Lakes Region Visiting Nurse Association
A home health agency in Meredith, New Hampshire 03253
186 Waukewan Street, Meredith, New Hampshire 03253. (603) 279-6611.
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The short answer
Record last released by CMS on Oct 21, 2026.
- 3.5of 5 quality of patient care rating
- 4of 5 patient survey rating
- 1 deficiencies cited in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Feb 12, 2026: a recertification inspection.
1 deficiency cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Feb 2026. Most serious: Standard-level. The last 3 years, to Oct 24, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Feb 12, 2026: recertification inspection1 deficiency
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Infection Prevention
The inspectors’ words, 366 words
“Infection Prevention CFR(s): 484.70(a) Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. This Standard is not met as evidenced by: Based on observation, record review, and interview, the home health agency failed to follow standards of practice for safe handling and disposal of sharps containers. Findings include: Review on 2/11/26 of the OSHA’s website titled, ‘Protecting Yourself When Handling Contaminated Sharps’ revealed, “...Sharps Containers: Containers for contaminated sharps must be puncture-resistant. The sides and the bottom must be leakproof. They must be appropriately labeled or color-coded red to warn everyone that the contents are hazardous. Containers for disposable sharps must be closable (that is, have a lid, flap, door, or other means of closing the container), and they must be kept upright to keep the sharps and any liquids from spilling out of the container. The containers must be replaced routinely and not be overfilled, which can increase the risk of needlesticks or cuts… Handling Containers: Before sharps disposal containers are removed or replaced, they must be closed to prevent spilling the contents. If there is a chance of leakage from the disposal container, the employer must ensure that it is placed in a secondary container that is closable, appropriately labeled or color-coded red, and constructed to contain all contents and prevent leakage during handling, storage, transport, or shipping...” Observation on 2/10/26 at 9:00 a.m. in the dirty supply room revealed a plastic lined biohazard box that was overflowing with small sharp disposal containers. Several of the disposal sharps container were not closed and were overfilled (more than three quarters full). Several needles were not completely inside the containers increasing the risk of needlesticks. Interview on 2/10/26 at 12:00 p.m. with Staff A (Care Manager) confirmed the above observation and revealed that all staff members have access to the dirty supply room. Review on 2/10/26 of the facility policy titled, Standard Precautions, Policy No. 6-004-1 revised on May 2024, revealed under the section titled “3. Syringe/Sharps Disposal: A. ...When 3/4 full, the disposal container will be sealed and transported to the dirty supply area located in the office.””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 12, 2026 | Recertification inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified home health agency since Jul 1, 1966.
- Ownership: non-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- 10 owners or officers are people: Erin S Jospe (corporate officer); Erin S Jospe (managing employee (on the payroll)); Marc Bard (corporate director, 0%); Marcus Weeks (corporate director, 0%); Robert Ciardi (corporate director, 0%); Lisa Kennedy-Sheldon (corporate director, 0%); James Harnett (corporate director); James Harnett (managing employee (on the payroll)); Donna Graves (corporate director, 0%); John C King (corporate director, 0%).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
How do patients fare?
- CMS rates its quality of patient care 3.5 of 5.
- Patients rate it 4 of 5 in CMS’s patient survey (277 surveys completed): 90% rated it 9 or 10 out of 10, and 89% would definitely recommend it.
- CMS compares it with the national rate: discharged to the community, better; potentially preventable hospital stays, the same; potentially preventable readmissions after discharge, the same.
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | 3.5 of 5 |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | 4 of 5 |
| Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate | 92.15% (better than the national rate) |
| Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate | 9.95% (same as the national rate) |
| Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate | 4.01% (same as the national rate) |
How does it compare nearby?
- Of the 7 agencies CMS’s data show serving patients in ZIP code 03253, where this agency’s office is, 7 have a quality of patient care rating; the middle one is 3.5 of 5, and this one is rated 3.5 of 5.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Lakes Region Visiting Nurse Association This home health agency | 3.5 |
| Granite VNA, Inc. | 4 |
| Franklin VNA & Hospice | 4 |
| Pemi Baker Community Health | 3 |
| Interim Healthcare | 3.5 |
| Bayada Home Health Care Inc. | 3 |
| Quality Care Home Health & Hospice | 3 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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This copy of the record was made on Oct 24, 2026.
From the agency
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Replies
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Paid listing
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