Best Nursing Homes in Concord, NH

At 325 Daniel Webster Hwy in rural Boscawen, Merrimack County Nursing Home operates 290 licensed beds under county governance, administered by Heather M Moquin. The facility ranked third in New Hampshire by capacity serves residents through Medicare (average stay one month, 24% of admissions), Medicaid (three years typical, 35% of admissions), and private payment (eight months, 41% of admissions). Current residents number 254 across the 290-bed community; a 78% occupancy rate. The setting is heavily car-dependent (Walk Score 0), situated 14.3 miles from downtown Boscawen and 6.2 miles from the nearest hospital.

Financially, Merrimack County reported a $6.6M operating deficit in 2023, despite occupancy recovery from 65.4% in 2022 to 77.5% in 2023. Payroll consumed 95.4% of the facility’s $27.6M revenue (the highest allocation statewide).

Staff totals 491 (313 employees, 178 contractors), with an overall resident-to-staff ratio of 1.93:1. Nursing care averages 5 hours 25 minutes/resident/day (29% above average), ranking the facility 10th among 58 New Hampshire SNFs. Certified nursing aides deliver 3 hours 25 minutes of daily care/resident; 43% above norms. However, weekend RN coverage dropped to 22 minutes/resident (29% below average), and physical therapist hours totaled only 2 minutes/resident/day(50% below average).

CMS ratings reflect strengths in three areas: overall 4-star rating 36.5% above average, staffing 4-star rating 57.7% above average, and quality measures 4-star rating 29.9% above average. Health inspection ratings were 4 stars, marginally above state (6% higher). Yet quality measures reveal concerns: falls with major injury at 5.6% (24% worse than state), and antipsychotic medication use at 21.3% (22% worse than state).

Long-stay residents showed functional improvements in some areas (urinary tract infection rate 70% better, weight loss 25% better, ED visits 61% better) but struggled with short-stay outcomes (influenza vaccination only 56.1%, ability to care for self at discharge 16% worse, successful return to community 27% worse).

March 2023 inspections cited psychotropic medication ordering without proper documentation, medication refrigerator temperature control gaps with expired insulin on hand, and paid feeding assistants assigned to residents with complicated feeding needs.

A substantiated complaint investigation in March 2024 documented a critical resident safety breach: during a fire alarm, the facility allowed a resident to elope. The resident was discovered hours later with severe hypothermia, requiring hospitalization. The same inspection identified infection control failures.

February 2025 routine inspection again cited medication management deficiencies, inaccurate resident assessments, and failure to implement proper barrier precautions for a catheterized resident.

A $16K federal fine was assessed in March 2024.

No immediate jeopardy findings, license suspensions, or payment denials appeared in regulatory records.

Merrimack County Nursing Home facility fits long-term Medicaid-eligible residents and families seeking skilled nursing care in a large county setting with strong staffing presence.

Overview of Presidential Oaks

Presidential Oaks is a 52-bed community in Concord, New Hampshire, offering nursing home, assisted living, hospice care, residential care, respite care, and skilled nursing under one roof. The three-story building offers one- and two-bedroom housing options, along with a dedicated nursing floor level for residents needing closer clinical support. The area is somewhat walkable (Walk Score 43), so residents and visiting family typically need a car for most errands.

Residents have access to private rooms and three meals served daily in the dining room, along with rehabilitation services, short-term rehab, respite care, and supported retirement living. A regular calendar of social events and activities is part of daily life. Nursing coverage includes registered nurse, licensed nurse, and nurse aide hours, with nurse aides providing about two and a half hours of hands-on care per resident each day.

Presidential Oaks accepts Medicare, Medicaid, and private pay, giving families several ways to cover the cost of care. Angela Beamer, RN, administers the community.

State inspections in New Hampshire, carried out by the Department of Health and Human Services’ Health Facilities Administration, have tended to focus on areas including medication management, hazardous-materials safety, care planning and documentation, dietary and food service, and resident rights and protections.

Taken together, the community is a multi-care-type community offering a full continuum of care, from assisted living through skilled nursing and hospice, with meals and clinical support built into daily life for residents whose needs may change over time.

Overview of Havenwood

Havenwood is an exceptional senior living community that offers a tranquil and supportive environment for older adults seeking a vibrant and fulfilling lifestyle. Located in a picturesque setting, this community provides a range of care options, including independent living, assisted living, and memory care, tailored to meet the unique needs of each resident. The spacious and thoughtfully designed apartments offer a comfortable and private living space, while the inviting common areas provide opportunities for socialization, relaxation, and engaging in a variety of activities. The compassionate and dedicated staff at Havenwood are committed to delivering personalized care that promotes independence, well-being, and dignity.

At Havenwood, residents have access to an array of amenities and enriching programs that enhance their physical, social, and intellectual well-being. From chef-prepared meals served in a restaurant-style dining room to a robust calendar of activities, including fitness classes, educational seminars, cultural outings, and social events, there is always something exciting to look forward to. The community also features beautifully landscaped grounds, including outdoor patios and walking paths, providing a peaceful and serene setting to enjoy nature. With its focus on promoting an active and fulfilling lifestyle, Havenwood strives to create a warm and inclusive community where residents can age gracefully and make the most of their retirement years.

Thirty years in Epsom, New Hampshire, and Epsom Healthcare Center is still running at near-full capacity: 102 of its 108 beds are filled, a 94% occupancy rate. The two-story building offers private rooms and covers skilled nursing and respite care. Getting around outside the building takes a car; the Walk Score here is 30, solidly in the somewhat-walkable range.

Care runs around the clock, with 24-hour nursing and individualized plans built for each resident. Rehabilitation services are available, and respite care gives families a short-term option. Daily life includes family-style dining, complimentary WiFi and cable television, and a schedule that mixes social events, light exercise, and games.

The facility holds a VA contract, which matters directly for veterans navigating coverage options. Recreational programs and medical management round out what’s available.

Staffing splits across roles, with registered nurses, licensed nurses, and nurse aides each handling a share of daily care. Nurse aides log the most direct time, a little over two hours per resident each day. Medicare, Medicaid, and private pay are all accepted, and Allison Burwin administers the community. Facility inspections have tended to center on medication management and staffing credentials.

With three decades of operating history, near-full occupancy, and a VA contract alongside its standard nursing and rehabilitation services, Epsom Healthcare Center is an established, steadily-run community built for residents who need consistent skilled nursing support.

Overview of Harris Hill Center

Harris Hill Center is an 85-bed nursing home, assisted living, and hospice care community at 20 Maitland Street in Concord, Merrimack County, New Hampshire. Amy Auletto owns and operates the facility; Andrea Sherwin serves as administrator. Accepting Medicare, Medicaid, and private pay, the community sits less than a mile from New Hampshire Hospital; pets are permitted.

Four inspections by the New Hampshire Department of Health and Human Services since 2023 produced 23 deficiencies, 35% above the state average, with no improvement trend identified. A June 2024 complaint investigation found that a staff member administered insulin to one resident using another resident’s pen, risking bloodborne and bacterial pathogen transmission. A $16,000 civil money penalty followed; the 2-star CMS overall rating reflects an inspection sub-rating well below the New Hampshire benchmark. Total nursing care runs 3h 36m per resident per day, against a state average of 4h 13m.

A third-floor dementia unit serves residents with memory care needs; clinical nurse specialists, nurse practitioners, mental health service workers, and qualified social workers round out the care team. Physical, occupational, and speech language therapy are provided on site, alongside a team of seven respiratory therapy technicians. An Active Resident Council and a state-approved Nurse Aide Training and Competency Evaluation Program operate on site. Private and semi-private rooms fill the 3-story building, and occupancy stands at 93%, above the New Hampshire average of 81%.

Harris Hill Center’s nursing, hospice, and rehabilitative services orient it toward residents in Concord seeking short-term post-acute care or ongoing skilled nursing support.

Overview of Heritage Heights

Heritage Heights sits in the East Concord neighborhood of Concord, New Hampshire, at 149 East Side Dr. It is a single-story nursing home with 70 beds, and it has been open for one year. Mt Debra Willey runs the place as administrator.

This is not a walkable neighborhood; the Walk Score sits at 5 out of 100, which means car-dependent in almost every sense. If your family is planning visits, plan to drive. There is not much you will be doing on foot once you arrive.

The occupancy rate here is 68.9%, and the average resident sticks around for about 106 days. That number tells you something real. This is a place built more around short-term recovery than around long-term living, and the services back that up.

Rehabilitation services, respite care, and short-term rehab are all on offer, backed by staff on-site around the clock. There is a health services center, fitness and wellness programming, and dining options woven into daily life. Nursing coverage runs 5 hours and 44 minutes per resident each day. Weekend staffing barely dips, holding at 4 hours and 26 minutes per resident, which matters more than people realize since a lot of facilities let weekend care slide.

Medicare covers about 35% of new residents, and those stays run short, around 20 days on average, which tracks with rehab-focused admissions. Private pay makes up the other 65%, and those residents settle in longer, typically 9 to 10 months.

Pets are welcome, and there is transportation and fitness and recreation access built into the community. You need to be at least 62 to move in. On the compliance side, Heritage Heights has gone three years without a civil money penalty or a payment denial, which is a clean recent stretch by any measure.

Heritage Heights is oriented around short-stay rehabilitation with a smaller private-pay population settling in for the longer haul, backed by consistent staffing that does not thin out on weekends.

Concord’s Pleasant View Center operates from a mid-rise building on Pleasant Street as a 174-bed facility serving Medicare, Medicaid, and private-pay residents across nursing home, assisted living, and memory care levels. Richard C Rogers administrates the community under Abraham Eichler’s ownership. The facility maintains 82.1% occupancy (142 residents) with average stays of 121 days, predominantly accommodating Medicaid long-stay residents (85.9% of census).

Regulatory performance is among the poorest in New Hampshire. A 1-star overall CMS rating places the facility 65.9% below state average. Health inspection, staffing, and quality-measures ratings all scored 1-star. The inspection scorecard ranks Pleasant View 59th of 59 state facilities for total health citations (46 since 2022) and documents 48 deficiencies since 2023; 182% above the state average of 16 per three-year period.

Recent investigations substantiated repeated failures to timely report allegations of abuse and neglect, with a February 2025 complaint documenting medication errors resulting in resident hospitalization and delayed abuse notification to authorities (a pattern cited in four consecutive surveys).

Medication management represents the facility’s most consistent compliance gap. Deficiencies span controlled-substance accounting discrepancies, medication administration timing failures, and narcotics diversion allegations. Unlocked medication carts, expired medications, and missing documentation in controlled substance records appear across multiple inspections. Infection control, vaccination policy implementation, and comprehensive care planning round out persistent themes.

Clinical indicators show concern. Long-stay residents report depressive symptoms at 29.3%—more than three times the state rate (8.3%). Weight loss, falls with major injury, and hospitalizations all exceed state benchmarks. Short-stay residents show antipsychotic medication increases at 343% above average, and only 40.3% achieve expected self-care ability at discharge versus 53.7% statewide.

Financial performance recorded an operating loss of $46.3K against $23.1M revenue.

Contractor staffing comprises 32.2% of total nursing hours; a significant dependency on agency labor despite stated staff ratios above state average.

Pleasant View Center accommodates residents requiring skilled nursing and rehabilitation in Concord. However, its sustained deficiency patterns in medication management, abuse reporting, and care planning indicate substantial operational challenges.