Nursing homeActive
Presidential Oaks
200 Pleasant Street, Concord, NH 03301603225664485 certified beds · 73 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
16
● 3● 13● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-01-30
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · New Hampshire Health Facilities Administration · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-30 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-11-18 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-10-30 | Standard | 210 | CMS-2567 (Care Compare) | — |
| 2023-10-26 | Standard | 150 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · New Hampshire Health Facilities Administration publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-13Record 305063-20260130-F565
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 305063-20260130-F580
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 305063-20260130-F585
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 305063-20260130-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 305063-20260130-F881
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-30Record 305063-20251118-F610
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-12Record 305063-20251118-F677
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-10Record 305063-20241030-F812
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-12-10Record 305063-20241030-F623
F625Notify 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.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-12-10Record 305063-20241030-F625
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 305063-20231026-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 305063-20231026-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 305063-20231026-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-21Record 305063-20231026-F689
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 305063-20231026-F758
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2023-11-21Record 305063-20231026-F623
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.91
Facility
New Hampshire
National
New Hampshire 0.78 · National 0.69
Total nurse hours per resident day4.43
Facility
New Hampshire
National
New Hampshire 3.90 · National 3.86
Weekend total nurse hours3.84
Facility
New Hampshire
National
New Hampshire 3.47 · National 3.42
Total nursing staff turnover68%
Facility
New Hampshire
National
New Hampshire 44% · National 46%
Registered nurse turnover63%
Facility
New Hampshire
National
New Hampshire 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | New Hampshire | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.5% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.1% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.8% | 17.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.3% | 22.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.0% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.8% | 19.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Beamer, Angela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Caron, Sharon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castellanos, Ana Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wipfli LLP Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beamer, Angela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Caron, Sharon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castellanos, Ana Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fanaras, Charles Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Fanaras, Charles Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Fanaras, Charles Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gaskill, Luciele Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gaskill, Luciele Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gaskill, Luciele Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Huse, Michael Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Huse, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Huse, Michael Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Martinson, Sandra Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Martinson, Sandra Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Martinson, Sandra Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcguire, Brian Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Mcguire, Brian Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mcguire, Brian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Montgomery, Kathryn Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Montgomery, Kathryn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Montgomery, Kathryn Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Nickerson, Sandra Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Nickerson, Sandra Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nickerson, Sandra Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Taylor, Kevin Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Taylor, Kevin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Taylor, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wipfli LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Woods, Steven Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Woods, Steven Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New Hampshire.
No county cost figures on file for Merrimack.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Pleasant View Center Concord | 0.4 mi | 2026-06-04 | 6401 |
| Harris Hill Center, Genesis HealthCare Concord | 1.2 mi | 2026-04-15 | 0151 |
| Havenwood-Heritage Heights Concord | 2.5 mi | 2026-04-22 | 160 |
| Hackett Hill Healthcare Center Manchester | 11.6 mi | 2026-04-24 | 3111 |
| Goffstown Nursing And Rehab Center Goffstown | 12.1 mi | 2025-12-03 | 3310 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |