Nursing homeActive

Hillsboro House Nursing Home

Po Box 400 67 School Street, Hillsboro, NH 03244603464556133 certified beds · 26 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
16
5110
Penalties · 3 yrs
$90,321
16 fines
Last survey
2026-04-27
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · New Hampshire Health Facilities Administration · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-27Complaint010CMS-2567 (Care Compare)
2025-08-06Standard020CMS-2567 (Care Compare)
2024-09-05Standard070CMS-2567 (Care Compare)
2023-08-17Standard510CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · New Hampshire Health Facilities Administration publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-27Complaint survey · 1 deficiencyOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-18Record 305092-20260427-F812
2025-08-06Standard survey · 2 deficienciesOfficial report
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-09Record 305092-20250806-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-09Record 305092-20250806-F880
2024-09-05Standard survey · 7 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-08Record 305092-20240905-F554
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-08Record 305092-20240905-F700
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-08Record 305092-20240905-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-31Record 305092-20240905-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-08Record 305092-20240905-F812
F838Conduct 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.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-02Record 305092-20240905-F838
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-06Record 305092-20240905-F880
2023-08-17Standard survey · 6 deficienciesOfficial report
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-06Record 305092-20230817-F883
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2023-09-11Record 305092-20230817-F565
F680Ensure the activities program is directed by a qualified professional.Scope/severity CPaperwork
Care planning
Widespread; potential for minimal harm.Corrected 2023-09-11Record 305092-20230817-F680
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2023-09-11Record 305092-20230817-F727
F838Conduct 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.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2023-09-11Record 305092-20230817-F838
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2023-09-09Record 305092-20230817-F851

Penalties & enforcement

DateActionAmountSource
2024-02-20Civil money penalty$4,938CMS · Penalties
2024-02-12Civil money penalty$4,938CMS · Penalties
2024-01-22Civil money penalty$14,814CMS · Penalties
2024-01-08Civil money penalty$4,938CMS · Penalties
2024-01-02Civil money penalty$4,587CMS · Penalties
2023-12-11Civil money penalty$13,762CMS · Penalties
2023-11-20Civil money penalty$4,587CMS · Penalties
2023-11-13Civil money penalty$4,587CMS · Penalties
2023-11-06Civil money penalty$4,587CMS · Penalties
2023-10-30Civil money penalty$4,587CMS · Penalties
2023-10-23Civil money penalty$4,587CMS · Penalties
2023-10-17Civil money penalty$4,587CMS · Penalties
2023-10-10Civil money penalty$4,235CMS · Penalties
2023-10-02Civil money penalty$3,882CMS · Penalties
2023-09-25Civil money penalty$3,529CMS · Penalties
2023-09-18Civil money penalty$3,176CMS · Penalties
2023-08-28Civil money penalty$7,409CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.76
Facility
New Hampshire
National
New Hampshire 0.78 · National 0.69
Total nurse hours per resident day3.48
Facility
New Hampshire
National
New Hampshire 3.90 · National 3.86
Weekend total nurse hours3.00
Facility
New Hampshire
National
New Hampshire 3.47 · National 3.42
Total nursing staff turnover58%
Facility
New Hampshire
National
New Hampshire 44% · National 46%
Registered nurse turnover40%
Facility
New Hampshire
National
New Hampshire 41% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNew HampshireNational
Percentage of long-stay residents with pressure ulcers
lower is better
0.0%4.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%4.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
14.1%17.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%2.1%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
18.4%22.7%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.0%5.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
5.8%19.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Irwin, Andrew
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Irwin, Andrew
Individual
CORPORATE OFFICERNOT APPLICABLE
Irwin, Andrew
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Irwin, Anne-Marie
Individual
CORPORATE OFFICERNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New Hampshire.

No county cost figures on file for Hillsborough.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Pheasant Wood Center
Peterborough
15.6 mi2025-06-132120
Jaffrey Rehabilitation And Nursing Center
Jaffrey
23.0 mi2026-05-212190
Woodlawn Healthcare Center LLC
Newport
20.4 mi2026-02-192140
Merrimack County Nursing Home
Boscawen
21.1 mi2026-03-25291
Pleasant View Center
Concord
19.1 mi2026-06-046401
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01