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Nursing HomeMedicaid Investigative

Mountain Ridge Center, Genesis Healthcare

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

7 Baldwin Street, Franklin, NH 0323586 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 56 Google reviews

5
4
3
2
1
Mountain Ridge Center, Genesis Healthcare Nursing Home in Franklin, NH — Street View
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6/ 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 (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (11 vs median 3.0)
  • High staff turnover (60%)
  • High RN turnover (69%)

Bottom 25% in NH · Below recommended RN staffing · Worst in GENESIS HEALTHCARE chain · No penalties on record

Source: Medicare data

What this means for your family

While this facility has a strong reputation for rehabilitation therapy and a friendly atmosphere, the recent increase in reports regarding staffing shortages and delayed care is concerning. We strongly recommend that you visit during off-hours, such as weekends, to observe response times and speak directly with current residents' families about their daily experiences.

Google Reviews

Google Reviews

56 reviews on Google
Mountain Ridge Center receives highly polarized feedback, with many families praising the friendly, attentive staff and effective rehabilitation services, while others report serious concerns regarding neglect, slow response times, and poor food quality. While some visitors describe the facility as clean and well-maintained, multiple reviewers have raised alarms about understaffing leading to delayed care for basic needs like toileting and medication administration.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean8.0ActivitiesN/AMeds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Friendly and welcoming staff
  • Effective rehabilitation therapy services
  • Clean and well-maintained facility
  • Accessible management and communication for some families

Concerns

  • Understaffing leading to slow call button response times (mentioned by 4 reviewers)
  • Poor food quality (cold, unappealing, incorrect dietary orders) (mentioned by 4 reviewers)
  • Lack of communication from nursing and administrative staff (mentioned by 3 reviewers)
  • Inadequate toileting assistance for residents (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(1)'19(3)'21(3)'23(16)'25(7)'26(3)

Distribution · 57 analyzed

5
38
4
4
3
1
2
0
1
14

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that management is very active in responding to family feedback online; how do you incorporate that family input into your daily operational improvements?
  • 2Given the current staffing levels, what is your specific protocol for ensuring that call buttons are answered promptly, especially during shift changes or peak hours?
  • 3We have some concerns about dietary needs; could you walk us through how you ensure that residents receive the correct, hot, and nutritionally appropriate meals as ordered?
  • 4With the recent focus on improving communication, what is the best way for our family to stay updated on our loved one’s daily health status and care plan changes?
  • 5How does your team manage toileting assistance and hygiene schedules to ensure residents feel comfortable and supported throughout the day?
  • 6Since rehabilitation therapy is a noted strength here, how do you integrate those therapy goals into the resident's daily routine and social activities?

Personalized based on this facility's data


Key Review Excerpts

The facility is run well from the top to the bottom. The providers really do care about the patients and their success during their time at Mountain Ridge.

Service provider · 2019★★★★★

I'm not pleased with the care given here. The lna's take too long to answer the call buttons. Quite often, it takes the nurses an hour or two to pass out the medication.

Family member · 2022☆☆☆☆

The dressings were not changed properly that put my mom back in the hospital. The food looked terrible and when I had a bite and it was cold and just didn't taste good.

Rehab patient's family · 2023☆☆☆☆
Source: 56 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.69hrs
92%
Registered nurses for medical care
Total Nursing
3.40hrs
83%
All nurses + aides combined
Staff Turnover
67%
Lower is better (< 30% = good)
RN Turnover
64%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility32.7%
Worse than Avg
Here
32.7%
US
14.4%
NH
21.8%
Merrimack
21.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.2%
Worse than Avg
Here
23.2%
US
12.1%
NH
12.1%
Merrimack
14.7%

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 Facility25.7%
Worse than Avg
Here
25.7%
US
15.3%
NH
18.7%
Merrimack
16.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
19.4%
NH
26.3%
Merrimack
27.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
NH
96.9%
Merrimack
96.2%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility9.6%
Worse than Avg
Here
9.6%
US
4.9%
NH
4.4%
Merrimack
3.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility70.8%
Worse than Avg
Here
70.8%
US
81.8%
NH
86.5%
Merrimack
83.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility81.4%
Mixed vs Avgs
Here
81.4%
US
79.7%
NH
83.0%
Merrimack
67.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.5%
Worse than Avg
Here
4.5%
US
1.6%
NH
1.4%
Merrimack
2.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Well above state avg (4.0)
7 complaint-triggered

Families filed complaints that triggered deficiencies in nursing staffing, medication management, and nutrition, with recent issues in June 2025. The facility shows a concerning pattern of repeated problems with nursing staffing levels and care quality standards across multiple surveys, though all deficiencies have been marked as corrected. Additional recurring issues include fire safety violations and medication labeling problems.

Jun 20, 2025Complaint
6
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

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.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

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.

Apr 17, 2025Routine
7
0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0912Minimal · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Apr 17, 2025Complaint
1
0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Jun 27, 2024Routine
5
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

0223Potential for harm · IsolatedCorrected

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.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0363Minimal · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Jun 8, 2023Routine
6
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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0223Potential for harm · IsolatedCorrected

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.

0325Minimal · WidespreadCorrected

Smoke Deficiencies

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

0920Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0584Minimal · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Mountain Ridge Center, Genesis Healthcare

Organization Type

for profit

Chain Affiliation

Chain Name

Genesis Healthcare

Chain Size

187 facilities nationwide

Chain avg rating: 2.4/5 · Rank 134 of 188 (Worst)

Ownership & Management

Owners

Genesis Nh Holdings LLC

Owner · Organization

100%

Genesis Healthcare LLC

Owner (parent company) · Organization

Genesis Operations LLC

Owner (parent company) · Organization

Key personnel

Berg, MichaelOfficer / DirectorBridgeford, LauraOfficer / DirectorMendelson, AviOfficer / DirectorGenesis Healthcare LLCManagerEphrem, VercinManager
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.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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