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Nursing HomeMedicaid

Hillsboro House Nursing Home

Strong Medicare quality ratings; families often praise caring frontline nursing staff. Still worth an in-person visit.

Po Box 400 67 School Street, Hillsborough · Hillsboro, NH 0324433 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 6 Google reviews

5
4
3
2
1

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What this means for your family

While the facility is noted for being clean and having caring frontline staff, the administrative failures are a significant red flag. Families should prioritize meeting with the administrative team during tours to assess their responsiveness and communication style before committing to this facility.

Google Reviews

Google Reviews

6 reviews on Google
Hillsboro House Nursing Home presents a stark contrast in experiences, with some families praising the cleanliness and the caring nature of the frontline staff. However, others report significant failures in administrative communication and a lack of professional compassion following the death of a long-term resident.

Quality Themes

Tap a score for details
FoodN/AStaff6.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Caring frontline nursing staff
  • Clean and well-maintained facility

Concerns

  • Poor administrative communication and lack of responsiveness (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02017(2)2.02022(1)5.02023(1)5.02025(1)2.02026(1)

Distribution · 6 analyzed

5
3
4
0
3
0
2
2
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that you have a 5-star staffing rating, how do your frontline nurses typically coordinate with the administrative team to ensure families stay informed about their loved one's care?
  • 2With a smaller community of 33 residents, what kind of personalized daily activities or social engagement programs are currently most popular among those living here?
  • 3I noticed there were a couple of recent state violations; could you walk me through the steps the facility has taken to address those specific concerns and prevent them from recurring?
  • 4Since clear communication is a top priority for our family, what is the best way to reach an administrator if we have a question that goes beyond the daily nursing care?
  • 5How does your nursing team handle medical emergencies or sudden changes in health status, and at what point would we be notified by the administration?
  • 6The facility is consistently described as very clean and well-maintained; how do you involve residents in keeping the environment feeling like a true home?

Personalized based on this facility's data


Key Review Excerpts

They have some caring staff but the administrators leave a lot to be desired. Half the time they didn't even return my phone calls.

Long-term resident's family · 2022★★☆☆☆

Awesome staff! Beautiful, clean, and caring! We couldn't be happier!

Family member · 2017★★★★★
Source: 6 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.76hrs
OK
Registered nurses for medical care
Total Nursing
3.41hrs
83%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.3%
Better than Avg
Here
5.3%
US
19.4%
NH
26.3%
Hillsborough
16.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
19.5%
NH
19.1%
Hillsborough
18.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NH
12.1%
Hillsborough
6.3%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NH
96.9%
Hillsborough
98.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.9%
Mixed vs Avgs
Here
16.9%
US
15.4%
NH
17.8%
Hillsborough
11.0%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
NH
5.5%
Hillsborough
5.8%
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%
Hillsborough
95.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
17penalties
Well below state avg (4.0)
$97,730 in fines

This facility has shown persistent issues across all three surveys, with fire safety and building maintenance being the most problematic areas. Recurring deficiencies include blocked exit corridors, faulty fire alarm systems, improper emergency lighting, and smoke control problems that have appeared in multiple inspections. Additional concerns involve infection control programs and medication management practices. While the facility has provided correction dates for all violations, the repeated fire safety violations across surveys suggest ongoing challenges with maintaining basic safety standards.

Aug 6, 2025Routine
13
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · PatternCorrected

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.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0761Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0293Minimal · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Minimal · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Sep 5, 2024Routine
18
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0223Potential for harm · PatternCorrected

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.

0554Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0801Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · Isolated

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0761Potential for harm · IsolatedCorrected

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.

0838Potential for harm · IsolatedCorrected

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

0920Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Aug 17, 2023Routine
7
0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0565Minimal · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0680Minimal · WidespreadCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0727Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0838Minimal · WidespreadCorrected

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

0851Minimal · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Federal Penalties

Fine

Feb 20, 2024

$4,938

Fine

Feb 12, 2024

$4,938

Fine

Jan 22, 2024

$14,814

Fine

Jan 8, 2024

$4,938

Fine

Jan 2, 2024

$4,587

Fine

Dec 11, 2023

$13,762

Fine

Nov 20, 2023

$4,587

Fine

Nov 13, 2023

$4,587

Fine

Nov 6, 2023

$4,587

Fine

Oct 30, 2023

$4,587

Fine

Oct 23, 2023

$4,587

Fine

Oct 17, 2023

$4,587

Fine

Oct 10, 2023

$4,235

Fine

Oct 2, 2023

$3,882

Fine

Sep 25, 2023

$3,529

Fine

Sep 18, 2023

$3,176

Fine

Aug 28, 2023

$7,409

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hillsboro House Nursing Home

Organization Type

for profit

Ownership & Management

Owners

Irwin, Andrew

Owner

100%

Key personnel

Irwin, AndrewW-2 Managing EmployeeIrwin, AndrewOfficer / DirectorIrwin, Anne-MarieOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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.

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