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C
Below Standard

EPSOM HEALTHCARE CENTER

901 SUNCOOK VALLEY HIGHWAY · EPSOM, NH 03234

6037364772 · For profit - Limited Liability company

108 beds100.4 residents128 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

EPSOM HEALTHCARE CENTER receives an overall staffing grade of C (Below Standard). With 3.2838 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5215 HPRD, below the recommended 0.75. It is 0.61 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.04% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2838 HPRD — needs 0.20 more hours per resident per day.
⚠️RN staffing (0.5215 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2838hrs/resident/day▼ 0.61
CMS benchmark: 3.48
RN HPRD
0.5215hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
17.04%
3.45 weekday → 2.8621 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0704hrs/resident/day
Direct care aides
LPN HPRD
0.6919hrs/resident/day
Licensed practical nurses
Consistency
0.3099std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Merrimack County Average-0.71 HPRD
4.00
03.28 HPRD
vs. New Hampshire State Average-0.68 HPRD
3.96
03.28 HPRD
vs. National Average-0.61 HPRD
3.90
03.28 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
EPSOM HEALTHCARE CENTER ★
EPSOM · This facility
—
C
3.28380.5215★★★☆☆
HAVENWOOD-HERITAGE HEIGHTS
CONCORD
7.7 mi
A
4.68390.982★★★★★
Harris Hill Center, Genesis HealthCare
CONCORD
9.1 mi
C
3.32850.518★★☆☆☆
PRESIDENTIAL OAKS
CONCORD
10 mi
A
4.95990.9209★★★☆☆
PLEASANT VIEW CENTER
CONCORD
10.4 mi
B
3.55160.5611☆☆☆☆☆
HACKETT HILL HEALTHCARE CENTER
MANCHESTER
14.7 mi
B
3.61381.2009★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
10
Total Deficiencies
$0
Fines Assessed
Feb 4, 2025Health
2 deficiencies cited
▼
Mar 7, 2024Health
2 deficiencies cited
▼
Jun 1, 2023Health
1 deficiency cited
▼
Feb 17, 2023Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.