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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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 15th out of 58 homes in New Hampshire. 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.
| 55m per day | ▲ 22% 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.
| 1h 9m per day | ▲ 50% 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.
| 2h 53m per day | ▲ 21% 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 13m per day | ▲ 23% 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.
| 43m per day | ▲ 39% State avg: 31m per day · National avg: 29m per day |
Lower than the New Hampshire average: 81.1%Presidential Oaks is administrated by RN Angela Beamer.
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.
| 18 | 17 | This facility has 6% more total deficiencies than a typical New Hampshire nursing home (18 vs. NH avg 17).↑ 6% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 4.5 | 4.3 | This facility has 5% more deficiencies per year than a typical New Hampshire nursing home (4.5 vs. NH avg 4.3).↑ 5% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 18, 2025, identified deficiencies related to the facility’s failure to thoroughly investigate an alleged abuse incident involving a resident’s spiral fracture and to implement appropriate transfer interventions. Earlier inspections showed a pattern of issues including notification failures to residents and representatives about transfers and bed hold policies, food storage concerns, inaccurate mental health screenings, incomplete care plans, pressure ulcer care gaps, bedrail hazard assessments, psychotropic medication management, staffing shortages, medication labeling problems, and delayed COVID-19 notifications. Complaint investigations were substantiated in multiple instances, with notable findings involving inadequate abuse investigations, failure to notify the State Long Term Care Ombudsman, and incomplete resident care planning. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history reflects ongoing challenges with resident care documentation, communication, and safety practices, with no clear trend of improvement or worsening over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew Hampshire average 3.5
Last Health inspection on Oct 2024
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.
All 16 citations resulted from standard inspections.
100% better 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.
120% better than New Hampshire average
5% better than 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
9,468 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 101 | 150 | 15,633 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 25 | 34 | 59 | 7,703 | 92 | 100% | 9.4 |
| Registered Nurse | 13 | 21 | 34 | 3,191 | 92 | 100% | 9 |
| Clinical Nurse Specialist | 3 | 1 | 4 | 1,480 | 85 | 92% | 7.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 913 | 77 | 84% | 10.9 |
| RN Director of Nursing | 3 | 0 | 3 | 849 | 62 | 67% | 8.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 829 | 70 | 76% | 7 |
| Administrator | 3 | 0 | 3 | 781 | 66 | 72% | 8 |
| Mental Health Service Worker | 3 | 0 | 3 | 746 | 68 | 74% | 7.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 570 | 70 | 76% | 5.3 |
| Nurse Practitioner | 1 | 0 | 1 | 555 | 60 | 65% | 9.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 353 | 40 | 43% | 7.7 |
| Dietitian | 3 | 0 | 3 | 351 | 43 | 47% | 6.7 |
| Respiratory Therapy Technician | 0 | 9 | 9 | 218 | 49 | 53% | 3.8 |
| Dental Services Staff | 1 | 0 | 1 | 201 | 24 | 26% | 8.4 |
| Qualified Social Worker | 0 | 2 | 2 | 174 | 42 | 46% | 3.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 167 | 40 | 43% | 4.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 43 | 8 | 9% | 5.4 |
| Medical Director | 0 | 1 | 1 | 30 | 3 | 3% | 10 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
11.5
In line with New Hampshire averageNew Hampshire average: 11.4
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
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
19.5%
11% better than New Hampshire averageNew Hampshire average: 21.9%
Percent of long-stay residents whose ability to move independently worsened
20.6%
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
34.4%
27% worse than New Hampshire averageNew Hampshire average: 27.1%
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%
Percent of long-stay high risk residents with pressure ulcers
2.2%
50% better than New Hampshire averageNew Hampshire average: 4.5%
Percent of long-stay residents with a urinary tract infection
2.4%
In line with New Hampshire averageNew Hampshire average: 2.5%
Percent of long-stay residents who lose too much weight
7.5%
34% worse than New Hampshire averageNew Hampshire average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.5%
94% better than New Hampshire averageNew Hampshire average: 8.3%
Percent of long-stay residents who received an antipsychotic medication
9.1%
48% better than New Hampshire averageNew Hampshire average: 17.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
11% worse than New Hampshire averageNew Hampshire average: 96.0%
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%
Number of hospitalizations per 1,000 long-stay resident days.
1.38
16% better than New Hampshire averageNew Hampshire average: 1.65
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
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
50.7%
40% worse than New Hampshire averageNew Hampshire average: 83.8%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
54% worse than New Hampshire averageNew Hampshire average: 1.6%
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%
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%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.3%
77% 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.
49.5%
8% worse than New Hampshire averageNew Hampshire average: 53.7%
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.
8% of new residents, usually for short-term rehab.
16% of new residents, often for short stays.
76% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
70Residents 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 Presidential Oaks 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 #28 / 58Payroll — State benchmarkedThis home is ranked 28th out of 58 homes in New Hampshire. 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: 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Fitness and Recreation
Most residents stay for extended periods and receive ongoing daily care.
1.3 miles from city center
Estimated distance in miles from Concord's city center to Presidential Oaks's address, calculated via Google Maps.
— 0.45 miles to nearest hospital (New Hampshire Oncology-Hematology)
Add your location
Presidential Oaks is located in Concord, 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 | 52.1% | -36% | 4.85 | -6% | +13% | $46.1k | 16 | 5.3 | - | 69 | - | 43 | 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 | 77.5% | -4% | 5.42 | -55% | +27% | $15.6k | 9 | 3.0 | 1 | 259 | - | 0 | 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 | 89.4% | +10% | 3.60 | -2% | -16% | $0 | 10 | 2.5 | - | 102 | A+ | 30 | Tammy Bishop | $13.3M | $6.9M | 52% | 305080 | ||||
| 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 | 82.1% | +1% | 3.35 | -16% | -22% | $13.0k | 46 | 5.1 | 1 | 148 | - | 9 | Abraham Eichler | $23.1M | $11.7M | 50.7% | 305045 |
Presidential Oaks has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NH state health department records, Presidential Oaks's license number is 3522.
According to NH state health department records, Presidential Oaks's license expires on May 31, 2026.
Presidential Oaks's occupancy is 52%.
Rn Angela Beamer is the administrator of Presidential Oaks.
Presidential Oaks has 52 beds.
(603) 225-6644 will put you in contact with the team at Presidential Oaks.
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