Mountain Ridge Center, Genesis Healthcare

7 Baldwin Street · Franklin, NH · 03235 · 6039342541

86 certified beds For profit - Corporation Chain: Genesis Healthcare

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 73 points, but Recommended is gated: CMS rates its health inspections "much below average". That rule is part of the published method.

Red flags

67% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 62
Serious harm & abuse 20% 100
Staffing 20% 62
Federal penalties 15% 100
Trend 10% 18
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day3.403.48 min · 4.1 strong
RN hours / resident-day0.690.55–0.75
Weekend hours / resident-day3.06≈ weekday level
Nursing turnover / year67%median 45%
Fines (3-yr window)none

Inspection citations (16 in the current record)

  • Potential for harm · D June 20, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 5, 2025 · Quality of Life and Care

  • Potential for harm · D June 20, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected August 5, 2025 · Quality of Life and Care

  • Potential for harm · F June 20, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected August 5, 2025 · Nursing and Physician Services

  • Potential for harm · D June 20, 2025 · found via complaint

    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 August 5, 2025 · Pharmacy Service

  • Potential for harm · D June 20, 2025 · found via complaint

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected August 5, 2025 · Administration

  • No harm found · C June 20, 2025 · found via complaint

    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.

    Corrected August 5, 2025 · Administration

  • Potential for harm · D April 17, 2025

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected May 15, 2025 · Resident Rights

  • Potential for harm · D April 17, 2025

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

    Corrected May 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 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 May 13, 2025 · Pharmacy Service

  • Potential for harm · D April 17, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected May 12, 2025 · Nursing and Physician Services

  • No harm found · B April 17, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected May 20, 2025 · Resident Rights

  • Potential for harm · D June 27, 2024

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

    Corrected August 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 27, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected August 9, 2024 · Infection Control

  • Potential for harm · D June 8, 2023

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected July 27, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 8, 2023

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

    Corrected June 24, 2023 · Resident Assessment and Care Planning

  • No harm found · B June 8, 2023

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected July 27, 2023 · Resident Rights

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

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305075 · certified since May 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.