Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Exeter Center during CMS and state inspections, most recent first.
An LPN was observed storing an open multi-dose vial of Tuberculin Purified Protein Derivative (Mantoux) in the medication refrigerator without documenting the open date or expiration date, contrary to manufacturer instructions and facility policy requiring such labeling for product integrity.
Surveyors found that food items in the kitchen were not stored according to professional standards, with several items lacking proper labeling, dating, or covering, and some foods being kept beyond recommended timeframes. The facility's own policies and the FDA Food Code require proper storage, labeling, and timely use or disposal of food, but these procedures were not followed, as confirmed by dietary staff.
Two residents with documented Stage 2 pressure ulcers present on admission were incorrectly coded on their MDS assessments, with one not marked as having a pressure ulcer and the other not identified as having the ulcer on admission. These errors were confirmed by facility staff.
The facility failed to follow bowel management protocols for two residents, leading to one requiring hospitalization. A resident with hepatic failure and cirrhosis did not receive prescribed Lactulose, resulting in unresponsiveness and hospitalization. Another resident with cirrhosis did not meet bowel movement goals, and staff failed to notify the provider. Staff interviews revealed communication lapses in tracking bowel movements.
The facility failed to maintain adequate staffing levels, as outlined in their Facility Assessment, during April and May 2024. Interviews with staff and residents revealed that the shortage of LNAs led to long wait times for assistance, particularly during mealtimes and when residents required lifts. Residents reported waits of up to 45 minutes and instances of soiling themselves due to delayed responses. Staff expressed that the administration considered only the census, not the acuity of residents, when scheduling, leading to overworked LNAs and insufficient care.
The facility failed to ensure that staff were wearing proper hair restraints in the main kitchen. A cook was observed serving scrambled eggs without a facial hair restraint, despite having facial hair. The cook confirmed this practice, which is against the facility's policy and FDA food code requirements.
The facility failed to follow physician orders and document a resident's injury after a fall. An observation revealed a gauze border dressing on the resident's right elbow without a date, and there was no documentation or order for the dressing. Interviews confirmed the lack of documentation, violating the facility's policy on skin integrity and wound management.
The facility failed to ensure accurate medical records for a resident's wound care, with discrepancies in treatment documentation and wound location evaluations confirmed by staff.
Failure to Label Open Multi-Dose Injectable Medication
Penalty
Summary
During an observation in the Chase Unit medication room, an open multi-dose vial of Tuberculin Purified Protein Derivative (Mantoux) was found in the medication refrigerator without an open date or an open expiration date. This was confirmed by an LPN present at the time. Review of the manufacturer's instructions indicated that a vial in use for 30 days should be discarded, and the facility's own policy required multi-dose vials to be labeled with the date opened to ensure product integrity. The lack of labeling on the vial was not in accordance with both manufacturer instructions and facility policy.
Improper Food Storage and Labeling in Kitchen
Penalty
Summary
Surveyors observed multiple instances of improper food storage in the facility's kitchen. Items found included a small dish of salad covered in plastic wrap without a preparation or use by date, a container of tuna fish labeled with a preparation date, a container of chicken salad with a preparation date, and a bowl of cooked potatoes that was uncovered and undated. Additionally, thawed chicken breasts, cucumbers that were leaking fluid and had black spots, and thawed sliced deli meats with dates indicating they had been pulled from the freezer well beyond recommended timeframes were found in the walk-in refrigerator. These findings were confirmed by the dietary cook during the survey. A review of the facility's food storage policies revealed requirements for all foods to be wrapped or in covered containers, labeled, dated, and arranged to prevent cross-contamination. The policies also specified storage timeframes for ready-to-eat and raw foods. The FDA Food Code was also referenced, which outlines standards for date marking, storage, and discarding of foods to prevent contamination. The facility failed to follow these professional standards and its own policies, resulting in the cited deficiency.
Incorrect MDS Coding for Pressure Ulcers on Admission
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for two residents in relation to pressure ulcers. For one resident, documentation showed a pressure area was present on admission, and the 5-day MDS assessment indicated one Stage 2 pressure ulcer. However, the section indicating whether the Stage 2 ulcer was present on admission was incorrectly coded as zero. The resident's care plan also confirmed the presence of a pressure area on the coccyx upon admission, and the MDS nurse acknowledged the coding error during an interview. For another resident, both the hospital discharge summary and the facility's admission note documented a Stage 2 pressure injury on the right heel at the time of admission. Despite this, the 5-day MDS assessment did not code the resident as having a pressure ulcer or being at risk, and the section for unhealed pressure ulcers was marked as zero. The MDS Coordinator confirmed in an interview that this was an incorrect coding, as the resident did have a Stage 2 pressure ulcer present on admission.
Failure in Bowel Management Protocols
Penalty
Summary
The facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for bowel management. For one resident, the Medication Administration Record (MAR) indicated that the prescribed Lactulose was not administered as needed when the resident did not have the required three bowel movements daily. This oversight led to the resident becoming unresponsive and requiring hospitalization due to concerns of encephalopathy, as the resident had a history of hepatic failure and alcoholic cirrhosis. Another resident also did not receive the necessary bowel management as per the physician's orders. The MAR showed that the resident did not achieve the goal of three bowel movements on multiple days, and the staff failed to notify the provider as required. This resident had a diagnosis of alcoholic cirrhosis. Interviews with staff revealed a lack of communication and tracking of bowel movements, contributing to the failure in following the prescribed bowel management protocols.
Staffing Deficiency in Resident Care
Penalty
Summary
The facility failed to provide sufficient staffing to meet the needs of residents during April and May 2024. The Facility Assessment outlined specific staffing levels required for direct care staff, including one nurse and two LNAs during the day and evening shifts, and one nurse and one LNA during the night shift. However, a review of the Daily Staffing Sheets revealed multiple instances where these staffing levels were not met, with significant shortages in LNA staffing across several shifts. This deficiency was confirmed by the Director of Nursing during an interview. Interviews with staff members highlighted the challenges faced due to inadequate staffing. Staff reported that LNAs were overworked, often unable to take breaks, and that nurses had to assist LNAs despite having their own responsibilities. The lack of sufficient LNAs led to long wait times for residents, particularly during mealtimes and when residents required assistance with lifts, which necessitated two staff members. Staff expressed that the administration seemed to consider only the census and not the acuity of residents when scheduling staff. Residents also reported negative experiences due to the staffing shortages. They described long wait times for assistance, with some residents experiencing waits of up to 45 minutes. One resident mentioned instances of soiling themselves due to delayed responses to call bells. Another resident expressed concerns about safety when being changed in bed by only one aide. The Resident Council meetings also highlighted chronic staffing issues, with reports of staff turnover exacerbating the problem. Overall, the deficiency in staffing levels significantly impacted the quality of care provided to residents.
Failure to Ensure Proper Hair Restraints in Kitchen
Penalty
Summary
The facility failed to prepare food in accordance with professional standards for food service safety and did not ensure that staff were wearing proper hair restraints in the main kitchen. During an observation, a cook was seen serving scrambled eggs without wearing a facial hair restraint, despite having facial hair. The cook confirmed that he/she did not wear a facial hair restraint when serving food. The facility's policy requires all staff to have their hair off the shoulders, confined in a hair net or cap, and facial hair properly restrained. This policy aligns with the FDA food code, which mandates that food employees wear hair restraints to prevent hair from contacting exposed food and clean equipment.
Failure to Follow Physician Orders and Document Resident Injury
Penalty
Summary
The facility failed to follow physician orders for a resident who was reviewed for falls. An observation revealed that the resident had a gauze border dressing on their right elbow without a date. The resident indicated that the injury might have been a result of a recent fall. However, a review of the resident's orders, skin/wound assessments, change in condition report, treatment records, care plans, and progress notes showed no documentation of the right elbow injury. This indicates a lack of proper documentation and adherence to physician orders regarding the resident's care following the fall. Interviews with the Director of Nursing confirmed that there was no documentation or order for the dressings on the resident's right elbow. Additionally, the facility's policy on skin integrity and wound management requires nursing assistants to observe and report skin changes to the nurse, and for the nurse to evaluate and document any skin changes or wounds. The failure to document and follow up on the resident's injury represents a deficiency in meeting professional standards of quality care.
Inaccurate Medical Records for Wound Care
Penalty
Summary
The facility failed to ensure medical records were accurate for one resident reviewed for pressure ulcers. Specifically, a review of the resident's current orders revealed a wound care order dated 4/8/24 for the left posterior thigh, which was not documented in the April 2024 Treatment Administration Record (TAR). An interview with a Registered Nurse confirmed that the treatment had not been added to the TAR. Additionally, the resident's wound evaluations incorrectly listed the location as the rear right thigh instead of the left posterior thigh. The Director of Nursing confirmed these findings and the error in the wound evaluations.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Exeter
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Riverwoods At Exeter | 3.7 mi | — | 2 | 0 |
| Oceanside Skilled Nursing And Rehabilitation | 4.6 mi | — | 6 | 0 |
| Webster At Rye | 6.8 mi | — | 0 | 0 |
| Rockingham County Nursing Home | 7.5 mi | — | 0 | 0 |
| Mill Town Health And Rehabilitation | 8.4 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.