Average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Laconia Rehabilitation Center during CMS and state inspections, most recent first.
The facility did not consistently hold or document required interdisciplinary care plan meetings for multiple residents, with some lacking any care plan meetings after admission and others experiencing significant gaps between meetings. One resident with pica did not have interventions for this condition included in their care plan, despite a history of ingesting non-food items. Staff confirmed the absence of required care plan meetings and documentation.
A resident was sent to the ER for right wrist pain and diagnosed with a wrist fracture of unknown origin. The administrator was informed of the injury but did not report it to the State Survey Agency as required by facility policy.
The facility failed to maintain accurate records for controlled drugs, affecting three residents. Discrepancies were found in the counts of Diazepam, Clonazepam, and Oxycodone tablets, with staff failing to document administered doses or identify incorrect counts. The facility's policy requiring dual verification of controlled substances at shift changes was not followed.
A registered nurse left a medication cart unlocked and unattended in a hallway, with a resident nearby, violating the facility's policy on secure storage of medications and biologicals.
A facility failed to provide activities aligned with a resident's care plan and preferences, particularly for a resident with advanced Parkinson's disease and dementia. The resident was often left without music or television, despite her care plan indicating a preference for these activities. Staff interviews revealed a lack of awareness of the resident's interests, and activity participation records showed no documented participation for several months.
A resident with a pressure injury received wound care where an LPN failed to disinfect scissors between dressing changes, using them on multiple wounds without cleaning. The DON confirmed that the expectation was for the scissors to be cleaned between uses, aligning with CDC guidelines to prevent cross-contamination.
The facility failed to ensure accurate MDS assessments for three residents. A resident's MDS did not reflect ventilator use, another's inaccurately coded bed rails as restraints, and a third's discharge status was incorrectly documented. These inaccuracies were confirmed through staff interviews and record reviews.
Failure to Conduct and Document Routine Interdisciplinary Care Plan Meetings
Penalty
Summary
The facility failed to conduct and document routine interdisciplinary care plan meetings and revise care plans as required for 11 out of 24 residents reviewed. Multiple residents did not have evidence of quarterly care plan meetings following their comprehensive assessments, with some residents lacking any documented care plan meetings after admission. For example, one resident reported not being invited to or participating in a care plan meeting for approximately six months, and several residents' records showed significant gaps between care plan meetings or no documentation of meetings at all. Staff interviews confirmed the absence of required care plan meetings and documentation for these residents. Additionally, the review of one resident with a history of pica revealed that their care plan did not include interventions to address this condition, despite the resident's known behaviors and medical history, including a prior surgery to remove a swallowed foreign object. The facility's policy requires care plans to be reviewed and revised by the interdisciplinary team after each assessment, and for care plan meetings to be documented, but these requirements were not met for the affected residents.
Failure to Timely Report Injury of Unknown Source
Penalty
Summary
The facility failed to timely report an injury of unknown source to the State Survey Agency for one resident. Medical records showed that the resident was sent to the emergency room for right wrist pain and was later found to have a wrist fracture, with no other acute findings noted. The administrator confirmed being informed of the injury the day after the hospital visit and acknowledged that the source of the injury was unknown. Despite facility policy requiring immediate investigation and reporting of injuries of unknown origin to state and local authorities, the incident was not reported as required.
Controlled Drug Recordkeeping Deficiencies
Penalty
Summary
The facility failed to maintain an accurate system of records for controlled drugs, affecting three residents. For Resident #7, a discrepancy was found in the count of Diazepam 10 mg tablets, where the controlled drug record indicated 22 tablets remaining, but only 21 were observed. This discrepancy was confirmed by a registered nurse. Similarly, for Resident #6, the controlled drug record showed 58 Clonazepam 0.5 mg tablets, but only 57 were found. The licensed practical nurse admitted to administering a dose without documenting it on the controlled drug record sheet. For Resident #2, the controlled drug record for Oxycodone 5 mg tablets showed an incorrect count. The record indicated 50 tablets remaining, but an entry on the following day showed 59 tablets instead of 49. This error continued for 10 entries without being identified by the staff. The Director of Nursing confirmed this finding. The facility's policy requires a complete count of all controlled substances at shift changes, performed by two licensed nurses, which was not adhered to in these cases.
Failure to Securely Store Medications
Penalty
Summary
The facility failed to maintain locked storage of medications and biologicals in one of three medication carts. During an observation, a registered nurse, identified as Staff A, left the Opechee Unit medication cart unlocked and unattended in the hallway while they entered the medication room. This occurred from 12:30 p.m. to 12:33 p.m., during which time no other staff were present in the area, and a resident was in the vicinity of the medication cart. An interview with Staff A confirmed the findings of the unlocked medication cart. A review of the facility's policy on the storage and expiration dating of medication and biologicals, revised on August 7, 2023, indicated that all medications and biologicals should be securely stored in a locked cabinet/cart or locked medication room, inaccessible to residents and visitors.
Failure to Provide Resident-Centered Activities
Penalty
Summary
The facility failed to provide activities that supported a resident's choices and care plan, specifically for a resident with advanced Parkinson's disease and dementia. Observations revealed that the resident was often left in her room without music or television, despite her care plan indicating a preference for listening to classical music, watching television, and participating in group activities. Interviews with the resident's family and staff confirmed that the resident was not asked to participate in activities, such as live music performances, which she enjoyed. The resident's activity participation records for March, April, and May showed no documented activity participation. Staff interviews revealed a lack of awareness of the resident's preferences, with the Director of Activities and Activity Aid both admitting they were not familiar with the resident's interests. The facility's policy requires that activities reflect the resident's comprehensive assessments and care plans, and that residents with dementia have their preferences determined through communication with family and caregivers. However, the facility did not adhere to these policies, resulting in the resident not being invited to or assisted in attending activities that matched her interests.
Infection Control Breach During Wound Care
Penalty
Summary
The facility failed to maintain proper infection control practices during wound care for a resident with a Deep Tissue Pressure Injury on the right dorsum hallux of the foot. During an observation, a Licensed Practical Nurse (LPN) used the same pair of scissors to cut dressings for multiple wounds without disinfecting them between uses. The scissors, initially used to remove dirty dressings, were placed on a clean field and then used to cut new dressings for the resident's wounds, including the right hallux and two areas on the lower leg/calf. The LPN confirmed in an interview that the scissors were not disinfected between the dirty and clean dressing changes, stating that disinfection would have occurred if the scissors had touched the wound bed. The Director of Nursing (DON) also confirmed that the expectation was for the scissors to be cleaned between dressing changes. This practice was not in alignment with the Centers for Disease Control and Prevention's guidelines, which emphasize maintaining separation between clean and soiled equipment to prevent cross-contamination.
Inaccurate MDS Assessments for Three Residents
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessments accurately reflected the residents' status for three residents. For Resident #45, the MDS did not indicate the use of an invasive ventilator during the 14-day look-back period, despite the resident having a tracheotomy and ventilator in place, as confirmed by provider orders and an interview with the Reimbursement Coordinator. For Resident #40, the MDS inaccurately coded the use of bed rails as a restraint, although observations and a bed rail evaluation indicated that the rails were used for mobility and transfers, not as a restraint. Resident #112's MDS was incorrectly coded to indicate discharge to an inpatient psychiatric facility, while progress notes and an interview confirmed that the resident was discharged to home. These inaccuracies in the MDS assessments were confirmed through interviews with Staff C, highlighting a failure in accurately documenting the residents' conditions and discharge statuses.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Laconia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Belknap County Nursing Home | 0.4 mi | ★★★★★ | 14 | 0 |
| Saint Francis Rehabilitation And Nursing Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Golden View Health Care Center | 4.2 mi | ★★★★★ | 3 | 0 |
| Mountain Ridge Center, Genesis Healthcare | 10 mi | ★★★★★ | 0 | 0 |
| Wolfeboro Bay Center | 14.4 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.