Occupancy rate
52%
In line with New Hampshire averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Memory Care Home
Presidential Oaks
Overview of Presidential Oaks
Presidential Oaks boasts its personalized care provided for supportive retirement living, long-term care, and assisted living residents residing in a comfortable and nurturing environment. The upscale retirement home aims to provide an enjoyable lifestyle that promotes convenience and growth; residents discover many possibilities where anything can happen at the comfort of their newfound home.
As a continuum of care retirement community, Presidential Oaks offers spacious private rooms, a nursing floor level, and three delicious meals served daily in the dining room– to name a few of its highlights. The warm and cozy atmosphere promotes a vibrant social life for its residents by scheduling social events and calendar-filled activities for an engaging and active lifestyle.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
52
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
52.1%
Residents per day (avg)
69
Occupancy rate
52.1%
Residents per day (avg)
69
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
8% of new residents, usually for short-term rehab.
Typical stay
5 - 6 months
Private pay
16% of new residents, often for short stays.
Typical stay
1 - 2 years
Medicaid
76% of new residents, often for long-term daily care.
Typical stay
1 - 2 months
Finances and operations
Voluntary non-profit community
Home revenue
$11.1M
Operating deficit
-$550.4K
Voluntary non-profit community
Home revenue
$11,117,178.00
Operating deficit
$-550,401.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.7M
52-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 43 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Occupancy
In line with New Hampshire averageOccupied beds
27 / 52
Average residents
80 per day
License details
Facility type
Assist Living/residential Care Facility
Status
Active
Issuance
January 6, 2025
Expiration
May 31, 2026
County:
MERRIMACK
Additional licensing details
License number:
3522
Ownership & operating entity
Presidential Oaks is administrated by ANGELA BEAMER, RN.
Safety & Compliance
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Programs & Activities
Specific Programs
Long Term Care, Rehabilitation and Skilled Nursing Care, Assisted Living, Hospice Care, Respite, Supported Retirement Living, Events, Activities and Dining.
Dining & Nutrition
Food Description
Residents receive three nutritious meals and unlimited snacks under the direction of a dietician and food service director.
Meals Included
Yes
Meals Per Day
3
What does this home offer?
Housing Options: 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Fitness and Recreation
Types of Care at Presidential Oaks
Nursing Home
Memory Care
Assisted Living
Inspection History
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.
4 visits/inspections
3 visits/inspections triggered by complaints
Results
4 with issues
0 without issues
Show Inspection Reports
Latest inspection
Date:November 18, 2025
Type:Complaint Investigation
18 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Oct 2024
Total health citations
16
New Hampshire average 14.4
Citations per inspection
5.33
New Hampshire average 3.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 16 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.2
Serious Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.1
0 critical citations
0 serious citations
10 moderate citations
6 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 30, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 30, 2024
Corrected
Resident Rights minor citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 30, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 30, 2024
Corrected
Resident Rights minor citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 30, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Oct 30, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 26, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 26, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Memory Care around Concord The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
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
290
No
-
0
1 Bed / 2 Bed
Pleasant View 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.
Concord
174
No
-
9
1 Bed / 2 Bed
Presidential Oaks
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.
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).
Concord
161
No
-
43
1 Bed / 2 Bed
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
No
A+
30
1 Bed / 2 Bed
The Birches at Concord
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.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Concord
60
Yes
A+
17
1 Bed / 2 Bed
Places of interest near Presidential Oaks
1.3 miles from city center — 0.45 miles to nearest hospital (New Hampshire Oncology-Hematology)
200 Pleasant St, Concord, NH 03301
Calculate Travel Distance to Presidential Oaks
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
242
Employees
105
Contractors
137
Staff to resident ratio
3.46:1
85% better than New Hampshire averageNew Hampshire average ratio: 1.87:1
Avg staff/day
45
Average shift
8.2 hours
5% better than New Hampshire averageNew Hampshire average: 7.8 hours
Total staff hours (quarter)
33,653
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
112
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
25.4%
8,542 contractor hours this quarter
Certified Nursing Assistant: 55
Licensed Practical Nurse: 33
Registered Nurse: 32
Physical Therapy Assistant: 5
Respiratory Therapy Technician: 4
Speech Language Pathologist: 3
Qualified Social Worker: 2
Occupational Therapy Aide: 1
Medical Director: 1
Physical Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 57 | 55 | 112 | 16,062 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 14 | 33 | 47 | 5,620 | 91 | 100% | 9.3 |
| Registered Nurse | 8 | 32 | 40 | 3,174 | 91 | 100% | 8.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,346 | 91 | 100% | 7.6 |
| RN Director of Nursing | 4 | 0 | 4 | 1,219 | 80 | 88% | 7.7 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,096 | 73 | 80% | 9.2 |
| Physical Therapy Assistant | 0 | 5 | 5 | 960 | 68 | 75% | 7.2 |
| Mental Health Service Worker | 2 | 0 | 2 | 801 | 65 | 71% | 7.8 |
| Administrator | 2 | 0 | 2 | 697 | 77 | 85% | 6.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 599 | 72 | 79% | 5.5 |
| Nurse Practitioner | 3 | 0 | 3 | 577 | 62 | 68% | 9.3 |
| Dietitian | 2 | 0 | 2 | 480 | 62 | 68% | 7.3 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 373 | 40 | 44% | 7.8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 280 | 55 | 60% | 4.6 |
| Qualified Social Worker | 0 | 2 | 2 | 170 | 44 | 48% | 3.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 146 | 35 | 38% | 4.2 |
| Medical Director | 0 | 1 | 1 | 44 | 11 | 12% | 4 |
| Physical Therapy Aide | 0 | 1 | 1 | 12 | 2 | 2% | 5.8 |
112 Certified Nursing Assistant
% of Days
100%
47 Licensed Practical Nurse
% of Days
100%
40 Registered Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
100%
4 RN Director of Nursing
% of Days
88%
7 Medication Aide/Technician
% of Days
80%
5 Physical Therapy Assistant
% of Days
75%
2 Mental Health Service Worker
% of Days
71%
2 Administrator
% of Days
85%
3 Speech Language Pathologist
% of Days
79%
3 Nurse Practitioner
% of Days
68%
2 Dietitian
% of Days
68%
3 Clinical Nurse Specialist
% of Days
44%
4 Respiratory Therapy Technician
% of Days
60%
2 Qualified Social Worker
% of Days
48%
1 Occupational Therapy Aide
% of Days
38%
1 Medical Director
% of Days
12%
1 Physical Therapy Aide
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
70 residents
Residents by payment source
Medicare
8 residents (11.4%)
Medicaid
27 residents (38.6%)
Private pay or other
35 residents (50%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.5
In line with New Hampshire averageNew Hampshire average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.8
7% worse than New Hampshire averageNew Hampshire average: 23.2
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.5%
Percent of long-stay residents whose need for help with daily activities has increased
19.5%
11% better than New Hampshire averageNew Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.6%
Percent of long-stay residents whose ability to move independently worsened
20.6%
In line with New Hampshire averageNew Hampshire average: 20.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
34.4%
27% worse than New Hampshire averageNew Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.5%
Percent of long-stay residents experiencing one or more falls with major injury
7.5%
65% worse than New Hampshire averageNew Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.2%
Percent of long-stay high risk residents with pressure ulcers
2.2%
50% better than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.4%
Percent of long-stay residents with a urinary tract infection
2.4%
In line with New Hampshire averageNew Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.5%
Percent of long-stay residents who lose too much weight
7.5%
34% worse than New Hampshire averageNew Hampshire average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.5%
Percent of long-stay residents who have depressive symptoms
0.5%
94% better than New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.1%
Percent of long-stay residents who received an antipsychotic medication
9.1%
48% better than New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
11% worse than New Hampshire averageNew Hampshire average: 96.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with New Hampshire averageNew Hampshire average: 98.0%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.38
Number of hospitalizations per 1,000 long-stay resident days.
1.38
16% better than New Hampshire averageNew Hampshire average: 1.65
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.09
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.09
10% worse than New Hampshire averageNew Hampshire average: 1.90
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
50.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
50.7%
40% worse than New Hampshire averageNew Hampshire average: 83.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
54% worse than New Hampshire averageNew Hampshire average: 1.6%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
42.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
42.5%
49% worse than New Hampshire averageNew Hampshire average: 83.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.0%
13% worse than New Hampshire averageNew Hampshire average: 22.1%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
3.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.3%
77% better than New Hampshire averageNew Hampshire average: 14.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
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%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
49.5%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.5%
8% worse than New Hampshire averageNew Hampshire average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
69.6%
Rate of successful return to home or community from a skilled nursing facility.
69.6%
38% better 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.
Financial Trends
Historical financial and operational data for Presidential Oaks based on CMS SNF Cost Reports.
Occupancy Rate
52.1%
↑ 6.1pp vs 2023
Net Income
-$550,401
↑ ~$960K vs 2023
Total Payroll
$7,646,692
↑ ~$236K vs 2023
Profit Margin
-5.4%
↑ 10.8pp vs 2023
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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