Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
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 Goffstown Nursing And Rehab Center during CMS and state inspections, most recent first.
Residents were unable to access their personal funds during evenings and weekends because staff did not have access to petty cash outside of regular business hours, despite facility policy stating such access should be available.
The facility did not submit complete and accurate direct care staffing information to CMS for Fiscal Quarter 3, 2024. A review of the Payroll Based Journal Staffing Data Report showed the data was missing, which was confirmed by the Business Office Manager.
The facility did not have an RN on duty for 8 consecutive hours on three separate days, as required. This was confirmed by the scheduler and the DON, who was on call but not physically present during these times.
The facility did not follow antibiotic use protocols, failing to monitor, track, and review antibiotic use for 9 out of 12 months. From November 2023 to May 2024 and September 2024 to present, there was no documentation of antibiotic tracking. The Infection Prevention staff confirmed the lack of monitoring, and the facility's policy on Antibiotic Stewardship was not adhered to, resulting in the deficiency.
The facility failed to maintain a hoyer lift according to the manufacturer's instructions, as revealed by interviews with staff and a review of the lift's manual. The Maintenance Director admitted to not performing routine inspections or maintenance, and LNAs reported difficulties in maneuvering the lift. The manual specified regular inspections and maintenance, which were not conducted, leading to the deficiency.
A resident fell during a mechanical lift transfer, bumping their head, but the incident was not reported to the SSA as required. The facility's Administrator was unaware of the event until it was highlighted during an interview, and no investigation documentation was available.
A resident fell from a hoyer lift during a transfer, resulting in a slight head bump. The incident was reported to the DON, but the facility failed to investigate or document the event, contrary to its policy requiring thorough investigation and documentation of accidents.
A resident fell and hit their head during a transfer with a hoyer lift, but the facility failed to perform the required neurological assessments. Despite obtaining an order for 72-hour neuro checks, there was no documentation of these assessments being conducted, as confirmed by the facility's administrator. This oversight violated the facility's policy for monitoring residents with head injuries.
A facility failed to identify trauma triggers for a resident with PTSD, potentially leading to re-traumatization. Despite a care plan addressing behaviors like crying and withdrawal, no specific triggers were identified in the resident's records, including the Generations Psychiatry Progress Note and Social Services assessment. Behavior monitoring showed the resident exhibited behaviors such as grouchy, swearing, and shrieking when moved. The facility's administrator confirmed the lack of identified PTSD triggers.
A facility failed to document a Gradual Dose Reduction (GDR) or its clinical contraindication for a resident on Seroquel. Despite a recommendation for GDR by a Pharmacy Consultant, the provider declined without documenting clinical appropriateness. The last GDR attempt was in 2021, and no recent documentation supported the continued dosage. The DON confirmed the lack of documentation.
A facility failed to follow CDC guidance for PPE under Enhanced Barrier Precautions (EBP) for a resident with an indwelling catheter. There was no signage or PPE provided, and an LNA provided care without PPE, unaware of the EBP status. The resident had orders for a urinary catheter, EBP, and Ciprofloxacin for a UTI. Interviews confirmed the resident was not on EBP.
The facility failed to provide two residents with the Skilled Nursing Facility (SNF) Advance Beneficiary Notice (ABN) for services not covered by Medicare. Both residents were discharged from Medicare services but remained in the facility without receiving the required SNF ABN Form CMS-10055 notice. The Director of Social Services confirmed the oversight during an interview.
Failure to Provide Resident Access to Personal Funds During Off-Hours
Penalty
Summary
The facility failed to ensure that residents had access to their personal funds during off business hours. Review of the facility's Resident Petty Cash Policy indicated that procedures were in place to allow residents access to their funds during evenings and weekends through designated staff such as charge nurses or supervisors. However, interview with the Business Office Manager revealed that, in practice, residents could only request cash during regular business hours, as staff did not have access to the facility's petty cash during evenings or weekends. This resulted in residents being unable to access their personal funds outside of standard business hours, despite the facility managing personal accounts for 25 residents.
Failure to Submit Staffing Data to CMS
Penalty
Summary
The facility failed to submit complete and accurate direct care staffing information to the Centers for Medicare & Medicaid Services (CMS) for Fiscal Quarter 3, covering the period from April 1, 2024, to June 30, 2024. A review conducted on October 20, 2024, of the facility's Payroll Based Journal Staffing Data Report for this quarter revealed that the data was not submitted. This finding was confirmed during an interview on October 22, 2024, with the Business Office Manager, Staff F.
Failure to Ensure RN Coverage
Penalty
Summary
The facility failed to ensure that a Registered Nurse (RN) was on duty for 8 consecutive hours a day, 7 days a week, as required. This deficiency was identified for 3 out of 30 days reviewed between September 15, 2024, and October 20, 2024. Specifically, on September 15, September 28, and October 13, 2024, there were no RN hours documented as worked. This was confirmed through interviews with the facility's scheduler and the Director of Nursing (DON). The DON stated that he/she was on call every other weekend when there was no RN working but was not physically present in the building for the required 8 consecutive hours.
Failure to Monitor and Track Antibiotic Use
Penalty
Summary
The facility failed to adhere to antibiotic use protocols by not implementing a system to monitor, track, and review antibiotic use for 9 out of 12 months reviewed. Specifically, from November 2023 through May 2024 and again from September 2024 to the present, there was no documentation of antibiotic tracking. An interview with the Infection Prevention staff confirmed the absence of monitoring and tracking, including documentation that antibiotics met criteria for use. The facility's policy on Infection Control - Antibiotic Stewardship, revised in February 2022, outlines the need for an Antibiotic Stewardship Program (ASP) team to be accountable for reviewing infections, monitoring antibiotic usage patterns, and reporting on antibiotic prescriptions and residents treated each month. However, these procedures were not followed, leading to the deficiency.
Failure to Maintain Hoyer Lift as per Manufacturer's Instructions
Penalty
Summary
The facility failed to maintain resident care equipment according to the manufacturer's instructions for the hoyer lift. During an interview, the Maintenance Director, Staff J, admitted that the legs on the hoyer lift were difficult to open and that no routine inspections or maintenance had been performed on the lift since their employment began four months ago. Staff J also confirmed the absence of any documentation indicating that the hoyer lift had been maintained, inspected, or repaired at any time, despite the lift being over a year old and requiring routine inspection and maintenance. Further interviews with two Licensed Nursing Assistants (LNAs), Staff K and Staff L, revealed that the hoyer lift was difficult to maneuver and wobbly when in use with a resident. A review of the hoyer lift manual indicated that after the first year of use, specific components of the lift should be inspected every three to six months for wear and tightness, with replacements made if necessary. Additionally, the manual specified that for institutional use, the lift and all components should be inspected or adjusted monthly. The facility's failure to adhere to these maintenance guidelines led to the deficiency.
Failure to Report Resident Fall Incident
Penalty
Summary
The facility failed to report an alleged violation of neglect to the State Survey Agency (SSA) concerning a resident who experienced a fall during a mechanical lift transfer. The incident occurred when the resident was being transferred from a wheelchair to a bed using a hoyer lift, resulting in the resident being lowered to the floor after bumping their head against a window sill. Despite the incident being documented in the resident's medical record, the facility's Administrator was unaware of the event until it was brought to their attention during an interview. The facility's policy requires the Administrator and/or Director of Nursing to ensure state reporting occurs within required time frames, but no documentation of an investigation or report to the SSA was provided.
Failure to Investigate Resident Fall from Hoyer Lift
Penalty
Summary
The facility failed to thoroughly investigate an alleged incident of neglect involving a resident who fell from a hoyer lift. The incident occurred approximately six weeks prior to the surveyor's interview with the resident, who reported falling during a mechanical lift transfer. The resident's medical record included a provider note indicating that the resident had an accidental fall during a transfer, resulting in a slight bump to the head. However, the facility's administrator was unaware of the incident and could not provide documentation of an investigation. Further interviews revealed that a Licensed Nursing Assistant and another staff member were involved in the transfer when the resident began flailing, causing the lift to tip. The staff reported the incident to the Director of Nursing, who was present at the time, but no written statement was requested from the staff involved. The facility's policy requires that all accidents and incidents be reviewed and investigated by the Administrator, DON, or designee, including conducting witness interviews and documenting the root cause. The lack of documentation and investigation indicates a failure to adhere to these policies.
Failure to Perform Neurological Assessments After Resident Fall
Penalty
Summary
The facility failed to perform neurological assessments after a resident fell and hit their head. This deficiency was identified for one out of three residents reviewed for falls in a sample of 15 residents. The incident involved a resident who fell while being transferred with a hoyer lift, resulting in a head injury. Although the provider was notified and an order was obtained to conduct neurological checks for 72 hours, there was no electronic documentation indicating that these assessments were performed. An interview with the facility's administrator confirmed the absence of documentation for the required neurological assessments following the fall. The facility's policy mandates that residents with head injuries be observed for neurological abnormalities, but this was not adhered to in this case.
Failure to Identify PTSD Triggers for a Resident
Penalty
Summary
The facility failed to identify trauma triggers for a resident diagnosed with Post Traumatic Stress Disorder (PTSD), which could potentially lead to re-traumatization. The resident's diagnosis of PTSD was confirmed through a record review, and the Minimum Data Set Assessment indicated PTSD as a current diagnosis. Despite having a care plan for behaviors such as crying, withdrawal, and lack of appetite associated with PTSD, no specific triggers were identified. Additionally, the Generations Psychiatry Progress Note and Social Services assessment did not list any PTSD triggers. Behavior monitoring records showed the resident exhibited behaviors like grouchy, swearing, and shrieking when moved. An interview with the facility's administrator confirmed the absence of identified PTSD triggers for the resident.
Failure to Document Gradual Dose Reduction for Psychotropic Medication
Penalty
Summary
The facility failed to ensure that a resident taking psychotropic medication received a Gradual Dose Reduction (GDR) or documented if the GDR was clinically contraindicated. The resident was prescribed Seroquel 50 mg, to be taken three times a day. A Pharmacy Consultant Report recommended a GDR for the Seroquel, but the provider declined the recommendation without providing documentation of continued clinical appropriateness. The Generations Geriatric Psychiatry Progress Note indicated that the last GDR attempt was in May 2021, and suggested considering a medication decrease in the future, but did not document the clinical appropriateness of continuing the current dosage. The Director of Nursing confirmed the absence of documentation for a GDR attempt or its clinical contraindication.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to CDC guidance for wearing Personal Protective Equipment (PPE) under Enhanced Barrier Precautions (EBP) for a resident with an indwelling catheter. During an observation, it was noted that there was no signage indicating the resident was on EBP, nor was PPE provided for care. A Licensed Nursing Assistant (LNA) was observed performing care without PPE. The LNA later confirmed they were unaware of the EBP status. A review of the resident's active orders showed an order for a urinary catheter and EBP, as well as an order for Ciprofloxacin for a Urinary Tract Infection (UTI). Interviews with the Director of Nursing and Infection Prevention staff confirmed the resident was not on EBP.
Failure to Provide SNF ABN Notices to Residents
Penalty
Summary
The facility failed to inform two residents and/or their representatives about the Skilled Nursing Facility (SNF) Advance Beneficiary Notice (ABN) for services not covered by Medicare. Resident #135 was discharged from Medicare services on June 28, 2024, but remained in the facility without receiving the SNF ABN Form CMS-10055 notice prior to the discharge from Medicare Part A services. Similarly, Resident #136 was discharged from Medicare services on May 3, 2024, and also remained in the facility without receiving the required notice. An interview with the Director of Social Services confirmed that the SNF ABN Form CMS-10055 was not completed for these residents. This oversight was identified during a review conducted on October 20, 2024, which highlighted the facility's failure to ensure proper notification regarding potential liability for services not covered by Medicare.
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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 Goffstown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hillsborough County Nursing Home | 1.2 mi | — | 0 | 0 |
| Hackett Hill Healthcare Center | 3.5 mi | — | 2 | 0 |
| Courville At Manchester | 4.5 mi | — | 9 | 0 |
| Bedford Nursing & Rehabilitation Center | 4.5 mi | — | 7 | 1 |
| Maple Leaf Health Care Center | 5.2 mi | — | 2 | 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.