Pleasant Valley Nursing and Rehab Center Inspection Report, Violations & Safety Grade (DERRY, New Hampshire)

8 PEABODY ROAD, DERRY, New Hampshire 03038

Phone: 6034341566

CMS Overall:4/5

Overview & Bed Count

Certified Beds

112

Avg Residents/Day

93.2

Ownership

For profit - Limited Liability company

Provider Type

Medicare and Medicaid

County

Rockingham

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall4/5

Health4/5

Staffing4/5

Quality3/5

Nurse Staffing Check

Metric	This Facility	New Hampshire Avg	Difference
RN Hours per Resident per Day	1.02	0.78	+0.24
Total Nurse Hours per Resident per Day	3.49	3.87	-0.37
CMS Staffing Rating	4/5	3.4/5	-
Nursing Staff Turnover	40.8%	43.4%	-

Health Citation History

16 health citations on record

Date	Category	Description	Severity
2026-01-14	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2026-01-14	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2026-01-14	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2024-11-21	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2023-12-01	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	E – Moderate Harm Potential
2023-12-01	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	E – Moderate Harm Potential
2023-12-01	Administration Deficiencies	Have a plan that describes the process for conducting QAPI and QAA activities.	E – Moderate Harm Potential
2023-12-01	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E – Moderate Harm Potential
2023-12-01	Resident Rights Deficiencies	Ensure that residents are fully informed and understand their health status, care and treatments.	D – Moderate Harm Potential
2023-12-01	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2023-12-01	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2023-12-01	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D – Moderate Harm Potential
2023-12-01	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2023-12-01	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D – Moderate Harm Potential
2023-12-01	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2023-12-01	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	B – Minimal Harm Potential

Fire Safety Citation History

7 fire safety citations on record

Date	Category	Description	Severity
2026-01-14	Smoke Deficiencies	Have properly installed hallway dispensers for alcohol-based hand rub.	D – Moderate Harm Potential
2026-01-14	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	D – Moderate Harm Potential
2024-11-21	Smoke Deficiencies	Provide properly protected cooking facilities.	D – Moderate Harm Potential
2024-11-21	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	D – Moderate Harm Potential
2023-12-01	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2023-12-01	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	D – Moderate Harm Potential
2023-12-01	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	C – Minimal Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the DERRY area at no cost.

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(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.