Nursing home
Grafton County Nursing Home
3855 Dartmouth College Highway, North Haverhill, NH 03774 · Map
Government - County · 135 certified beds
Grafton County Nursing Home is a Medicare-certified nursing home in North Haverhill, New Hampshire. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Its most recent inspection on Jan 31, 2025 cited 8 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Grafton County Nursing Home compares
This facility vs. the New Hampshire and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Hampshire avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | — | 3.88 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.74 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.39 | 2.34 | — |
| Nursing staff turnover | —% | 48.5% | 46.4% | — |
| Deficiencies cited, last inspection | 8.0 | 4.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Grafton County Nursing Home
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure 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.
Nutrition and Dietary Deficiencies · Jan 31, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jan 31, 2025 · Full report (PDF) - Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Jan 31, 2025 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Jan 31, 2025 · Full report (PDF) - Potential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Jan 31, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 31, 2025 · Full report (PDF) - Minimal
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 31, 2025 · Full report (PDF) - Minimal
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jan 31, 2025 · Full report (PDF) - Potential for harm
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Feb 8, 2024 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Feb 8, 2024 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Feb 8, 2024 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Feb 8, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3855 Dartmouth College Highway
North Haverhill, NH 03774 - CMS certification #
- 305053
- Ownership
- Government - County
- Certified beds
- 135
- Avg residents/day
- 124.6
- Provider type
- Medicare and Medicaid
- First certified
- 1995-07-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Grafton County Nursing Home using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Cottage Hospital, Woodsville. 1.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Glencliff Home for the Elderly, Glencliff. 11.2 miles away, straight line.
- Nearest home health agency office
- North Country Home Health & Hospice Agency, Littleton. 18.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 2.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 03774 as rural (rural area).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 03774.
North Country Home Health & Hospice Agency, office in Littleton, 18.1 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Dartmouth-Hitchcock Clinic, White River Junction. 33.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado very low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Grafton County Nursing Home a good nursing home?
CMS gives Grafton County Nursing Home an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has Grafton County Nursing Home had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Grafton County Nursing Home have?
Grafton County Nursing Home is certified for 135 beds.