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 Harris Hill Center, Genesis Healthcare during CMS and state inspections, most recent first.
A resident was found self-applying Voltaren cream kept at their bedside without a documented assessment or provider order authorizing self-administration, despite facility policy requiring evaluation and authorization for such practices. Staff confirmed the absence of the required assessment and order, even though the resident demonstrated no cognitive impairment.
A resident with multiple mental health diagnoses was admitted and identified through a Level I PASARR screening as needing a Level II evaluation for long-term care placement. However, the facility did not complete the required referral for the Level II PASARR, as confirmed by record review and staff interview.
The facility did not follow care plan interventions for two residents: one with congestive heart failure who experienced a significant weight gain without required physician notification, and another with insulin-dependent diabetes who had a hypoglycemic episode but did not have the physician notified as ordered. In both cases, the medical director confirmed that the necessary notifications were not made.
A resident with diabetes mellitus type II did not receive insulin according to manufacturer and facility protocols when a nurse primed the Novolog Flex Pen with only 1 unit instead of 2 and held the pen in place for just 3 seconds after injection, rather than the required duration. This resulted in a deficiency related to medication administration standards.
An LPN was observed with an Albuterol Sulfate inhaler on a medication cart that lacked a resident identifier, was not in the pharmacy-dispensed container, and was expired. Facility policy requires medications to be stored in their original containers and expired medications to be removed immediately.
A resident was exposed to potential bloodborne pathogens when a nurse used another resident's used insulin pen to administer insulin. The nurse could not find the prescribed insulin or backup stock and resorted to using a pen that had already been used by another resident, contrary to facility policy and CDC guidelines.
Failure to Assess and Authorize Self-Administration of Medication
Penalty
Summary
A deficiency was identified when a resident was observed to have a container of Voltaren cream at their bedside and reported self-applying the cream as needed for pain. The resident stated that nursing staff refilled the container as needed. Review of the resident's medical record showed a physician's order for Diclofenac Sodium External Gel (Voltaren) to be applied topically twice daily, but there was no documented assessment to determine if self-administration was clinically appropriate. Additionally, staff confirmed that the resident did not have an order to self-administer the medication. Further review of the resident's records revealed a recent BIMS score of 15/15, indicating little to no cognitive impairment. The facility's policy requires an evaluation of a resident's capability to self-administer medications, a provider order, and ongoing assessments. Despite these requirements, there was no evidence that the necessary assessment or authorization for self-administration had been completed for this resident.
Failure to Refer Resident for Required Level II PASARR Evaluation
Penalty
Summary
A deficiency was identified when a resident with a known history of schizoaffective disorder, bipolar type, anxiety disorder, and panic disorder was admitted to the facility. Upon admission, a Level I PASARR screening was completed, which indicated the need for a Level II PASARR evaluation due to the resident's mental health diagnoses and associated symptoms. The Level I screening specifically noted suspected diagnoses, behavioral concerns, and the requirement for a Level II face-to-face assessment for long-term care placement. Despite these findings, the facility failed to refer the resident for the required Level II PASARR evaluation. This was confirmed through record review and an interview with the Social Service Director, who acknowledged that the Level II PASARR had not been completed as indicated by the Level I screening. Facility policy also required referral to the appropriate state authority when a resident is identified as having an evident or possible mental disorder, but this process was not followed in this case.
Failure to Implement Care Plan Interventions for Change of Condition and Insulin Management
Penalty
Summary
The facility failed to implement the care plan interventions for two residents as required. For one resident with congestive heart failure, the care plan specified daily weights and physician notification if the resident gained more than two pounds in a day. On review, the resident's weight increased by 3.2 pounds in one day, but there was no documentation that the physician was notified, and the medical director confirmed that no notification occurred. For another resident with insulin-dependent diabetes, the care plan required blood glucose monitoring and physician notification if blood glucose was less than 70 or greater than 250. The resident experienced a low blood glucose episode, received glucose, and had a repeat low reading, but there was no documentation of physician notification as required by both the care plan and physician orders. The medical director confirmed that no notification was made in this instance.
Insulin Administration Not Performed per Manufacturer and Facility Policy
Penalty
Summary
A deficiency was identified when a registered nurse failed to administer insulin according to both the manufacturer's instructions and the facility's policy for a resident with diabetes mellitus type II. The physician's order specified the use of a Novolog Flex Pen to inject 4 units of insulin subcutaneously before meals. During observation, the nurse primed the insulin pen with only 1 unit instead of the required 2 units as per the manufacturer's guidelines and the facility's policy. Additionally, after administering the insulin, the nurse held the pen in place for only 3 seconds, whereas the manufacturer's instructions require the pen to be held in place for at least 6 seconds, and the facility's policy specifies a slow count to 10 before withdrawing the needle. The nurse confirmed during an interview that the pen was primed with only 1 unit and held in place for 3 seconds after injection. Review of the manufacturer's instructions and facility policy both indicated that a 2-unit airshot should be performed before each injection and that the needle should remain in the skin for a longer duration to ensure the full dose is delivered. These deviations from established protocols led to the identified deficiency in medication administration for the resident.
Expired and Unlabeled Medication Found on Medication Cart
Penalty
Summary
During an observation of a medication cart on the second floor, an Albuterol Sulfate inhaler was found without a resident identifier and not stored in the pharmacy-dispensed container. The inhaler also had a manufacturer's expiration date of 2/23, indicating it was expired. These findings were confirmed by an LPN present at the time. Review of the facility's medication storage policy showed that medications for oral inhalation are to be stored in their dispensed containers according to manufacturer guidelines, and that outdated medications are to be immediately removed from stock.
Insulin Pen Misuse Leads to Pathogen Exposure
Penalty
Summary
The facility failed to ensure that a resident was free from exposure to bloodborne and bacterial pathogen transmission when a registered nurse administered insulin from another resident's used insulin pen. The incident occurred when the nurse was unable to locate the resident's prescribed Humalog 75/25 insulin or any backup stock in the medication room for the scheduled dose. Consequently, the nurse used another resident's Humalog 75/25 insulin pen, which had already been opened and used, to draw up 10 units of insulin with a syringe and administer it to the resident. The facility's policy explicitly prohibits borrowing medication from another resident and sharing insulin pens due to the risk of infection transmission. The Humalog Mix 75/25 KwikPen insert and the CDC guidelines both emphasize that insulin pens should not be shared between individuals, as backflow of blood can occur, posing a risk of pathogen transmission. The facility's pharmacy policy also states that prefilled pen devices should never be accessed with a syringe and needle, and the same pen should not be used for more than one resident.
Removal Plan
- In-service staff regarding administration of insulin pens and not using another resident's insulin.
- Conduct audits for all residents to ensure no additional missing insulin.
- Start in-service training for insulin pen administration, medications not available, and abuse/misappropriation.
- Train all staff on competencies for medication not being available, abuse, insulin pens, following physician's orders, and insulin replacement prior to working their first shift.
- Conduct a root cause analysis and review audits as part of the Ad Hoc Quality Assurance and Performance Improvement meeting.
- Notify New Hampshire Public Health regarding the incident and follow up.
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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 Concord
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Presidential Oaks | 1.2 mi | — | 9 | 0 |
| Pleasant View Center | 1.5 mi | — | 9 | 0 |
| Havenwood-heritage Heights | 2.1 mi | — | 0 | 0 |
| Epsom Healthcare Center | 9.1 mi | — | 11 | 0 |
| Hackett Hill Healthcare Center | 10.8 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.