We arrange tours, appointments, and even moving support so you don’t have to
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 10th out of 58 homes in New Hampshire for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 38m per day | ▼ 16% State avg: 45m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 43m per day | ▼ 7% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 25m per day | ▲ 43% State avg: 2h 23m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 11m per day | ▲ 22% State avg: 3h 26m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 22m per day | ▼ 29% State avg: 31m per day · National avg: 29m per day |
Similar to the New Hampshire average: 81.1%Merrimack County Nursing Home is administrated by Heather M Moquin.
In New Hampshire, the Department of Health and Human Services, Health Facilities Administration is responsible for the unannounced inspection and licensing of all residential care and nursing facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NH Average | vs. NH Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 9 | 17 | This facility has 47% fewer total deficiencies than a typical New Hampshire nursing home (9 vs. NH avg 17).↓ 47% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 3 | 5.7 | This facility has 47% fewer deficiencies per year than a typical New Hampshire nursing home (3 vs. NH avg 5.7).↓ 47% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New Hampshire average 3.5
Last Health inspection on Feb 2025
New Hampshire average 14.4
New Hampshire average 3.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 9 citations resulted from standard inspections; and 2 of 9 came from combined inspections (standard and complaint).
400% worse than New Hampshire averageNew Hampshire average: 0.2
100% better than New Hampshire averageNew Hampshire average: 0.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% more staff per resident than New Hampshire average
0% compared with New Hampshire average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
28 total: 10 full-time employees and 18 contractors.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
53 total: 28 full-time employees and 25 contractors.
53
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
309 total: 185 full-time employees and 124 contractors.
309
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
39,796 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 185 | 124 | 309 | 80,748 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 28 | 25 | 53 | 15,339 | 92 | 100% | 8.3 |
| Registered Nurse | 10 | 18 | 28 | 7,570 | 92 | 100% | 7.5 |
| Clinical Nurse Specialist | 20 | 0 | 20 | 7,286 | 92 | 100% | 7.8 |
| Medication Aide/Technician | 22 | 0 | 22 | 5,070 | 92 | 100% | 7.7 |
| Other Dietary Services Staff | 13 | 0 | 13 | 4,244 | 92 | 100% | 7.2 |
| Dental Services Staff | 6 | 0 | 6 | 2,275 | 61 | 66% | 7.2 |
| Nurse Aide in Training | 11 | 0 | 11 | 2,141 | 53 | 58% | 7.3 |
| RN Director of Nursing | 3 | 0 | 3 | 1,191 | 65 | 71% | 7.3 |
| Physical Therapy Assistant | 0 | 5 | 5 | 960 | 71 | 77% | 6.3 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 850 | 69 | 75% | 6.9 |
| Administrator | 2 | 0 | 2 | 750 | 61 | 66% | 7.5 |
| Occupational Therapy Aide | 2 | 0 | 2 | 706 | 59 | 64% | 7.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 637 | 63 | 68% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 413 | 55 | 60% | 7.5 |
| Feeding Assistant | 2 | 0 | 2 | 395 | 73 | 79% | 5.3 |
| Dietitian | 1 | 0 | 1 | 390 | 52 | 57% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 383 | 51 | 55% | 7.5 |
| Medical Director | 1 | 0 | 1 | 324 | 56 | 61% | 5.8 |
| Qualified Social Worker | 0 | 1 | 1 | 318 | 52 | 57% | 6.1 |
| Other Physician | 1 | 0 | 1 | 138 | 47 | 51% | 2.9 |
| Physical Therapist | 4 | 0 | 4 | 20 | 39 | 42% | 0.5 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
53% lower than New Hampshire averageNew Hampshire average: $33K
48% fewer fines than New Hampshire averageNew Hampshire average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New Hampshire averageNew Hampshire average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 21, 2024 · $16K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 21, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.9
13% better than New Hampshire averageNew Hampshire average: 11.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.9
10% better than New Hampshire averageNew Hampshire average: 23.2
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
16.3%
26% better than New Hampshire averageNew Hampshire average: 21.9%
Percent of long-stay residents whose ability to move independently worsened
20.0%
In line with New Hampshire averageNew Hampshire average: 20.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.4%
In line with New Hampshire averageNew Hampshire average: 27.1%
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
24% worse than New Hampshire averageNew Hampshire average: 4.6%
Percent of long-stay high risk residents with pressure ulcers
3.5%
22% better than New Hampshire averageNew Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
0.7%
70% better than New Hampshire averageNew Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
4.2%
25% better than New Hampshire averageNew Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
6.7%
18% better than New Hampshire averageNew Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
21.3%
22% worse than New Hampshire averageNew Hampshire average: 17.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with New Hampshire averageNew Hampshire average: 96.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with New Hampshire averageNew Hampshire average: 98.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.59
In line with New Hampshire averageNew Hampshire average: 1.65
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.74
61% better than New Hampshire averageNew Hampshire average: 1.90
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.7%
11% worse than New Hampshire averageNew Hampshire average: 83.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
23% better than New Hampshire averageNew Hampshire average: 1.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
56.1%
32% worse than New Hampshire averageNew Hampshire average: 83.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.3%
13% better than New Hampshire averageNew Hampshire average: 22.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.9%
51% better than New Hampshire averageNew Hampshire average: 14.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New Hampshire averageNew Hampshire average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.2%
16% worse than New Hampshire averageNew Hampshire average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.1%
27% worse than New Hampshire averageNew Hampshire average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
35% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
254Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Merrimack County Nursing Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 58Payroll — State benchmarkedThis home is ranked 1st out of 58 homes in New Hampshire for payroll. Shows total annual staff payroll benchmarked to the New Hampshire average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms
Building Type: Two-story
Transportation Services
Fitness and Recreation
Most residents stay for extended periods and receive ongoing daily care.
14.3 miles from city center
Estimated distance in miles from Boscawen's city center to Merrimack County Nursing Home's address, calculated via Google Maps.
— 6.22 miles to nearest hospital (Tilton VA Clinic)
Add your location
Merrimack County Nursing Home is located in Boscawen, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
| Presidential Oaks |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Concord | 52
Facility
52
NH AVG
71
Rank
#95 / 169 | 52.1% | -36% | 4.85 | -8% | +13% | $46.1k | 16 | 5.3 | - | 69 | - |
43
Facility
43
NH AVG
31
Rank
#72 / 229 | Joyce Higgins | $11.1M | $7.6M | 68.8% | 305063 | ||||
| Merrimack County Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Boscawen (Gerrish) | 290
Facility
290
NH AVG
71
Rank
#3 / 169 | 77.5% | -4% | 5.42 | -55% | +27% | $15.6k | 9 | 3.0 | 1 | 259 | - |
0
Facility
0
NH AVG
31
Rank
#203 / 229 | Heather Moquin | $34.9M | $33.3M | 95.4% | 305056 | ||||
| Epsom Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Epsom | 108
Facility
108
NH AVG
71
Rank
#37 / 169 | 94.4% | +16% | 3.60 | -3% | -16% | $0 | 10 | 2.5 | - | 102 | A+ |
30
Facility
30
NH AVG
31
Rank
#99 / 229 | Tammy Bishop | $13.3M | $6.9M | 52% | 305080 |
Merrimack County Nursing Home is in the Gerrish neighborhood of Boscawen.
According to NH state health department records, Merrimack County Nursing Home's license number is 3351.
According to NH state health department records, Merrimack County Nursing Home's license expires on February 28, 2027.
Merrimack County Nursing Home's occupancy is 78%.
Heather M Moquin is the administrator of Merrimack County Nursing Home.
Merrimack County Nursing Home has 290 beds.
Yes — there are 4 photos of Merrimack County Nursing Home in the photo gallery on this page.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
