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Nursing HomeMedicaid Investigative

Coos County Nursing Home

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

364 Cates Hill Rd Po Box 416, Berlin, NH 03570100 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 5 Google reviews

5
4
3
2
1
Coos County Nursing Home Nursing Home in Berlin, NH — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (7 vs median 3.0)
  • High staff turnover (92%)
  • High RN turnover (96%)

Below average in NH · Meets national RN staffing standard · Above recommended total nurse staffing · Very high staff turnover · No penalties on record

Source: Medicare data

What this means for your family

This facility is highly regarded for its clean environment and respectful, professional staff. Families should feel confident in the facility's ability to provide a welcoming atmosphere, though they may want to inquire about specific clinical care programs during their tour.

Google Reviews

Google Reviews

5 reviews on Google
Coos County Nursing Home is described as a well-run, professional facility with a bright and cheery environment. Reviewers consistently praise the staff for being friendly, respectful, and attentive to the needs of long-term care residents.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean10.0Activities10.0MedsN/AMemoryN/AComms10.0ValueN/A

Strengths

  • Friendly and respectful staff
  • Clean and well-maintained facility
  • Bright, cheery building environment
  • Active engagement through patient activities

Rating Trends

Tap a year to see what changed

2344.32021(3)1.02025(1)5.02026(1)

Distribution · 5 analyzed

5
2
4
2
3
0
2
0
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that the facility has 100 residents, could you walk us through how you ensure personalized attention and consistent care for each individual?
  • 2We noticed the facility has a very bright and cheery environment; what are some of the most popular daily activities that help keep residents active and engaged here?
  • 3With seven recent state violations on record, could you share what specific steps the leadership team has taken to address these concerns and improve the overall quality of care?
  • 4How does your nursing team coordinate with local medical providers to handle urgent health changes or emergencies for residents after hours?
  • 5We’ve heard positive things about your staff being friendly and respectful; how do you support your team to maintain that high level of care given your current staffing levels?
  • 6Since the facility is well-maintained, what is your process for ensuring that the physical environment remains safe and comfortable as resident needs evolve?

Personalized based on this facility's data


Key Review Excerpts

My Dad is in LTC here, very well taken care of, facility is clean, staff very respectful to all, building is bright, cheery and they offer many activities for their patients

Long-term resident's family · 2021★★★★★

Very well run, professional facility. Staff was courteous, made it easy to visit a patient.

Visitor · 2021★★★★★

Very friendly staff

General visitor · 2026★★★★★
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.82hrs
OK
Registered nurses for medical care
Total Nursing
4.81hrs
OK
All nurses + aides combined
Staff Turnover
70%
Lower is better (< 30% = good)
RN Turnover
69%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.4%
Worse than Avg
Here
31.4%
US
19.5%
NH
19.1%
Coos
19.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility24.7%
Worse than Avg
Here
24.7%
US
14.4%
NH
21.8%
Coos
17.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.4%
Worse than Avg
Here
23.4%
US
15.5%
NH
17.8%
Coos
14.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
12.1%
NH
12.1%
Coos
4.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.0%
Worse than Avg
Here
22.0%
US
15.3%
NH
18.7%
Coos
18.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NH
96.9%
Coos
95.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
NH
86.5%
Coos
72.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NH
1.4%
Coos
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (4.0)

Coos County Nursing Home has recurring issues with care planning and quality standards, appearing in all three recent surveys, along with repeated problems with restraint use and fire safety protocols. The facility shows a pattern of deficiencies across medication management, wound care, respiratory care, and resident protection from restraints. All violations have been corrected by the facility, but the persistence of similar issues across multiple years suggests ongoing operational challenges families should consider.

Feb 26, 2026Routine
5
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Dec 18, 2024Routine
9
0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Dec 8, 2023Routine
2
0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coos County Nursing Home

Organization Type

government

Ownership & Management

Owners

Coos County

Owner · Organization

Brady, Mark

Owner (parent company)

Key personnel

Brady, ThomasManaging Control - Governing BodyGorman, RaymondManaging Control - Governing BodyTheberge, RobertManaging Control - Governing BodyBrady, MarkOfficer / DirectorBerry Dunn Mcneil & Parker LLCManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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