Presidential Oaks

200 Pleasant Street, Concord, NH 03301 (opens Google Maps) · Merrimack County · (603) 225-6644· 85 certified beds · avg 73 residents/day · certified since May 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 Jan 30, 2026

Serious findings on record

Fines, last 3 years

4.37

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.

Inspection findings in the public record

Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.

Jan 30, 2026F · Potential for more than minimal harm, widespread
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. F-0880
Jan 30, 2026E · Potential for more than minimal harm, pattern
The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. F-0881
Jan 30, 2026D · Potential for more than minimal harm, isolated
The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. F-0565

View all 16 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.

Date	Severity	What the facility was cited for
Jan 30, 2026	F · Potential for more than minimal harm, widespread	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. · F-0880
Jan 30, 2026	E · Potential for more than minimal harm, pattern	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
Jan 30, 2026	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565
Jan 30, 2026	D · Potential for more than minimal harm, isolated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
Jan 30, 2026	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Nov 18, 2025	D · Potential for more than minimal harm, isolated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Nov 18, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Oct 30, 2024	D · Potential for more than minimal harm, isolated	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. · F-0812
Oct 30, 2024	B · Potential for minimal harm, pattern	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Oct 30, 2024	B · Potential for minimal harm, pattern	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Oct 26, 2023	D · Potential for more than minimal harm, isolated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Oct 26, 2023	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Oct 26, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Oct 26, 2023	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Oct 26, 2023	D · Potential for more than minimal harm, isolated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Oct 26, 2023	B · Potential for minimal harm, pattern	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

2026

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

Year	Citations	Worst severity that year
2023	6	D
2024	3	D
2025	2	D
2026	5	F

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 →

No fines or payment denials in the published 3-year window.

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)

4.37

4.11

3.95

Registered Nurse hours

0.90

0.82

0.69

Weekend total nurse staffing

3.79

3.67

3.50

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

Measure	This facility	New Hampshire avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.37	4.11	3.95	top 38% in New Hampshire; top 27% in the U.S.
Registered Nurse hours	0.90	0.82	0.69	top 32% in New Hampshire; top 21% in the U.S.
Weekend total nurse staffing	3.79	3.67	3.50	top 39% in New Hampshire; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.64	0.55	0.48	top 26% in New Hampshire; top 20% in the U.S.
Total nursing staff turnover (%)	68.3	44.1	45.8	bottom 3% in New Hampshire; bottom 7% in the U.S.
RN turnover (%)	62.5	40.9	42.9	bottom 13% in New Hampshire; bottom 19% 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 4.43, RN 0.91, weekend 3.84.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.43 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Presidential Oaks. 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.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

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 →

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Beamer, Angela	Individual	Operational/Managerial Control	NOT APPLICABLE	05/12/2025
Beamer, Angela	Individual	ADP of the SNF	NOT APPLICABLE	08/07/2025
Caron, Sharon	Individual	Operational/Managerial Control	NOT APPLICABLE	12/10/2009
Caron, Sharon	Individual	ADP of the SNF	NOT APPLICABLE	12/10/2009
Castellanos, Ana	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Castellanos, Ana	Individual	ADP of the SNF	NOT APPLICABLE	08/07/2025
Fanaras, Charles	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/27/2017
Fanaras, Charles	Individual	Corporate Director	NOT APPLICABLE	03/27/2017
Fanaras, Charles	Individual	Trustee of the SNF	NOT APPLICABLE	03/27/2017
Gaskill, Luciele	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/26/2018
Gaskill, Luciele	Individual	Corporate Director	NOT APPLICABLE	09/26/2018
Gaskill, Luciele	Individual	Trustee of the SNF	NOT APPLICABLE	09/26/2018
Huse, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/26/2019
Huse, Michael	Individual	Corporate Director	NOT APPLICABLE	09/26/2019
Huse, Michael	Individual	Trustee of the SNF	NOT APPLICABLE	09/26/2019
Martinson, Sandra	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/26/2018
Martinson, Sandra	Individual	Corporate Director	NOT APPLICABLE	09/26/2018
Martinson, Sandra	Individual	Trustee of the SNF	NOT APPLICABLE	09/26/2018
McGuire, Brian	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/30/2023
McGuire, Brian	Individual	Corporate Director	NOT APPLICABLE	09/30/2023

Showing 20 of 34 parties CMS has on file for this facility; 14 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.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"

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 68% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 34 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 (12 closest of 21 within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Pleasant View Center	0.4 mi	Concord, NH		—/5	SFF
Harris Hill Center, Genesis Healthcare	1.2 mi	Concord, NH	★★☆☆☆	2/5
Havenwood-Heritage Heights	2.5 mi	Concord, NH	★★☆☆☆	2/5
Epsom Healthcare Center	10.0 mi	Epsom, NH	★★☆☆☆	2/5
Hackett Hill Healthcare Center	11.6 mi	Manchester, NH	★★☆☆☆	1/5
Merrimack County Nursing Home	12.0 mi	Boscawen, NH	★★★☆☆	2/5
Goffstown Nursing and Rehab Center	12.1 mi	Goffstown, NH	★☆☆☆☆	1/5
Hillsborough County Nursing Home	13.1 mi	Goffstown, NH	★★★★★	3/5
Courville at Manchester	14.0 mi	Manchester, NH	★★☆☆☆	1/5	SFF
Mount Carmel Rehabilitation and Nursing Center	14.7 mi	Manchester, NH	★★★★☆	4/5
Maple Leaf Health Care Center	14.8 mi	Manchester, NH	★★★★★	5/5
Saint Teresa Rehabilitation & Nursing Center	15.2 mi	Manchester, NH	★★☆☆☆	2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Merrimack, NH — 7 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Mountain Ridge Center, Genesis Healthcare — Franklin, NH · overall 1/5SFF

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Concord →

Facility data as of CMS processing date 2026-08-01. CCN 305063.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Presidential Oaks

200 Pleasant Street, Concord, NH 03301 · (603) 225-6644

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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 68% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 34 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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 305063 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)