Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Oct 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Presidential Oaks
Memory Care Home
Presidential Oaks
Memory Care Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational 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 home
Other
Home revenue
$11.1M
Operating deficit
-$550.4K
Voluntary non-profit home
Other
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
License Status
ActiveFacility Type
Assist Living/Residential Care Facility
License Date
January 6, 2025
License Expiration
May 31, 2026
Additional licensing details
License number:
3522
County:
MERRIMACK
Ownership & operating entity
Presidential Oaks is administrated by ANGELA BEAMER, RN.
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
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
-42%
+27%
-4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boscawen
290
No
-
0
MOQUIN, HEATHER
77.5%
$27,554,072.00
$14,337,530.00
52%
258.70
5.4209
1
9
1
-42%+27%-4%1 Bed / 2 Bed
Pleasant View Center
+4%
-22%
+1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Concord
174
No
-
9
EICHLER, ABRAHAM
82.1%
$22,865,802.00
$5,510,037.00
24.1%
147.60
3.3524
2
46
1
+4%-22%+1%1 Bed / 2 Bed
Presidential Oaks
+31%
+13%
-36%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Concord
161
No
-
43
HIGGINS, JOYCE
52.1%
$10,129,623.00
$5,714,628.00
56.4%
69.10
4.8481
1
16
-
+31%+13%-36%1 Bed / 2 Bed
Epsom Healthcare Center
-18%
-16%
+10%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Epsom
108
No
A+
30
BISHOP, TAMMY
89.4%
$12,951,802.00
$5,000,148.00
38.6%
101.90
3.5981
-
10
-
-18%-16%+10%1 Bed / 2 Bed
The Birches at Concord
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
RC
Respite Care
Concord
60
Yes
A+
17
-
-
-
-
-
-
-
-
-
-
-
-
1 Bed / 2 Bed
Merrimack County Nursing Home
Type of care:
SNF
AL
Community:
Boscawen
Bed Count:
290
Pets Allowed:
No
Operator:
MOQUIN, HEATHER
CCN:
305056
Occupancy:
77.5%
Home Revenue:
$27,554,072.00
Payroll Costs:
$14,337,530.00
Payroll %:
52%
Avg Residents/Day:
258.70
Overall Rating:
Adj Nurse Hours:
5.4209
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
9
Severe Citations:
1
RN share vs State Avg:
-42%
-42%
Staffing vs State Avg:
+27%
+27%
Occupancy vs State Avg:
-4%
-4%
Bed Options:
1 Bed / 2 Bed
Pleasant View Center
Type of care:
SNF
AL
Community:
Concord
Bed Count:
174
Pets Allowed:
No
Operator:
EICHLER, ABRAHAM
CCN:
305045
Occupancy:
82.1%
Home Revenue:
$22,865,802.00
Payroll Costs:
$5,510,037.00
Payroll %:
24.1%
Avg Residents/Day:
147.60
Overall Rating:
Adj Nurse Hours:
3.3524
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
46
Severe Citations:
1
RN share vs State Avg:
+4%
+4%
Staffing vs State Avg:
-22%
-22%
Occupancy vs State Avg:
+1%
+1%
Bed Options:
1 Bed / 2 Bed
Presidential Oaks
Type of care:
AL
MC
SNF
Community:
Concord
Bed Count:
161
Pets Allowed:
No
Operator:
HIGGINS, JOYCE
CCN:
305063
Occupancy:
52.1%
Home Revenue:
$10,129,623.00
Payroll Costs:
$5,714,628.00
Payroll %:
56.4%
Avg Residents/Day:
69.10
Overall Rating:
Adj Nurse Hours:
4.8481
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
16
RN share vs State Avg:
+31%
+31%
Staffing vs State Avg:
+13%
+13%
Occupancy vs State Avg:
-36%
-36%
Bed Options:
1 Bed / 2 Bed
Epsom Healthcare Center
Type of care:
SNF
AL
Community:
Epsom
Bed Count:
108
Pets Allowed:
No
Operator:
BISHOP, TAMMY
CCN:
305080
Occupancy:
89.4%
Home Revenue:
$12,951,802.00
Payroll Costs:
$5,000,148.00
Payroll %:
38.6%
Avg Residents/Day:
101.90
Overall Rating:
Adj Nurse Hours:
3.5981
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
-18%
-18%
Staffing vs State Avg:
-16%
-16%
Occupancy vs State Avg:
+10%
+10%
Bed Options:
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
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
242
Total Staff
105
Employees
137
Contractors
33,653
Total Hours (Quarter)
45
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 40 | 8.9 | Yes |
| Licensed Practical Nurse | 47 | 9.3 | Yes |
| Certified Nursing Assistant | 112 | 8.5 | Yes |
Staff by Category
Administration ⓘ
3 staff
6.6hs shift avg
Nursing Staff ⓘ
210 staff
8.7hs shift avg
Physicians & Practitioners ⓘ
6 staff
8.6hs shift avg
Therapy Services ⓘ
14 staff
5.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
3.9hs shift avg
Dietary Services ⓘ
5 staff
7.5hs shift avg
Other Services ⓘ
2 staff
7.8hs shift avg
Contractor Analysis
25.4%
of total hours from contractors
8,542 contractor hours this quarter
Certified Nursing Assistant: 55
Physical Therapy Assistant: 5
Speech Language Pathologist: 3
Licensed Practical Nurse: 33
Registered Nurse: 32
Qualified Social Worker: 2
Respiratory Therapy Technician: 4
Occupational Therapy Aide: 1
Medical Director: 1
Physical Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
16
Citations per inspection
5.33
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
Oct 30, 2024
Corrected
Resident Rights minor citation
Oct 30, 2024
Corrected
Resident Rights minor citation
Oct 30, 2024
Corrected
Pharmacy moderate citation
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
70
Total Residents
Medicare
8
(11.4%)
ⓘ
Medicaid
27
(38.6%)
ⓘ
Private Pay/Other
35
(50%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
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
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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