How we rate and compare

Plain-language notes on what each number means.

Data as of: CMS nursing home files updated Oct 1, 2026 (CMS processing date Oct 1, 2026), retrieved Nov 11, 2026. Hospitals: CMS file updated Jul 22, 2026. All sources.

How we build each page

We download New Hampshire rows from the official CMS Provider Data Catalog (Provider Information, Health Deficiencies, Penalties and Hospital General Information) and show them as published. We do not edit ratings, add reviews, guess prices or estimate staffing.

CMS star ratings

CMS gives each nursing home an overall rating of 1 to 5 stars, built from three parts: health inspections (the results of state inspections over recent cycles), staffing (nurse hours per resident and turnover, reported through payroll data) and quality measures (clinical measures for long-stay and short-stay residents). Some homes are not rated; we show the CMS footnote code instead of a number.

Staffing hours

“Hours per resident per day” is total nursing staff hours divided by residents, as reported to CMS. We compare each home with a simple average of the NH homes that report it.

Inspections

Each citation has a CMS scope/severity letter from A (least serious) to L. J–L means immediate jeopardy to resident health or safety; G–I means actual harm. We list every citation in the current CMS file, newest first.

Penalties

Fines and Medicare payment denials come from the CMS Penalties file, which covers roughly the last three years.

Special Focus Facilities

CMS places a small number of homes with a history of serious quality problems in its Special Focus Facility program, and lists others as candidates. We flag both.

Updates

CMS refreshes these files monthly. Every page shows the date of the data it uses.

What we don't do

We do not accept payment for placement or ratings. We do not publish prices, amenities or reviews unless they come from an official source.