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A
Very Good

PRESIDENTIAL OAKS

200 PLEASANT STREET · CONCORD, NH 03301

6032256644 · Non profit - Corporation

85 beds67.9 residents266 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PRESIDENTIAL OAKS receives an overall staffing grade of A (Very Good). With 4.9599 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.06 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.71% compared to weekdays. The facility relies heavily on temporary agency staff (30.91% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️30.91% 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 (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.9599hrs/resident/day▲ 1.06
CMS benchmark: 3.48
RN HPRD
0.9209hrs/resident/day▲ 0.24
Recommended: 0.75
Weekend Drop-off
13.71%
5.1597 weekday → 4.4525 weekend
Agency Staff
30.91%
59.53% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.7842hrs/resident/day
Direct care aides
LPN HPRD
1.1506hrs/resident/day
Licensed practical nurses
Consistency
0.5536std 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+0.96 HPRD
4.00
04.96 HPRD
vs. New Hampshire State Average+1.00 HPRD
3.96
04.96 HPRD
vs. National Average+1.06 HPRD
3.90
04.96 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
PRESIDENTIAL OAKS ★
CONCORD · This facility
—
A
4.95990.9209★★★☆☆
PLEASANT VIEW CENTER
CONCORD
0.4 mi
B
3.55160.5611☆☆☆☆☆
Harris Hill Center, Genesis HealthCare
CONCORD
1.2 mi
C
3.32850.518★★☆☆☆
HAVENWOOD-HERITAGE HEIGHTS
CONCORD
2.5 mi
A
4.68390.982★★★★★
EPSOM HEALTHCARE CENTER
EPSOM
10 mi
C
3.28380.5215★★★☆☆
HACKETT HILL HEALTHCARE CENTER
MANCHESTER
11.6 mi
B
3.61381.2009★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
18
Total Deficiencies
$0
Fines Assessed
Nov 18, 2025Health
2 deficiencies cited
▼
Oct 30, 2024Health
3 deficiencies cited
▼
Oct 26, 2023Health
6 deficiencies cited
▼
Nov 22, 2022Health
7 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.