BEDFORD HILLS CENTER
Inspected within the last 6 months. Data reflects current conditions.
Bedford Hills Center has a Trust Grade of C, which means it is average and sits in the middle of the pack among nursing homes. It ranks #30 out of 73 facilities in New Hampshire, placing it in the top half, and #12 out of 21 in Hillsborough County, indicating that only a few local options are better. The facility is improving, having reduced its issues from 6 in 2024 to 0 in 2025, but it has had concerning fines totaling $16,452, which is higher than 79% of New Hampshire facilities. Staffing is rated average with a turnover rate of 43%, which is lower than the state average, suggesting some stability among staff. However, there are serious concerns, including a critical incident where a resident received too much insulin, requiring hospitalization, and another case where a resident was not properly informed about the risks of antipsychotic medications. While the nursing home has some strengths, such as a decent staffing turnover rate, the presence of significant medication errors raises important questions for families considering this facility.
- Trust Score
- C
- In New Hampshire
- #30/73
- Safety Record
- High Risk
- Inspections
- Getting Better
- Staff Stability ○ Average
- 43% turnover. Near New Hampshire's 48% average. Typical for the industry.
- Penalties ✓ Good
- $16,452 in fines. Lower than most New Hampshire facilities. Relatively clean record.
- Skilled Nurses ✓ Good
- Each resident gets 42 minutes of Registered Nurse (RN) attention daily — more than average for New Hampshire. RNs are trained to catch health problems early.
- Violations ○ Average
- 8 deficiencies on record. Average for a facility this size. Mostly minor or procedural issues.
The Good
-
Full Sprinkler Coverage · Fire safety systems throughout facility
-
No fines on record
-
Staff turnover below average (43%)
5 points below New Hampshire average of 48%
Facility shows strength in fire safety.
The Bad
Near New Hampshire average (3.0)
Meets federal standards, typical of most facilities
Near New Hampshire avg (46%)
Typical for the industry
Below median ($33,413)
Minor penalties assessed
Part of a multi-facility chain
Ask about local staffing decisions and management
The Ugly 8 deficiencies on record
Oct 2024
1 deficiency
CONCERN
(D)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0760
(Tag F0760)
Could have caused harm · This affected 1 resident
Based on interview and record review, it was determined that the facility failed to ensure that a resident was free from significant medication errors for 1 resident out of 3 residents reviewed for an...
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Jul 2024
4 deficiencies
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0552
(Tag F0552)
Could have caused harm · This affected 1 resident
Based on interview and record review, it was determined that the facility failed to inform the resident and/or the resident's representative of the risks and benefits of antipsychotic medication for 1...
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CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0761
(Tag F0761)
Could have caused harm · This affected 1 resident
Based on observation, interview, and policy review, it was determined that the facility failed to ensure that expired medications were removed from stock in 1 of 2 medication rooms observed.
Findings ...
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MINOR
(B)
Minor Issue - procedural, no safety impact
Deficiency F0582
(Tag F0582)
Minor procedural issue · This affected multiple residents
Based on interview and record review, it was determined that the facility failed to ensure that the resident and/or resident representative was informed timely of the Skilled Nursing Facility (SNF) No...
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MINOR
(B)
Minor Issue - procedural, no safety impact
Assessment Accuracy
(Tag F0641)
Minor procedural issue · This affected multiple residents
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Resident #62
Review on 7/31/2024 of Resident #62's Annual MDS assessment dated [DATE], revealed that Section O0110, Special Trea...
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May 2024
1 deficiency
1 IJ
CRITICAL
(J)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Immediate Jeopardy (IJ) - the most serious Medicare violation
Deficiency F0760
(Tag F0760)
Someone could have died · This affected 1 resident
Based on interview and record review, it was determined that the facility failed to ensure residents remain free from significant medication errors, which resulted in a resident needing interventions ...
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Jun 2023
2 deficiencies
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0658
(Tag F0658)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, it was determined that the facility failed to follow professional standards ...
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CONCERN
(D)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Potential for Harm - no one hurt, but risky conditions existed
ADL Care
(Tag F0677)
Could have caused harm · This affected 1 resident
Based on observation, interview, and record review, it was determined that the facility failed to provide oral hygiene for 1 out of 1 resident reviewed for Activities of Daily Living (ADL) (Resident i...
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Understanding Severity Codes (click to expand)
Questions to Ask on Your Visit
- "What changes have you made since the serious inspection findings?"
- "Can I speak with families of current residents?"
- "What's your RN coverage like on weekends and overnight?"
Our Honest Assessment
- • 43% turnover. Below New Hampshire's 48% average. Good staff retention means consistent care.
- • Multiple safety concerns identified: 1 life-threatening violation(s). Review inspection reports carefully.
- • 8 deficiencies on record, including 1 critical (life-threatening) violation. These warrant careful review before choosing this facility.
- • $16,452 in fines. Above average for New Hampshire. Some compliance problems on record.
- • Grade C (56/100). Below average facility with significant concerns.
About This Facility
What is Bedford Hills Center's CMS Rating?
CMS assigns BEDFORD HILLS CENTER an overall rating of 3 out of 5 stars, which is considered average nationally. Within New Hampshire, this rating places the facility higher than 0% of the state's 100 nursing homes. This mid-range rating indicates the facility meets federal standards but may have areas for improvement.
How is Bedford Hills Center Staffed?
CMS rates BEDFORD HILLS CENTER's staffing level at 3 out of 5 stars, which is average compared to other nursing homes. Staff turnover is 43%, compared to the New Hampshire average of 46%. This relatively stable workforce can support continuity of care.
What Have Inspectors Found at Bedford Hills Center?
State health inspectors documented 8 deficiencies at BEDFORD HILLS CENTER during 2023 to 2024. These included: 1 Immediate Jeopardy (the most serious level, indicating potential for serious harm or death), 5 with potential for harm, and 2 minor or isolated issues. Immediate Jeopardy findings are rare and represent the most serious regulatory concerns. They require immediate corrective action.
Who Owns and Operates Bedford Hills Center?
BEDFORD HILLS CENTER is owned by a for-profit company. For-profit facilities operate as businesses with obligations to shareholders or private owners. The facility is operated by ROBERT RAUSMAN, a chain that manages multiple nursing homes. With 147 certified beds and approximately 135 residents (about 92% occupancy), it is a mid-sized facility located in BEDFORD, New Hampshire.
How Does Bedford Hills Center Compare to Other New Hampshire Nursing Homes?
Compared to the 100 nursing homes in New Hampshire, BEDFORD HILLS CENTER's overall rating (3 stars) is below the state average of 3.0, staff turnover (43%) is near the state average of 46%, and health inspection rating (4 stars) is above the national benchmark.
What Should Families Ask When Visiting Bedford Hills Center?
Based on this facility's data, families visiting should ask: "What changes have been made since the serious inspection findings, and how are you preventing similar issues?" "Can I visit during a mealtime to observe dining assistance and food quality?" "How do you handle medical emergencies, and what is your hospital transfer rate?" "Can I speak with family members of current residents about their experience?" These questions are particularly relevant given the facility's Immediate Jeopardy citations.
Is Bedford Hills Center Safe?
Based on CMS inspection data, BEDFORD HILLS CENTER has documented safety concerns. Inspectors have issued 1 Immediate Jeopardy citation (the most serious violation level indicating risk of serious injury or death). The facility has a 3-star overall rating and ranks #100 of 100 nursing homes in New Hampshire. Families considering this facility should ask detailed questions about what corrective actions have been taken since these incidents.
Do Nurses at Bedford Hills Center Stick Around?
BEDFORD HILLS CENTER has a staff turnover rate of 43%, which is about average for New Hampshire nursing homes (state average: 46%). Moderate turnover is common in nursing homes, but families should still ask about staff tenure and how the facility maintains care continuity when employees leave.
Was Bedford Hills Center Ever Fined?
BEDFORD HILLS CENTER has been fined $16,452 across 1 penalty action. This is below the New Hampshire average of $33,243. While any fine indicates a compliance issue, fines under $50,000 are relatively common and typically reflect isolated problems that were subsequently corrected. Families should ask what specific issues led to these fines and confirm they've been resolved.
Is Bedford Hills Center on Any Federal Watch List?
BEDFORD HILLS CENTER is not on any federal watch list. The most significant is the Special Focus Facility (SFF) program, which identifies the bottom 1% of nursing homes nationally based on persistent, serious quality problems. Not being on this list means the facility has avoided the pattern of deficiencies that triggers enhanced federal oversight. This is a positive indicator, though families should still review the facility's inspection history directly.