Bedford Nursing & Rehabilitation Center

480 Donald Street · Bedford, NH · 03110 · 6036274147

102 certified beds For profit - Limited Liability company

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 48
Serious harm & abuse 20% 70
Staffing 20% 59
Federal penalties 15% 73
Trend 10% 18
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.003.48 min · 4.1 strong
RN hours / resident-day0.600.55–0.75
Weekend hours / resident-day2.73≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)1 · $16,153

Inspection citations (15 in the current record)

  • Immediate jeopardy · J December 17, 2025

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected January 9, 2026 · Quality of Life and Care

  • Potential for harm · D December 17, 2025

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected January 1, 2026 · Resident Rights

  • Potential for harm · D December 17, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 17, 2025

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

    Corrected January 2, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 17, 2025

    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.

    Corrected January 2, 2026 · Pharmacy Service

  • Potential for harm · D December 17, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 7, 2026 · Infection Control

  • Potential for harm · D October 3, 2024

    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.

    Corrected October 28, 2024 · Pharmacy Service

  • Potential for harm · D October 3, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 28, 2024 · Nutrition and Dietary

  • No harm found · B October 3, 2024

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected October 28, 2024 · Infection Control

  • Potential for harm · D December 15, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 9, 2024 · Resident Rights

  • Potential for harm · D December 15, 2023

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 4, 2024 · Resident Rights

  • Potential for harm · D December 15, 2023

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

    Corrected December 20, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D December 15, 2023

    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.

    Corrected January 10, 2024 · Pharmacy Service

  • Potential for harm · D December 15, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 10, 2024 · Nutrition and Dietary

  • Potential for harm · D December 15, 2023 · found via complaint

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected January 5, 2024 · Administration

Federal penalties

DateTypeAmount / length
December 17, 2025Fine$16,153

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305086 · certified since March 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.