01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-07 | 3 | 2026-05-07 | 2 |
| Cycle 2 | 2025-04-03 | 2 | 2025-04-03 | 7 |
| Cycle 3 | 2024-05-01 | 4 | 2024-05-01 | 2 |
CMS CCN 3050482026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Hillsborough County Nursing Home
400 Mast Road · Goffstown, NH 03045 · Hillsborough County
Certified beds300CMS provider file
Recent citation rows20current 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
20 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-07 · 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 · 2026-06-172026-05-07 · 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 · 2026-06-172026-05-07 · HEALTHF0880Severity F · widespread; 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 · 2026-06-172026-05-07 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-06-152026-05-07 · FIREK0913Severity E · pattern; potential for more than 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 · 2026-06-152025-04-03 · 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 · 2025-05-092025-04-03 · 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 · 2025-05-092025-04-03 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-05-162025-04-03 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-05-162025-04-03 · FIREK0325Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2025-05-162025-04-03 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-162025-04-03 · FIREK0372Severity D · isolated; 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 · 2025-05-162025-04-03 · FIREK0918Severity D · isolated; 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 · 2025-05-162025-04-03 · FIREK0919Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Correction field: Deficient, Provider has date of correction · 2025-05-162024-05-01 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-01 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-06-242024-05-01 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2024-06-212024-05-01 · 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 · 2024-06-192024-05-01 · FIREK0341Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-06-112024-05-01 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-06-1103 / 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
- COUNTY OF HILLSBOROUGHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/1966
- COUNTY OF HILLSBOROUGHOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 04/01/1977
- PAPPAS, ANTONIEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/03/2001
- ROWE, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/02/2016
- SOUCY, MICHAELIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/06/2021
- COUNTY OF HILLSBOROUGHOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/1977
- VACHON & CLUKAY & CO, PCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2018
- ADAMS, PAULAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/28/2016
- BATLIVALA, ZUBINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/04/2009
- BENNETT, CHRISTOPHERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/19/2006
- BURT, PHYLLISIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/22/2006
- CIMINESI, STEVENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/30/2019
- DUBOIS, TONYAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/10/2011
- GRADY, PATRICKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2023
- HOLT, KATHYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/26/2019
- LAZZAR, LINDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/12/2019
- LOCKE, RACHELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/12/2025
- MCALLISTER, GEOFFREYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/04/2022
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 hours3.74per resident day
RN hours0.73per resident day
Weekend nurse hours3.32per resident day
Staff turnover30.1%CMS reported field
06 / LOCAL RECORDS
Open the Goffstown ledger →