Skilled nursing facility · CMS certification number 305101
BELKNAP COUNTY NURSING HOME
LACONIA, New Hampshire · Medicare and Medicaid
Certified beds, as filed in Care Compare: 94
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,542,193 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,542,193 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,157,461 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,615,268 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,009 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,605,259 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,605,259 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 34,404 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,717 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,996 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,575 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,288 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 42 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 37 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 19 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 432.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 207.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1434719, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,676,675 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,676,675 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,542,972 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,866,297 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,561 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,862,736 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,862,736 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,813 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 303 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 200.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390572, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,119,324 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,119,324 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,818,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$698,996 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,618 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$696,378 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$696,378 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,585 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 425.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 233.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358305, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,209,244 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,209,244 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,381,895 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$172,651 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $283,570 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $110,919 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $110,919 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,159 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 954.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 561.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330778, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,464,528 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,464,528 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,296,350 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $168,178 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $703,120 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $871,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $871,298 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,011 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 63 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 82.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 651.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 476.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303708, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 8, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,981,512 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,981,512 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,339,039 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,642,473 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $142,595 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,785,068 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,785,068 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,902 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 582.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 335.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275310, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,596,016 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,596,016 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,218,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,377,741 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $311,044 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,688,785 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,688,785 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,927 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 667.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 387.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1237290, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,847,365 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $9,847,365 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,602,224 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,754,859 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $287,740 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,467,119 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,467,119 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,876 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 733.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 361.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208659, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 15, 2017.
None of these figures is carried on this report.
CMS report record 1173195, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
None of these figures is carried on this report.
CMS report record 1137741, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 10, 2015.
None of these figures is carried on this report.
CMS report record 1107218, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2014.
None of these figures is carried on this report.
CMS report record 1077265, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 28, 2013.
None of these figures is carried on this report.
CMS report record 1040511, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 13, 2012.
None of these figures is carried on this report.
CMS report record 1019660, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 12, 2011.
None of these figures is carried on this report.
CMS report record 399205, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 29, 2010.
None of these figures is carried on this report.
CMS report record 379073, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for September 1, 2008 to December 31, 2008 — a reporting period of 121 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 31, 2009.
None of these figures is carried on this report.
CMS report record 353512, read from the public cost report file SNFFY2008.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BELKNAP COUNTY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 09/01/2008 |
| BELKNAP COUNTY | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/14/2008 |
| DARST, ROSE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/13/2023 |
| EPHREM, VERCIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/18/2022 |
| GALLAGHER, AMANDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/16/2022 |
| O'BRIEN, AMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/24/2025 |
| PAULEY, RICHARD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/05/2023 |
| RICHARDSON, SHELLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2017 |
| SHIEL, ALISON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/12/2019 |
| TWARDOSKY, BRENDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/17/2015 |
| BELKNAP COUNTY | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2008 |
| DARST, ROSE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/13/2023 |
| EPHREM, VERCIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/18/2022 |
| O'BRIEN, AMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/24/2025 |
| PAULEY, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/05/2023 |
| RICHARDSON, SHELLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2017 |
| SHIEL, ALISON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/12/2019 |
| TWARDOSKY, BRENDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/17/2015 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BELKNAP COUNTY (enrollment ID O20080410000088).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BELKNAP COUNTY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/1/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALISON SHIEL | Individual | ADP OF THE SNF | Not stated in the filing | 2/12/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMANDA GALLAGHER | Individual | ADP OF THE SNF | Not stated in the filing | 5/16/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMY O'BRIEN | Individual | ADP OF THE SNF | Not stated in the filing | 11/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BELKNAP COUNTY | Organization | ADP OF THE SNF | Not stated in the filing | 4/14/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRENDA TWARDOSKY | Individual | ADP OF THE SNF | Not stated in the filing | 8/17/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD PAULEY | Individual | ADP OF THE SNF | Not stated in the filing | 9/5/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROSE DARST | Individual | ADP OF THE SNF | Not stated in the filing | 2/13/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHELLEY RICHARDSON | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VERCIN S EPHREM | Individual | ADP OF THE SNF | Not stated in the filing | 3/18/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALISON SHIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/12/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMY O'BRIEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BELKNAP COUNTY | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRENDA TWARDOSKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/17/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD PAULEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/5/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROSE DARST | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/13/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHELLEY RICHARDSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VERCIN S EPHREM | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/18/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2026: SHELLEY RICHARDSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: AMY O'BRIEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: AMY O'BRIEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BELKNAP COUNTY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 14, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BELKNAP COUNTY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 1, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRENDA TWARDOSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 17, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRENDA TWARDOSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 17, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RICHARD PAULEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RICHARD PAULEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SHELLEY RICHARDSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SHELLEY RICHARDSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ROSE DARST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ROSE DARST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: VERCIN S EPHREM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 18, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: VERCIN S EPHREM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 18, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: AMANDA GALLAGHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ALISON SHIEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 12, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ALISON SHIEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 12, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- July 17, 2023: BELKNAP COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since September 1, 2008. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
Recent changes on this record
- May 1, 2026: SHELLEY RICHARDSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: AMY O'BRIEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: AMY O'BRIEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BELKNAP COUNTY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 14, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BELKNAP COUNTY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 1, 2008. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRENDA TWARDOSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 17, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRENDA TWARDOSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 17, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RICHARD PAULEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RICHARD PAULEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SHELLEY RICHARDSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: SHELLEY RICHARDSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ROSE DARST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ROSE DARST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: VERCIN S EPHREM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 18, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: VERCIN S EPHREM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 18, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: AMANDA GALLAGHER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ALISON SHIEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 12, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ALISON SHIEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 12, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 30, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 17, 2023: BELKNAP COUNTY (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 17, 2023; associated with this enrollment since September 1, 2008. Skilled_Nursing_Facility_All_Owners_:_2023-07-17.csv
- July 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 29, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 10, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 8, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 17, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 15, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 25, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 10, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 28, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- June 28, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 13, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- May 12, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- June 29, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- July 31, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 4, 2025 | September 4, 2025 | 2 | 6 |
| 2 | September 19, 2024 | September 19, 2024 | 2 | 1 |
| 3 | August 9, 2023 | August 9, 2023 | 0 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
4 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| September 4, 2025 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | October 12, 2025 |
| September 4, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 12, 2025 |
| September 19, 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | No | Deficient, Provider has date of correction | November 7, 2024 |
| September 19, 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | November 7, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - County |
| Legal Business Name | BELKNAP COUNTY |
| Date First Approved to Provide Medicare and Medicaid Services | 2008-09-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Belknap |
| Telephone Number | 6035275410 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 94 |
| Average Number of Residents per Day | 57.6 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
One email a day naming what moved on BELKNAP COUNTY NURSING HOME: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for BELKNAP COUNTY NURSING HOME
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in New Hampshire at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 305101.