01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-04 | 2 | 2025-09-04 | 6 |
| Cycle 2 | 2024-09-19 | 2 | 2024-09-19 | 1 |
| Cycle 3 | 2023-08-09 | 0 | 2023-08-09 | 1 |
CMS CCN 3051012026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Belknap County Nursing Home
30 County Drive · Laconia, NH 03246 · Belknap County
Certified beds94CMS provider file
Recent citation rows12current CMS citation release
Penalty rows0current 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
12 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-04 · 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 · 2025-10-122025-09-04 · 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 · 2025-10-122025-09-04 · 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 · 2025-09-252025-09-04 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-09-252025-09-04 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-09-252025-09-04 · FIREK0913Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
Correction field: Deficient, Provider has date of correction · 2025-09-252025-09-04 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-09-252025-09-04 · FIREK0918Severity C · widespread; potential for 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 · 2025-09-252024-09-19 · HEALTHF0582Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-19 · HEALTHF0908Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-19 · FIREK0918Severity C · widespread; potential for 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 · 2024-09-302023-08-09 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2023-08-2103 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BELKNAP COUNTYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 09/01/2008
- BELKNAP COUNTYOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2008
- DARST, ROSEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/13/2023
- EPHREM, VERCINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/18/2022
- O'BRIEN, AMYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/24/2025
- PAULEY, RICHARDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/05/2023
- RICHARDSON, SHELLEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2017
- SHIEL, ALISONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/12/2019
- TWARDOSKY, BRENDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/17/2015
- BELKNAP COUNTYOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/14/2008
- DARST, ROSEIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/13/2023
- EPHREM, VERCINIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/18/2022
- GALLAGHER, AMANDAIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/16/2022
- O'BRIEN, AMYIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/24/2025
- PAULEY, RICHARDIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/05/2023
- RICHARDSON, SHELLEYIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2017
- SHIEL, ALISONIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/12/2019
- TWARDOSKY, BRENDAIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/17/2015
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 hours4.96per resident day
RN hours0.80per resident day
Weekend nurse hours4.45per resident day
Staff turnover31.9%CMS reported field
06 / LOCAL RECORDS
Open the Laconia ledger →