Rescored monthly from the federal and state record.
The Palmelle ReadUpdated 3 Jun 2026
The record on Riverwoods at Exeter cuts both ways. On one side, nurses here log 6.2 times the national average of registered-nurse time with each resident, and inspectors rated the last health survey 4 out of 5 and levied no fines. On the other, antipsychotic use runs 1.8 times the national median, and sedative and sleep-medication use runs 2.0 times the national median. The sections below show exactly where each number comes from — read them before you tour.
Written by Palmelle from federal and state records. Last updated 3 Jun 2026. Not paid for or edited by the facility.
In their own words
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The record
CMS Care Compare · May 2026
Federal ratings
Overall
★★★★★5 of 5
Health inspection
★★★★☆4 of 5
Staffing
★★★★☆4 of 5
Quality measures
★★★★★5 of 5
Staffing · hours per resident per day
Registered-nurse time with each resident, dailyhigher is better
This home
4 hr 51 min
National
47 min
All nursing time with each resident, dailyhigher is better
This home
11 hr 17 min
National
3 hr 37 min
Nurses who quit each yearnot reported
This facility has not reported this measure to CMS.
Medication & safety · share of long-stay residents
On antipsychotic medicationlower is bettersee why ↓
This home
25%
National
14%
On sedatives / sleep medicationlower is better
This home
29.3%
National
15%
Falls causing major injurylower is better
This home
0%
National
1.6%
Physically restrainedlower is better
This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines
$0· zero penalties
Abuse icon
None
Conflict flags in latest reconcile
3
NH does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.
What the pattern says
Palmelle pattern checks · v1
Mixed — a strong record with one number that needs an answer.
Staffed like a place that cares. Nurses spend 6.2× the national RN time with each resident — the opposite of the churn you see in warehouse facilities.
A sedation pattern. Antipsychotic use (25%) and sleep-medication use (29%) are BOTH far above national norms — the pattern associated with medicating residents instead of staffing for them.
Clean accountability record. Non-profit operated — and there are no fines, flags, or abuse findings on the federal record.
These checks are computed the same way for every facility. Good patterns and bad ones both print.
RIVERWOODS AT EXETER has an overall CMS Care Compare rating of 5 out of 5 stars.
Has RIVERWOODS AT EXETER been cited for resident harm?
RIVERWOODS AT EXETER has no abuse icon and no federal fines on record in the last 36 months.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.
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