Cedar Healthcare Center — nursing home in Portsmouth, NH

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 102 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 90.0 CMS, MDS-derived
CMS Certification Number: 305082
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 12, 1997
Ownership type: For profit - Limited Liability company
Operator (legal business name): Peak Healthcare at Portsmouth LLC
CMS chain: Not part of a CMS-reported chain
Phone: (603) 431-2530
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jun 26, 2025

Citations

13

7 health · 6 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D7	E·	F1
Minimal	A·	B2	C3

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 305082
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 102
First approved: Feb 12, 1997
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for New Hampshire.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 26, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 26, 2025	Health	Health Standard	1	Potential harm	—	Open →
May 8, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 8, 2024	Health	Health Standard	3	Potential harm	—	Open →
May 12, 2023	Fire safety	Fire Safety Standard	1	Minimal	—	Open →
May 12, 2023	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D7	E·	F1
Minimal	A·	B2	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jun 26, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 16, 2025
Jun 26, 2025	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 16, 2025
Jun 26, 2025	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 28, 2025
May 8, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 29, 2024
May 8, 2024	F-0926	Have policies on smoking. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 10, 2024
May 8, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected May 29, 2024
May 8, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected May 29, 2024
May 8, 2024	F-0847	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records	B · Minimal Pattern	Corrected Jun 10, 2024
May 8, 2024	F-0848	Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records	B · Minimal Pattern	Corrected Jun 10, 2024
May 12, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 13, 2023
May 12, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 12, 2023
May 12, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 12, 2023
May 12, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jun 2, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.4

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.57

State avg 3.87US avg 3.90

Registered nurse (RN)0.57

State avg 0.78US avg 0.69

Licensed practical nurse0.83

State avg 0.76US avg 0.86

Nurse aide2.17

State avg 2.32US avg 2.35

Weekend total nurse3.51

State avg 3.43US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.36 (case-mix index 1.49).

Staff turnover

Total nursing staff turnover36.8%

State avg 43.4%US avg 45.3%

Registered nurse turnover30.0%

State avg 40.5%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jun 26, 2025
Cycle 1 health score: 4
Total weighted score: 4

Operating entity

Peak Healthcare at Portsmouth LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

29

Organizations

17

Individuals

9

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
White Mountain Peak Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2023
Nhoc LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Nov 19, 2020
Black Mountain II LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Pr Nh Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Rr Nh Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Wmp Holdco LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Nov 19, 2020
Aggcp LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Kamna Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Wmp Hc LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Nov 19, 2020
Avrohom Goldstein	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Miriam Halberstam	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Moshe Halberstam	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
White Mountain Peak Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2023
Nhoc LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Nov 19, 2020
Black Mountain II LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Pr Nh Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Rr Nh Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Wmp Holdco LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Nov 19, 2020
Aggcp LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Kamna Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Wmp Hc LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Nov 19, 2020
Avrohom Goldstein	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Miriam Halberstam	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
Moshe Halberstam	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 20, 2026
603 Healthcare LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 15, 2025
Magued Rizkalla Hanna	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 28, 2025
Nathan St. Pierre	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 19, 2020
603 Healthcare LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 20, 2026
Kansas SNF Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 19, 2020
Mad Family Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 19, 2020
Natr Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 19, 2020
Pr Nh Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 20, 2026
Rarmna Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 19, 2020
Ratr Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 19, 2020
Rnr Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 19, 2020
Rr Nh Holdings LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 20, 2026
Wetr Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 19, 2020
Philip Rausman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 20, 2026
Robert Rausman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 20, 2026
Magued Rizkalla Hanna	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 10, 2025
Nathan St. Pierre	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 10, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 188 Jones Avenue, Portsmouth, NH 03801
ZIP: 03801
County: Rockingham County FIPS 33015
State: New Hampshire
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Edgewood Centre (the) 928 South Street, Portsmouth, NH 03801 CCN 305022	0.5 km	156	Jul 10, 2026	29	—
Webster at Rye 795 Washington Road, Rye, NH 03870 CCN 305099	6.4 km	61	Aug 12, 2026	18	—
Durgin Pines 9 Lewis Rd, Kittery, ME 03904 CCN 205132	7.7 km	81	Jun 10, 2026	27	$14k
Saint Ann Rehabilitation and Nursing Center 195 Dover Point Road, Dover, NH 03820 CCN 305069	12.2 km	54	Mar 18, 2026	6	—
Oceanside Skilled Nursing and Rehabilitation 22 Tuck Road, Hampton, NH 03842 CCN 305055	13.9 km	117	Jan 29, 2026	291 IJ	$15k
Exeter Center 8 Hampton Road, Exeter, NH 03833 CCN 305064	15.7 km	81	Apr 30, 2026	201 harm	$29k
Langdon Place of Dover 60 Middle Road, Dover, NH 03820 CCN 305089	15.8 km	30	May 14, 2026	17	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	305082	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	305082	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 305082

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction