2/5
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.
2/5
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.
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.
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 63 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.
| 49m per day | ▲ 9% 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 20m per day | ▲ 74% 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 35m per day | ▲ 9% 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 23m per day | ▲ 28% 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 | ▼ 49% 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.
| 34m per day | ▲ 9% State avg: 31m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Presidential Oaks is administered by Angela Beamer, RN.
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, deficiency, 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 |
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 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.
122% more staff per resident 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.
34 total: 13 full-time employees and 21 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursAssists with medical care and medications.
59 total: 25 full-time employees and 34 contractors.
59
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
150 total: 49 full-time employees and 101 contractors.
150
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
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 from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 04/2024.
Based on CMS SNF Cost Report for fiscal year ending in 04/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #32 / 63Payroll — State benchmarkedThis home is ranked 32nd out of 63 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #12 / 63Payroll % — State benchmarkedThis home is ranked 12th out of 63 homes in New Hampshire for payroll %. Shows payroll as a percentage of revenue versus the New Hampshire average. Well-run New Hampshire facilities typically land around 58–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New Hampshire that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
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.
Most new residents arrive under Medicaid (76% of admissions), and a typical Medicaid stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.3 miles from city center
Estimated distance in miles from Concord's city center to Presidential Oaks's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the NH Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Merrimack County Nursing Home | NH HOS MC SNF | Boscawen (Gerrish) | 290
Facility
290
NH AVG
70
Rank
#2 / 168 |
94.2%
Facility
94.2%
NH AVG
82.3
Rank
#6 / 51 | +14% | 5.42
Facility
5.42
NH AVG
4.28
Rank
#10 / 63 | -55% | +27% | $15.6k
Facility
$15.6k
NH AVG
$36.9k
Rank
#55 / 64 | 9
Facility
9
NH AVG
14.4
Rank
#18 / 64 | 3.0
Facility
3.0
NH AVG
4.0
Rank
#18 / 64 | 1 | 273 | - |
0
Facility
0
NH AVG
31
Rank
#202 / 228 | Heather Moquin | $27.6MFiscal year ending 12/2023
Facility
$27.6MFiscal year ending 12/2023
NH AVG
$14.7M
Rank
#4 / 63 | $21.1MFiscal year ending 12/2023
Facility
$21.1MFiscal year ending 12/2023
NH AVG
$5.7M
Rank
#1 / 63 | 76.5%Fiscal year ending 12/2023
Facility
76.5%Fiscal year ending 12/2023
NH AVG
39.8%
Rank
#3 / 63 | 305056 | ||||
| Havenwood | NH AL IL MC RC SNF | Concord | 70
Facility
70
NH AVG
70
Rank
#71 / 168 |
93.6%
Facility
93.6%
NH AVG
82.3
Rank
#8 / 51 | +14% | 5.73
Facility
5.73
NH AVG
4.28
Rank
#4 / 63 | +8% | +34% | $0
Facility
$0
NH AVG
$36.9k
Rank
#1 / 64 | 6
Facility
6
NH AVG
14.4
Rank
#6 / 64 | 2.0
Facility
2.0
NH AVG
4.0
Rank
#1 / 64 | - | 66 | A+ |
23
Facility
23
NH AVG
31
Rank
#114 / 228 | Tracy Judd | $23.9MFiscal year ending 12/2023
Facility
$23.9MFiscal year ending 12/2023
NH AVG
$14.7M
Rank
#6 / 63 | $14.4MFiscal year ending 12/2023
Facility
$14.4MFiscal year ending 12/2023
NH AVG
$5.7M
Rank
#9 / 63 | 60.5%Fiscal year ending 12/2023
Facility
60.5%Fiscal year ending 12/2023
NH AVG
39.8%
Rank
#48 / 63 | 305016 | ||||
| Epsom Healthcare Center | NH RC SNF | Epsom | 108
Facility
108
NH AVG
70
Rank
#35 / 168 |
94.4%
Facility
94.4%
NH AVG
82.3
Rank
#5 / 51 | +15% | 3.60
Facility
3.60
NH AVG
4.28
Rank
#37 / 63 | -3% | -16% | $0
Facility
$0
NH AVG
$36.9k
Rank
#1 / 64 | 10
Facility
10
NH AVG
14.4
Rank
#20 / 64 | 2.5
Facility
2.5
NH AVG
4.0
Rank
#10 / 64 | - | 102 | A+ |
30
Facility
30
NH AVG
31
Rank
#98 / 228 | Tammy Bishop | $12.4MFiscal year ending 12/2023
Facility
$12.4MFiscal year ending 12/2023
NH AVG
$14.7M
Rank
#37 / 63 | $5.8MFiscal year ending 12/2023
Facility
$5.8MFiscal year ending 12/2023
NH AVG
$5.7M
Rank
#38 / 63 | 46.9%Fiscal year ending 12/2023
Facility
46.9%Fiscal year ending 12/2023
NH AVG
39.8%
Rank
#35 / 63 | 305080 | ||||
| Presidential Oaks | NH AL HOS RESC RC SNF | Concord | 52
Facility
52
NH AVG
70
Rank
#94 / 168 | - | - | 4.85
Facility
4.85
NH AVG
4.28
Rank
#15 / 63 | -8% | +13% | $0
Facility
$0
NH AVG
$36.9k
Rank
#1 / 64 | 16
Facility
16
NH AVG
14.4
Rank
#41 / 64 | 5.3
Facility
5.3
NH AVG
4.0
Rank
#51 / 64 | - | 70 | - |
43
Facility
43
NH AVG
31
Rank
#71 / 228 | Joyce Higgins | $9.7MFiscal year ending 04/2024
Facility
$9.7MFiscal year ending 04/2024
NH AVG
$14.7M
Rank
#44 / 63 | $6.6MFiscal year ending 04/2024
Facility
$6.6MFiscal year ending 04/2024
NH AVG
$5.7M
Rank
#32 / 63 | 67.8%Fiscal year ending 04/2024
Facility
67.8%Fiscal year ending 04/2024
NH AVG
39.8%
Rank
#12 / 63 | 305063 | ||||
| Harris Hill Center | NH HOS MC PC SNF | Concord | 85
Facility
85
NH AVG
70
Rank
#56 / 168 |
87.3%
Facility
87.3%
NH AVG
82.3
Rank
#24 / 51 | +6% | 3.60
Facility
3.60
NH AVG
4.28
Rank
#37 / 63 | +4% | -16% | $15.6k
Facility
$15.6k
NH AVG
$36.9k
Rank
#55 / 64 | 22
Facility
22
NH AVG
14.4
Rank
#52 / 64 | 5.5
Facility
5.5
NH AVG
4.0
Rank
#54 / 64 | 1 | 74 | - |
59
Facility
59
NH AVG
31
Rank
#42 / 228 | Amy Auletto | $11.7MFiscal year ending 09/2023
Facility
$11.7MFiscal year ending 09/2023
NH AVG
$14.7M
Rank
#28 / 63 | $5.4MFiscal year ending 09/2023
Facility
$5.4MFiscal year ending 09/2023
NH AVG
$5.7M
Rank
#31 / 63 | 46.1%Fiscal year ending 09/2023
Facility
46.1%Fiscal year ending 09/2023
NH AVG
39.8%
Rank
#42 / 63 | 305078 |
Presidential Oaks is located in Concord, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.
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.
Presidential Oaks's occupancy is 52.1%.
Presidential Oaks has been operating for approximately 1 year, based on available licensing and registration records.
No, Presidential Oaks has a no-pet policy.
Presidential Oaks is registered as a non-profit in NH.
Rn Angela Beamer is the administrator of Presidential Oaks.
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
