New Hampshire ›Boscawen

Merrimack County Nursing Home

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325 Daniel Webster Highway, Boscawen, NH 03303 (opens Google Maps) · Merrimack County · (603) 796-2165· 290 certified beds · avg 276 residents/day · certified since Apr 1, 1996 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

2/5
Health inspection rating (on-site)
inspected Mar 25, 2026
1
Serious findings on record
most recent Mar 21, 2024
$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)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

Inspection findings in the public record

Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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. F-0554

  2. D · Potential for more than minimal harm, isolated

    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. F-0609

  3. D · Potential for more than minimal harm, isolated

    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. F-0657

View all 12 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 25, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0554
Mar 25, 2026D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Mar 25, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Mar 25, 2026D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Mar 25, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0810
Mar 25, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · F-0825
Mar 25, 2026B · Potential for minimal harm, patternThe 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. · F-0637
Feb 28, 2025E · Potential for more than minimal harm, patternThe 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. · F-0761
Feb 28, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Feb 28, 2025B · Potential for minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Mar 21, 2024▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 21, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0880

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 2
Serious citations (G–L): 1
2025
All citations: 3
Serious citations (G–L): 0
2026
All citations: 7
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202421J ▲
202530E
202670D

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)

How to file a complaint about care →

1 fine totaling $15,646.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Mar 21, 2024Fine$15,646

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNew Hampshire averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.39
New Hampshire average: 4.11
U.S. average: 3.95
Registered Nurse hours
This facility: 0.82
New Hampshire average: 0.82
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.78
New Hampshire average: 3.67
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNew Hampshire avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)5.394.113.95top 18% in New Hampshire; top 8% in the U.S.
Registered Nurse hours0.820.820.69top 40% in New Hampshire; top 26% in the U.S.
Weekend total nurse staffing4.783.673.50top 19% in New Hampshire; top 8% in the U.S.
Weekend RN hours (not acuity-adjusted)0.420.550.48bottom 29% in New Hampshire; top 45% in the U.S.
Total nursing staff turnover (%)34.444.145.8top 17% in New Hampshire; top 23% in the U.S.
RN turnover (%)27.940.942.9top 23% in New Hampshire; top 26% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.74 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Merrimack County Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - County

Owner / managerTypeRoleStakeSince
County of MerrimackOrganization5% or Greater Direct Ownership Interest100%01/01/2025
Alley, AmandaIndividualOperational/Managerial ControlNOT APPLICABLE07/03/2023
Alley, AmandaIndividualADP of the SNFNOT APPLICABLE07/03/2023
Bourbeau, BruceIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2021
Bourbeau, BruceIndividualADP of the SNFNOT APPLICABLE06/01/2021
County of MerrimackOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2025
County of MerrimackOrganizationADP of the SNFNOT APPLICABLE05/15/2025
Cunningham, RossIndividualOperational/Managerial ControlNOT APPLICABLE11/11/2018
Cunningham, RossIndividualADP of the SNFNOT APPLICABLE11/11/2018
Daitch, StaceyIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2007
Daitch, StaceyIndividualADP of the SNFNOT APPLICABLE01/01/2007
Dresser, LoriIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2005
Dresser, LoriIndividualADP of the SNFNOT APPLICABLE06/01/2005
Evans, VirginiaIndividualOperational/Managerial ControlNOT APPLICABLE08/01/2020
Evans, VirginiaIndividualADP of the SNFNOT APPLICABLE08/01/2020
Glover, SarahIndividualOperational/Managerial ControlNOT APPLICABLE03/14/2022
Glover, SarahIndividualADP of the SNFNOT APPLICABLE03/14/2022
Heath, MaryIndividualOperational/Managerial ControlNOT APPLICABLE01/04/2023
Heath, MaryIndividualADP of the SNFNOT APPLICABLE01/04/2023
Heath, WendyIndividualOperational/Managerial ControlNOT APPLICABLE11/17/2024

Showing 20 of 43 parties CMS has on file for this facility; 23 are not displayed. The full list is in the CMS Ownership dataset.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 34% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 43 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Mountain Ridge Center, Genesis Healthcare5.6 miFranklin, NH★☆☆☆☆1/5SFF
Havenwood-Heritage Heights11.9 miConcord, NH★★☆☆☆2/5
Presidential Oaks12.0 miConcord, NH★★★☆☆2/5
Pleasant View Center12.1 miConcord, NH—/5SFF
Harris Hill Center, Genesis Healthcare13.0 miConcord, NH★★☆☆☆2/5
Saint Francis Rehabilitation and Nursing Center13.8 miLaconia, NH★★★★★5/5
Laconia Rehabilitation Center14.8 miLaconia, NH★★★☆☆3/5
Belknap County Nursing Home15.1 miLaconia, NH★★★★☆4/5
Epsom Healthcare Center16.8 miEpsom, NH★★☆☆☆2/5
Golden View Health Care Center18.5 miMeredith, 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.

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