Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

EPSOM HEALTHCARE CENTER

EPSOM, NH · 108 certified beds · Last Life Safety survey March 12, 2026

CMS Certification Number 305080 · first certified February 1997

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within NH

11 citations — more than 67% of the 73 certified nursing homes in NH. Compared within NH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was March 2026. Facilities in NH are typically surveyed 12–13 months after the last one (median 13), measured over 131 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NH, and nationally. Surveyors differ markedly between states, so the NH figure is the meaningful one.

This facility11NH median7National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in NH7
Median facility nationally11

Survey history

Citations at each Life Safety survey
42024-0342025-0232026-03
Citations at each Life Safety survey
Survey dateCitations
March 7, 20244
February 4, 20254
March 12, 20263

Most-cited tags

Most-cited tags at this facility
K-03533K-02232K-02911K-09131K-07121K-03451K-03241K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-03-12
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.22026-03-12
K-0291Install emergency lighting that can last at least 1 1/2 hours.12024-03-07
K-0913Ensure operating rooms are properly protected and written records are maintained and available for inspection.12026-03-12
K-0712Have simulated fire drills held at unexpected times.12025-02-04
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-02-04
K-0324Provide properly protected cooking facilities.12025-02-04
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-03-07

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Egress Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Egress Deficiencies3
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 12, 2026 — 3 citations

Citations issued on March 12, 2026
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 24, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 24, 2026)
K-0913Ensure operating rooms are properly protected and written records are maintained and available for inspection.Deficient, Provider has date of correction (April 24, 2026)

February 4, 2025 — 4 citations

Citations issued on February 4, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 25, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 25, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 25, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 25, 2025)

March 7, 2024 — 4 citations

Citations issued on March 7, 2024
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (May 30, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (May 30, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 30, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (May 30, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.