SNF
WARDE HEALTH CENTER
CCN: 305043 · WINDHAM, NH 03087 · Rockingham County
Overview
- Address
- 21 SEARLES ROAD, WINDHAM, NH 03087
- Phone
- 6038901290
- Certified beds
- 32
- Avg daily residents
- 31 (98% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1993-06-09
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.21 | 3.37 | 4.82 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.51 | 0.59 | 0.59 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.28 | 0.75 | 1.46 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.41 | 2.03 | 2.76 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.79 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.14 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.78
hrs / resident / day
RN (weekend)
0.37
hrs / resident / day
Total nurse (adjusted, weekend)
4.33
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
51.9%
annual
RN turnover
37.5%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.19
higher acuity than avg
Case-Mix Index Ratio
0.87
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-03-27 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cycle 2/3 (prior) | 2024-03-27 | 2 | 2 | 0 | 8 | 1 | 8 |
Total weighted health score
2.0
lower is better
Deficiencies (4)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
4 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-03-27 | 2024-05-21 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-03-27 | 2024-05-15 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-02-10 | 2023-03-22 |
| 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2023-02-10 | 2023-03-14 |
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 14.4% Medicaid 52.0% Other 33.5%
Operating performance
Operating Margin
-20.9%
Total Margin
-18.7%
Occupancy Rate
97.8%
Cost per Resident Day
$52
Revenue & costs
Net Patient Revenue
$4.9M
Total Costs
$599K
Net Income
-$931K
Balance sheet
Total Assets
$3.8M
Total Liabilities
$5.1M
Fund Balance
-$1.3M
Current Ratio
0.12
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: CATHOLIC CHARITIES NEW HAMPSHIRE
- Chain ID
122- Facilities in chain
- 6
- Legal business name
- WARDE REHABILITATION AND NURSING CENTER
Chain-average star ratings (for peer context)
Overall
3.8
Health
4.0
Staffing
3.5
QM
3.3
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| NH CATHOLIC CHARITIES INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 04/01/2015 |
Owner / manager individuals (22)
| Name | Role | Association |
|---|---|---|
| BARRETT, KEVIN | CORPORATE DIRECTOR | since 09/01/2016 |
| CHRISTON, DEAN | CORPORATE DIRECTOR | since 09/01/2022 |
| COUGHLIN, ADAM | CORPORATE DIRECTOR | since 09/01/2020 |
| DEMERS, KATE | CORPORATE DIRECTOR | since 09/01/2020 |
| DESROSIERS, KEVIN | CORPORATE DIRECTOR | since 09/01/2020 |
| FORD, PATRICK | CORPORATE DIRECTOR | since 09/01/2019 |
| HUARD, SUSAN | CORPORATE DIRECTOR | since 09/01/2020 |
| JALBERT, JASON | CORPORATE DIRECTOR | since 09/01/2017 |
| LEGERE, TINA | CORPORATE DIRECTOR | since 09/01/2018 |
| LIBASCI, PETER | CORPORATE DIRECTOR | since 12/01/2011 |
| MCLEAN, JEFFREY | CORPORATE DIRECTOR | since 09/01/2022 |
| MIRABLE, CATHERINE | CORPORATE DIRECTOR | since 09/01/2019 |
| OUELLETTE, RUSS | CORPORATE DIRECTOR | since 09/01/2017 |
| POWERS, EDWARD | CORPORATE DIRECTOR | since 09/01/2018 |
| SENUS, KEN | CORPORATE DIRECTOR | since 09/01/2022 |
| BLONSKI, THOMAS | CORPORATE OFFICER | since 04/01/2015 |
| HILDENBRAND, DAVID | CORPORATE OFFICER | since 04/12/2017 |
| BERNARD, ALAIN | W-2 MANAGING EMPLOYEE | since 10/01/2018 |
| BLONSKI, THOMAS | W-2 MANAGING EMPLOYEE | since 04/01/2015 |
| LAROCHE, SHARI | W-2 MANAGING EMPLOYEE | since 09/06/2022 |
| RICHARDSON, SARAH | W-2 MANAGING EMPLOYEE | since 10/18/2018 |
| ZIRKLE, KAREN | W-2 MANAGING EMPLOYEE | since 10/18/2018 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $52 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.12 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 52.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 14.4% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-930,675 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $4,888,704 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 97.8% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -20.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,781,796 | metrics.total_assets |
| Cost Report | Total Costs ($) | $599,131 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-1,324,177 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $5,105,973 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -18.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.46241 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.76477 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.58979 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.81698 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.33317 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 31.4 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.74801 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.03291 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.58959 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.37051 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.97075 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 4.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.3 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 122 | Chain ID |
| Provider Information | Chain Name | CATHOLIC CHARITIES NEW HAMPSHIRE | Chain Name |
| Provider Information | City/Town | WINDHAM | City/Town |
| Provider Information | CMS Certification Number (CCN) | 305043 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Rockingham | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1993-06-09 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.8119 | Latitude |
| Provider Information | Legal Business Name | WARDE REHABILITATION AND NURSING CENTER | Legal Business Name |
| Provider Information | Location | 21 SEARLES ROAD,WINDHAM,NH,03087 | Location |
| Provider Information | Long-Stay QM Rating | 2 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -71.263 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 32 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 6 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.19402 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.86671 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 21 SEARLES ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | WARDE HEALTH CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 070 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 0 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 0 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 0 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-03-27 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 0 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 0 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-27 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 8 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 8 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 2 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.36977 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 37.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.79153 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.27666 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.41359 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.13749 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.51488 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.20512 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NH | State |
| Provider Information | Telephone Number | 6038901290 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.78277 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 51.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 2.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 03087 | ZIP Code |