Merrimack County, New Hampshire · Nursing home
Presidential Oaks
3 of 5 overall from CMS
200 Pleasant Street, Concord, NH 03301
At a glance
- Overall rating 3 of 5 Below the state average of 3.1
- Nurse time per resident, per day 4.43 hours Above the state average of 3.90
- Nursing staff who left in a year 68.3% Above the state average of 44.1%
- Health citations in 3 years 16 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 85.4% of 85 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Presidential Oaks is a 85-bed nursing home in Concord, New Hampshire (Merrimack County). CMS rates it 3 of 5 stars overall as of Aug 2026. It reports 4.43 nurse staffing hours per resident per day, above the New Hampshire average of 3.90. CMS lists no fines in the past three years.
- Certified beds
- 85
- Residents per day (average)
- 72.6
- Certified since
- 1996 (30 yrs)
Non profit - Corporation Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Questions to ask Presidential Oaks
Chosen from this home's public data.
- The latest standard inspection (Jan 30, 2026) cited 7 health deficiencies; the New Hampshire average is 3.9. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 68.3%, above the New Hampshire average of 44.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.84 hours per resident on weekends against 4.43 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 New Hampshire average 3.1
- Health inspections 2 of 5 New Hampshire average 2.9
- Staffing 3 of 5 New Hampshire average 3.3
- Quality measures 5 of 5 New Hampshire average 3.2
The vertical line marks the New Hampshire average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.43 h New Hampshire average 3.90
- Nurse aides 2.65 h New Hampshire average 2.34
- Licensed practical nurses 0.87 h New Hampshire average 0.78
- Registered nurses 0.91 h New Hampshire average 0.78
- All staff, weekends 3.84 h New Hampshire average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the New Hampshire average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover68.3%
- New Hampshire average44.1%
- Registered nurse turnover62.5%
- New Hampshire average40.9%
- Administrators who left2
Inspection history
Inspectors cited 16 health deficiencies in the past three years. None was graded as actual harm or immediate jeopardy. 2 followed a complaint investigation.
| Inspection date | Health | Fire safety |
|---|---|---|
| Jan 30, 2026 | 7 | 2 |
| Oct 30, 2024 | 3 | 5 |
| Oct 26, 2023 | 6 | 0 |
New Hampshire homes averaged 3.9 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (16)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 20, 2026)
-
EPotential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Mar 27, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Mar 13, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Mar 6, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · Deficient, Provider has date of correction (Mar 6, 2026)
Show 11 more
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 30, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Dec 12, 2025)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 10, 2024)
-
BPotential for minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Dec 10, 2024)
-
BPotential for minimal harm, pattern
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights · Deficient, Provider has date of correction (Dec 10, 2024)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 21, 2023)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 21, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 22, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 21, 2023)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Nov 22, 2023)
-
BPotential for minimal harm, pattern
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Nov 21, 2023)
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
New Hampshire homes averaged 0.6 fines and $8,016 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Hampshire
- Size43 of 73 by certified beds
- New Hampshire average residents per day81.3
- ChainNone listed
- Resident or family councilResident
- Homes in Merrimack County7
Common questions
What is the CMS star rating for Presidential Oaks?
Presidential Oaks has an overall rating of 3 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 2, staffing is 3 and quality measures is 5.
How many beds does Presidential Oaks have?
Presidential Oaks has 85 certified beds. It averages 72.6 residents per day, about 85.4% of its certified beds.
How much nursing care do residents get at Presidential Oaks?
The home reports 4.43 hours of nurse staffing per resident per day, including 0.91 hours from registered nurses. The New Hampshire average is 3.90 hours and 0.78 hours from registered nurses.
Has Presidential Oaks been fined?
CMS lists no fines for this home in the past three years.
Does Presidential Oaks accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- – not rated Pleasant View Center 176beds 85.6%in use 3.78nurse hours a day
- 2 of 5 Harris Hill Center, Genesis HealthCare 85beds 88.5%in use 3.41nurse hours a day
- 2 of 5 Havenwood-Heritage Heights 70beds 91.9%in use 5.23nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Merrimack County
Who to call in New Hampshire
These offices serve residents of every nursing home in New Hampshire.
- Long-term care ombudsman Office of the Long-Term Care Ombudsman 1-800-442-5640 A free advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Administration, Health Facility Certification Unit 603-271-9049 The state agency that inspects nursing homes.
New Hampshire staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 305063. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.