01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-17 | 6 | 2025-12-17 | 1 |
| Cycle 2 | 2024-10-03 | 3 | 2024-10-03 | 2 |
| Cycle 3 | 2023-12-15 | 6 | 2023-12-15 | 3 |
CMS CCN 3050862026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Bedford Nursing & Rehabilitation Center
480 Donald Street · Bedford, NH 03110 · Hillsborough County
Certified beds102CMS provider file
Recent citation rows21current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
21 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-17 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2026-01-012025-12-17 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2026-01-092025-12-17 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-12-17 · HEALTHF0678Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Deficient, Provider has date of correction · 2026-01-092025-12-17 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2026-01-022025-12-17 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-01-072025-12-17 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-01-092024-10-03 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2024-10-282024-10-03 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-10-282024-10-03 · HEALTHF0882Severity B · pattern; potential for minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-10-282024-10-03 · FIREK0211Severity C · widespread; potential for minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-10-222024-10-03 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-10-222023-12-15 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-01-092023-12-15 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-01-042023-12-15 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2023-12-202023-12-15 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2024-01-102023-12-15 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-01-102023-12-15 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction field: Deficient, Provider has date of correction · 2024-01-05 · complaint2023-12-15 · FIREK0223Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2024-01-152023-12-15 · FIREK0324Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-01-152023-12-15 · FIREK0363Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-01-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-12-17 | Fine | $16,153 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- WOH LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 02/01/2023
- BLACK MOUNTAIN II LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST15% · since 08/15/2025
- PR NH HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 08/15/2025
- RR NH HOLDINGS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 08/15/2025
- ZMRY LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 08/15/2025
- MARGULIES, ZISHAIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/15/2025
- YARMOVE, RIVKAIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/15/2025
- 603 HEALTHCARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/15/2025
- AULETTO, AMYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/27/2025
- PASHA, MUHAMMADIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2023
- 603 HEALTHCARE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/10/2025
- BEDFORD SNF REALTY LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/15/2025
- MAD FAMILY HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/01/2023
- NATR TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/01/2023
- PR NH HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/15/2025
- RR NH HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/15/2025
- AULETTO, AMYIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/10/2025
- PASHA, MUHAMMADIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/15/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.93per resident day
RN hours0.59per resident day
Weekend nurse hours2.65per resident day
Staff turnover39.5%CMS reported field
06 / LOCAL RECORDS
Open the Bedford ledger →