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B
Good

MERRIMACK COUNTY NURSING HOME

325 DANIEL WEBSTER HIGHWAY · BOSCAWEN, NH 03303

6037962165 · Government - County

290 beds273.2 residents492 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MERRIMACK COUNTY NURSING HOME receives an overall staffing grade of B (Good). With 4.7771 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6295 HPRD, below the recommended 0.75. It is 0.88 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 15.84% compared to weekdays. The facility relies heavily on temporary agency staff (31.86% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.6295 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️31.86% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.7771hrs/resident/day▲ 0.88
CMS benchmark: 3.48
RN HPRD
0.6295hrs/resident/day▼ 0.05
Recommended: 0.75
Weekend Drop-off
15.84%
5.0011 weekday → 4.2087 weekend
Agency Staff
31.86%
17.81% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.1739hrs/resident/day
Direct care aides
LPN HPRD
0.7246hrs/resident/day
Licensed practical nurses
Consistency
0.4112std 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+0.78 HPRD
4.00
04.78 HPRD
vs. New Hampshire State Average+0.82 HPRD
3.96
04.78 HPRD
vs. National Average+0.88 HPRD
3.90
04.78 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
MERRIMACK COUNTY NURSING HOME ★
BOSCAWEN · This facility
—
B
4.77710.6295★★★★☆
Mountain Ridge Center, Genesis HealthCare
FRANKLIN
5.6 mi
C
3.39460.6191★☆☆☆☆
HAVENWOOD-HERITAGE HEIGHTS
CONCORD
11.9 mi
A
4.68390.982★★★★★
PRESIDENTIAL OAKS
CONCORD
12 mi
A
4.95990.9209★★★☆☆
PLEASANT VIEW CENTER
CONCORD
12 mi
B
3.55160.5611☆☆☆☆☆
Harris Hill Center, Genesis HealthCare
CONCORD
12.9 mi
C
3.32850.518★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
9
Total Deficiencies
$15,646
Fines Assessed
Feb 28, 2025Health
3 deficiencies cited
▼
Mar 21, 2024Health
2 deficiencies cited· Includes actual harm
▼
Mar 2, 2023Health
4 deficiencies cited
▼

Penalty History

Mar 21, 2024Fine
$15,646
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.