite
Allegations screened out by the state before an onsite visit are not published.
Complaint allegations
CMS publishes the deficiencies a complaint survey cited, not the allegation itself.
Facility-reported incidents
Self-reported incidents appear only if they led to an inspection.
Follow-up visits
CMS's files list standard, complaint and infection control surveys, not revisits; a correction date is the one CMS records.
Fire safety inspections
Published by CMS separately and not included in this record yet.
Staffing levels and ownership history
Published by CMS separately and not included in this record.
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.