Merrimack County Nursing Home

Name: Merrimack County Nursing Home
Address: 325 DANIEL WEBSTER HIGHWAY, Boscawen, NH, 03303, US
Telephone: 6037962165

325 Daniel Webster Highway, Boscawen, NH 03303 · Merrimack County · 290 certified beds · avg 276 residents/day · certified since Apr 1, 1996

2/5

Health inspection rating (on-site)

Serious findings on record

$15,646

Fines, last 3 years

5.39

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Mar 21, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Mar 13, 2024 (Past Non-Compliance)

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 25, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Mar 25, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Mar 25, 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 25, 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 25, 2026	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
Mar 25, 2026	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Mar 25, 2026	B · Minimal risk, repeated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Feb 28, 2025	E · Potential for harm, repeated	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.
Feb 28, 2025	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 28, 2025	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 21, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 21, 2024	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. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2024	2	1	J ▲
2025	3	0	E
2026	7	0	D

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)

1 fine totaling $15,646.

Date	Type	Amount / length
Mar 21, 2024	Fine	$15,646

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)	5.39	4.11	3.95	top 18% in New Hampshire; top 8% in the U.S.
Registered Nurse hours	0.82	0.82	0.69	top 40% in New Hampshire; top 26% in the U.S.
Weekend total nurse staffing	4.78	3.67	3.50	top 19% in New Hampshire; top 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.42	0.55	0.48	bottom 29% in New Hampshire; top 45% in the U.S.
Total nursing staff turnover (%)	34.4	44.1	45.8	top 17% in New Hampshire; top 23% in the U.S.
RN turnover (%)	27.9	40.9	42.9	top 23% in New Hampshire; top 26% 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 4.74, RN 0.72, weekend 4.20. Staffing rating: 5/5.

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: 3/5 · short-stay residents: 2/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
County of Merrimack	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2025
Alley, Amanda	Individual	Operational/Managerial Control	NOT APPLICABLE	07/03/2023
Alley, Amanda	Individual	ADP of the SNF	NOT APPLICABLE	07/03/2023
Bourbeau, Bruce	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2021
Bourbeau, Bruce	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2021
County of Merrimack	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
County of Merrimack	Organization	ADP of the SNF	NOT APPLICABLE	05/15/2025
Cunningham, Ross	Individual	Operational/Managerial Control	NOT APPLICABLE	11/11/2018
Cunningham, Ross	Individual	ADP of the SNF	NOT APPLICABLE	11/11/2018
Daitch, Stacey	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2007
Daitch, Stacey	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2007
Dresser, Lori	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2005
Dresser, Lori	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2005
Evans, Virginia	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2020
Evans, Virginia	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2020
Glover, Sarah	Individual	Operational/Managerial Control	NOT APPLICABLE	03/14/2022
Glover, Sarah	Individual	ADP of the SNF	NOT APPLICABLE	03/14/2022
Heath, Mary	Individual	Operational/Managerial Control	NOT APPLICABLE	01/04/2023
Heath, Mary	Individual	ADP of the SNF	NOT APPLICABLE	01/04/2023
Heath, Wendy	Individual	Operational/Managerial Control	NOT APPLICABLE	11/17/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"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?"
"What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
"How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"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
Mountain Ridge Center, Genesis Healthcare	5.6 mi	Franklin, NH	★☆☆☆☆	1/5	SFF
Havenwood-Heritage Heights	11.9 mi	Concord, NH	★★☆☆☆	2/5
Presidential Oaks	12.0 mi	Concord, NH	★★★☆☆	2/5
Pleasant View Center	12.1 mi	Concord, NH		—/5	SFF
Harris Hill Center, Genesis Healthcare	13.0 mi	Concord, NH	★★☆☆☆	2/5
Saint Francis Rehabilitation and Nursing Center	13.8 mi	Laconia, NH	★★★★★	5/5
Laconia Rehabilitation Center	14.8 mi	Laconia, NH	★★★☆☆	3/5
Belknap County Nursing Home	15.1 mi	Laconia, NH	★★★★☆	4/5
Epsom Healthcare Center	16.8 mi	Epsom, NH	★★☆☆☆	2/5
Golden View Health Care Center	18.5 mi	Meredith, NH	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Boscawen →

Facility data as of CMS processing date 2026-08-01. CCN 305056.

The Care File

Visit checklist — Merrimack County Nursing Home

325 Daniel Webster Highway, Boscawen, NH 03303 · 6037962165

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $15,646

Most serious findings on record:

▲ Mar 21, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "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?"
☐ "What adaptive eating equipment do you provide, and how do you decide who needs help at meals?"
☐ "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 305056 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)