Nursing Care Index

Hillsboro House Nursing Home

Hillsboro, Hillsborough County, New Hampshire · CCN 305092 · For-profit (Corporation) · not part of a chain

CMS rates Hillsboro House Nursing Home 3 of 5 overall as of August 2026. 33 certified beds, 26 residents a day on average. 16 citations on record from the current inspection cycles; 17 fines totalling $97,730.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.48391 hours per resident per day
Registered nurses0.76156 hours per resident per day
Weekend total2.99511 hours per resident per day
Nursing staff turnover57.7% (registered nurses 40%)

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-04-27
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-06-18
2025-08-06 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-09
2025-08-06 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-09
2024-09-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-10-06
2024-09-05 Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · tag F0554
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-08
2024-09-05 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.
Nutrition and Dietary Deficiencies · tag F0801
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-31
2024-09-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-08
2024-09-05 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.
Quality of Life and Care Deficiencies · tag F0700
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-08
2024-09-05 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-08
2024-09-05 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.
Administration Deficiencies · tag F0838
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-02
2023-08-17 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-06
2023-08-17 Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · tag F0565
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-09-11
2023-08-17 Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · tag F0680
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-09-11
2023-08-17 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.
Nursing and Physician Services Deficiencies · tag F0727
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-09-11
2023-08-17 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.
Administration Deficiencies · tag F0838
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-09-11
2023-08-17 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · tag F0851
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-09-09

Fines and payment denials

DatePenaltyAmount
2024-02-20Fine$4,938
2024-02-12Fine$4,938
2024-01-22Fine$14,814
2024-01-08Fine$4,938
2024-01-02Fine$4,587
2023-12-11Fine$13,762
2023-11-20Fine$4,587
2023-11-13Fine$4,587
2023-11-06Fine$4,587
2023-10-30Fine$4,587
2023-10-23Fine$4,587
2023-10-17Fine$4,587
2023-10-10Fine$4,235
2023-10-02Fine$3,882
2023-09-25Fine$3,529
2023-09-18Fine$3,176
2023-08-28Fine$7,409

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Irwin, Andrew
Individual
5% or greater direct ownership interest100%2016-07-01
Irwin, Andrew
Individual
corporate officer2009-12-31
Irwin, Anne-Marie
Individual
corporate officer1974-01-01
Irwin, Andrew
Individual
w-2 managing employee2008-01-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Hillsborough County.