Coos County Nursing Home
364 Cates Hill Rd PO Box 416, Berlin NH 03570 · (603) 752-2343 · 96.7% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Coos County Nursing Home is an average-sized government-owned facility in Berlin, New Hampshire. This facility is one of the most elite nursing homes we assessed. Being awarded an A+ in our rating system requires superb marks across the board. In fact, this facility has the distinction of being one of the top three facilities in New Hampshire. One of the major highlights of this nursing home's exemplary profile is its inspection rating. Inspection reports are discussed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 100 Beds
CCRC :
Government - County
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
To pair with its favorable overall score, we gave this place a grade of A+ for our inspections rating. We weigh several aspects of a nursing home's inspection report in computing our inspection grades. One critical factor is health deficiencies. It should be noted that the severity of deficiencies is arguably more important than the number of deficiencies, as some deficiencies are relatively insignificant. Although this facility had a few deficiencies on its government inspection report, none were major deficiencies based on CMS' scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Short-term Care Quality
This high end facility also was superb in the category of short-term care, where it received a score of A+. Only a small group of nursing homes performed better in this category. In computing our short-term care scores, we scrutinize the facility's levels of highly skilled nursing, which includes registered nurses, physical therapists speech therapists and other licensed professionals. This grade is often a solid assessment of the facility's ability to rehabilitate patients. One of this nursing home's strengths is registered nurse hours. We found that it offers more care from registered nurses to its residents than most facilities. Lastly, we looked at the number of residents who were able to return home from this nursing home. This place outperformed the vast majority of nursing homes with 66.1 percent of its residents returning home. This is a substantially better rate than most nursing homes.
Nurse Quality
This nursing home also received an A+ nursing grade, making it one of the few nursing homes to receive multiple A+ category grades. The nursing grade is based on many datapoints. The most important variable is the number of hours nurses spent with patients. This place provides an incredible 4.8 hours of nursing care per resident per day. Out of that total, many of the hours were provided by registered nurses, which is one of the more highly trained levels of nurses. In addition to providing impressive levels of care, this place was also above average in each of the major quality-based metrics we looked at in this category. It performed well in terms of minimizing its residents' pressure ulcers and major falls.
Long-term Care Quality
Switching gears to the fourth area, this facility also was given an A+ long-term care score, making it one of an elite group of nursing homes to achieve all A+'s. When nursing homes receive this type of grade in long-term care it is a good sign for resident care and suggests that the nursing home is well-staffed with nurses aids. One of the statistics we considered on top of this nursing home's quality nursing hours is vaccines. This nursing home provided the pneumonia vaccination to 100 percent of its residents. Vaccines are a great way to avoid unnecessary deaths for seniors. This combination proved to be successful as this place keeps its patients out of the hospital. It had only 0.75 hospitalizations per one thousand long-term resident days, which is an impressively low figure.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Coos County Nursing Home Quality Metrics
Minimizes Pressure Ulcers
This tells you the percentage of patients who have had a pressure ulcer. Pressure ulcers are considered by many in the nursing home industry to be a barometer of nursing care at a nursing home. Pressure ulcers, which are also known as bed sores, are routinely the result of residents not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of patients that suffered from a major fall. Falls leading to severe injuries are often the result of lower quality nursing care. Better nursing protocols can reduce the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of patients who sustained a urinary tract infection. Urinary tract infections are considered by many experts to be an indicator of nursing care at a nursing home. UTI's are often caused by worse hygiene protocols. Nevertheless, this statistic could be skewed for certain facilities due to inconsistent reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of patients given antipsychotic drugs. Antipsychotic drugs are given to patients for a variety of conditions, such as cognitive disorders. Unfortunately, in some situations, high levels of antipsychotic drug use may mean that a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This figure measures the percent of long-term patients who were given antianxiety medication. These drugs are typically prescribed to residents experiencing depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percentage of residents who are exhibiting signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percentage of residents who were given the flu and pneumonia vaccines. High vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percentage of residents who required more assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's may be a sign of the deterioration of a resident's medical condition.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint is a measure of the percentage of long-term care residents that maintained mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of rehospitalizations per thousand days of short-term patient care. There is usually a correlation between keeping patients out of the hospital and the quality of rehabilitation services.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is the number of emergency room visits per thousand days of short-term patient care. There is usually a correlation between having fewer emergency room visits and the quality of rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term stay residents who saw functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better