Epsom Healthcare Center
901 Suncook Valley Highway, Epsom, NH 03234 · Merrimack County · 108 certified beds · avg 97 residents/day · certified since Feb 1, 1997
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2026 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 4, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 4, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | D |
| 2025 | 2 | 0 | F |
| 2026 | 8 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.22 | 4.11 | 3.95 | bottom 26% in New Hampshire; bottom 22% in the U.S. |
| Registered Nurse hours | 0.55 | 0.82 | 0.69 | bottom 18% in New Hampshire; bottom 44% in the U.S. |
| Weekend total nurse staffing | 2.86 | 3.67 | 3.50 | bottom 26% in New Hampshire; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.51 | 0.55 | 0.48 | bottom 47% in New Hampshire; top 32% in the U.S. |
| Total nursing staff turnover (%) | 41.7 | 44.1 | 45.8 | top 42% in New Hampshire; top 41% in the U.S. |
| RN turnover (%) | 33.3 | 40.9 | 42.9 | top 28% in New Hampshire; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.26, RN 0.55, weekend 2.90. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Esnh LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2022 |
| JPNH LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/01/2022 |
| NH3 Opco Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2022 |
| Pepper, Yehuda | Individual | 5% or Greater Indirect Ownership Interest | — | 09/01/2022 |
| Schwarcz, Elliot | Individual | 5% or Greater Indirect Ownership Interest | — | 09/01/2022 |
| Bishop, Tammy | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/28/2022 |
| Dwight Mortgage Trust LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 09/01/2022 |
| Matera Health LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2022 |
| Pepper, Yehuda | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2022 |
| Schwarcz, Elliot | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Havenwood-Heritage Heights | 7.7 mi | Concord, NH | ★★☆☆☆ | 2/5 | |
| Harris Hill Center, Genesis Healthcare | 9.1 mi | Concord, NH | ★★☆☆☆ | 2/5 | |
| Presidential Oaks | 10.0 mi | Concord, NH | ★★★☆☆ | 2/5 | |
| Pleasant View Center | 10.4 mi | Concord, NH | —/5 | SFF | |
| Hackett Hill Healthcare Center | 14.8 mi | Manchester, NH | ★★☆☆☆ | 1/5 | |
| Courville at Manchester | 16.5 mi | Manchester, NH | ★★☆☆☆ | 1/5 | SFF |
| Saint Teresa Rehabilitation & Nursing Center | 16.8 mi | Manchester, NH | ★★☆☆☆ | 2/5 | |
| Mount Carmel Rehabilitation and Nursing Center | 16.8 mi | Manchester, NH | ★★★★☆ | 4/5 | |
| Merrimack County Nursing Home | 16.8 mi | Boscawen, NH | ★★★☆☆ | 2/5 | |
| Maple Leaf Health Care Center | 17.0 mi | Manchester, NH | ★★★★★ | 5/5 | |
| Villa Crest Nursing and Retirement Center | 17.0 mi | Manchester, NH | ★★★★☆ | 4/5 | |
| St Joseph Residence | 17.1 mi | Manchester, NH | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 305080.